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Case Manager

OU Medicine
Oklahoma City

Job Description

Position Title:
Case Manager

Department:
Case Mgmt & Social Services

Job Description:
General Description:

As a member of a multidisciplinary care management team, the nursing case manager is accountable and responsible for coordinating the care and services of selected patient populations.

Essential Responsibilities:

Responsibilities listed in this section are core to the position. Inability to perform these responsibilities with or without an accommodation may result in disqualification from the position.

Comprehensively assesses patient goals: biophysical, psychosocial, environmental, discharge planning needs and financial status.
Closely monitors patients progress for changes in medical needs that could effect present and future medical treatment.
Procures services and serves as advocate on behalf of the patient and family with scarce resources.
Works closely with third party payers to resolve problems and issues effecting continuity of patient care.
Coordinates and directs the discharge planning of patients with family members, health care team and the community.
Reviews admission data within the designated timeframe to determine the suitability of the level of care in accordance with ISD-A criteria and/or established criteria.

General Responsibilities:

Performs other duties as assigned

Minimum Qualifications:

Education: Graduate of an approved school of nursing; and

Experience: (3) years clinical nursing experience in an acute care facility.

Licensure/Certifications/Registrations Required: Current license with the Oklahoma State Board of Nursing as a Registered Nurse. BLS upon hire.

Knowledge, Skills and Abilities: Knowledge of nursing practices and procedures. Strong clinical assessment skills. Must be knowledgeable about resources available in the community for use by patients, families and the health care team that would facilitate in the recovery of the patient. Requires knowledge of third party payer issues concerning reimbursement and regulatory perimeters. Must be able to explain technical and complex information in such a way that patients and family can understand. Strong interpersonal skills that facilitate the gathering of information necessary for assessing the patients needs and the range of treatment and care necessary.

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Employment Type

Full time

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