Top 21 Nurse case managers Jobs in Altus, Ok

RN Case Manager - Utilization Review
INTEGRIS Health —Oklahoma
- Full-time
- Nursing
- RN License
- Hospital
- Health insurance
- Paid time off
Quick Apply
5d
Case Manager Registered Nurse
Cohesive Staffing Solutions —Mangum, OK
- Laboratory
- Nursing
- RN License
Quick Apply
1d
RN - HMH
Jackson County Memorial Hospital Authority —Altus, OK
- Full-time
- Nursing
- Surgery
- RN License
11d
RN Coordinator - Pulmonary Hypertension
INTEGRIS Health —Oklahoma
- Full-time
- Nursing
- RN License
- Hospital
- Health insurance
- Paid time off
Quick Apply
11d
RN Case Manager - Baptist
INTEGRIS Health —Oklahoma
- Full-time
- Nursing
- RN License
- Hospital
- Health insurance
- Paid time off
Quick Apply
Hospice Registered Nurse PRN
Elara Caring —Frederick, OK
- Part-time
- Nursing
- Up to 50% travel
- RN License
- Paid holidays
- Health insurance
Quick Apply
Clinical Donation Coordinator I - PeeDee Region
WE ARE SHARING HOPE SC —United States
- On call
- Mid-level
- Operating room
- 2 years
Travel ICU RN Job in Tuscaloosa, Alabama
Gifted Healthcare —United States
- $2,646 a week
- Overtime
- Nursing
- Anatomy knowledge
- Medication administration
- Health insurance
- Dental insurance
Quick Apply

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RN Case Manager - Utilization Review

INTEGRIS Health -
Oklahoma

Quick Apply

Job Details

Full-time
5 days ago

Benefits

Health insurance
Paid time off

Qualifications

Computer operation
RN License
Managed care organization experience
Computer literacy
Health insurance knowledge
Bachelor of Science in Nursing
Bachelor's degree in nursing
Computer skills

Full Job Description

Join our team as a day shift/variable, full time, RN Case Manager - Utilization Review, at INTEGRIS Baptist Medical Center, Oklahoma City, OK.

Get to Know Your Team:

INTEGRIS Health, Oklahoma’s largest not-for-profit health system, is seeking a dedicated caregiver to join us in our mission to partner with people to live healthier lives.
Benefits of being an INTEGRIS Health caregiver include front-loaded PTO, medical benefits through the extensive INTEGRIS Health network, financial assistance for continued education, 24/7 mental health support and more.
Take the first step toward growing your career by joining us.

The RN Case Manager responsibilities include, but are not limited to, the following:

Completes a comprehensive assessment of patients clinical, psychological and financial needs utilizing all available resources.
Recommends and coordinates timely transfers to appropriate levels of care as indicated by clinical needs and utilization criteria.
Develops, implements, evaluates and revises, as necessary, a plan for discharge, including referrals to other health care and community organizations based on needs assessment.
Communicates discharge care plan, and any changes in the plan to patient, family and all appropriate healthcare professionals.
Assists physicians and hospital staff in appropriate utilization of resources through application of utilization criteria and facilitating timely discharge planning for patients.
Coordinates services between hospital departments to facilitate timely patient discharge.
Conducts concurrent review of patient records on admission to the hospital and as determined by the patient's clinical condition.
Applies utilization criteria accurately in order to determine appropriate utilization of resources.
Notifies designated internal and external contacts of utilization issues that may affect patient care and/or reimbursement.
Facilitates patient transfers to other health care organizations in accordance with hospital policies and all-applicable state and federal guidelines and regulations.
Acts as a resource/advisor to physicians regarding discharge planning, medical record documentation, and all issues that may affect resource utilization and reimbursement.
Integrates and manages established pathways, where available, to enhance clinical effectiveness and clinical resource management.
Maintains knowledge and understanding of CMS regulations, Medicare/Medicaid, managed care and other payer regulations and benefit limits.
Acts as a resource and provides education for patients, their family members and all health care professionals regarding HCFA regulations, Medicare, Medicaid, managed care and other payers.
Develops and maintains knowledge and understanding of hospital and community resources, and facilitates use of most appropriate level of care to conserve patient, hospital, and payer resources.
Identifies opportunities to reduce cost of managing patient care without impacting quality or outcomes.
Participates in collecting and recording data for utilization and Quality Improvement reporting. * Works collaboratively and professionally with patients, family members, and physicians, hospital staff and other individuals and agencies involved in providing patient care.

REQUIRED QUALIFICATIONS

EXPERIENCE:

2 years experience in a clinical settings (e,g. home health, inpatient, physician office, clinic)

LICENSE/CERTIFICATIONS:

BLS (Basic Life Support) Issued by American Red Cross or American Heart Association within 30 days of hire
RN (Registered Nurse) Current licensure as a Registered Nurse (RN) in the State of Oklahoma or current multistate license from a Nurse Licensure Compact (eNLC) member state

SKILLS:

Excellent interpersonal communication and collaboration skills
Computer experience

EXPERIENCE:

Experience with managed care and payer/provider requirements

EDUCATION:

Bachelor's of Science in Nursing

LICENSE/CERTIFICATIONS:

Case Management Certification

INTEGRIS Health is an Equal Opportunity Employer. All applicants will receive consideration regardless of membership in any protected status as defined by applicable state or federal law, including protected veteran or disability status.

INTEGRIS Health mission: Partnering with people to live healthier lives.

To our patients, that means we will partner to provide unprecedented access to quality and compassionate health care. To you, it means some of the state's best career and development opportunities. With INTEGRIS Health, you will have a genuine chance to make a difference in your life and your career.

INTEGRIS Health is the state's largest Oklahoma-owned health system with hospitals, rehabilitation centers, physician clinics, mental health facilities and home health agencies throughout much of the state.

Quick Apply

Refine Your Search

nurse case managers jobs in altus, ok

RN Case Manager - Utilization Review

Case Manager Registered Nurse

RN - HMH

RN Coordinator - Pulmonary Hypertension

RN Case Manager - Baptist

Hospice Registered Nurse PRN

Clinical Donation Coordinator I - PeeDee Region

Travel ICU RN Job in Tuscaloosa, Alabama

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