RN Care Manager - South Case Management

Responsibilities

• Affords assessments of patients from clinical, social, and financial perspectives and coordinates post-discharge needs with the care team.
• Serves as a clinical and financial resource for patients and interdisciplinary team members.
• Performs clinical data collection using established criteria and the InterQual system.
• Proactively conducts utilization reviews; communicates coverage information with third-party payers, medical staff, and clinical providers.
• Leads age and developmentally appropriate patient education groups to address the emotional, physical, and environmental needs of Behavioral Health and/or Addiction Recovery patients.
• Participates in the writing of treatment plans with other program staff and physicians.
• Assists in the utilization review process by contacting patients' insurance companies to provide clinical information for authorizing patient treatment.
• Serves as a patient advocate in addressing the patient's needs, as well as those individuals involved with the patient.
• Completes or facilitates the completion of Emergency detention paperwork, ensuring its distribution and receipt by legally designated individuals.
• Processes orders/refills or laboratory requests for ordering physicians.
• Maintains a watchful eye on patients' medications and provides education regarding their use and side effects.
• Maintains a watchful eye on vital signs as directed by physician orders or when medically necessary.
• Completes a comprehensive Initial Mental Health Assessment of patients' clinical, psychological, and financial needs using all available resources.
• Attends and participates in treatment teams.

Requirements

• 5 years experience in a variety of clinical settings (e.g., home health, inpatient, physician office, clinic).
• Current licensure as a Registered Nurse (RN) in the State of Oklahoma or current multistate license from a Nurse Licensure Compact (eNLC) member state.
• BLS (Basic Life Support) issued by American Red Cross or American Heart Association within 30 days of hire.

Skills

• Excellent interpersonal communication and collaboration skills.
• Computer experience.

Qualifications

• Bachelor's of Science in Nursing.

Pay

TBD based on experience and qualifications.

Schedule

Day shift, part-time.