Senior Client Advisory Services Manager
CCK Strategies
RN Case Manager
INTEGRIS Health
part-time
Posted on:
Location Type: Hybrid
Location: Enid • Oklahoma • 🇺🇸 United States
Visit company websiteJob Level
Mid-LevelSenior
About the role
- 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.
Requirements
- 5 years experience in a variety of clinical settings (e,g. home health, inpatient, physician office, clinic)
- 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
- Excellent interpersonal communication and collaboration skills
- Computer experience
- Experience with managed care and payer/provider requirements
- Bachelor's of Science in Nursing
- Case Management Certification
Benefits
- INTEGRIS is an Equal Opportunity/Affirmative Action 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.
- Must be able to communicate effectively in English (verbal/written).
Applicant Tracking System Keywords
Tip: use these terms in your resume and cover letter to boost ATS matches.
Hard skills
patient assessmentdischarge planningutilization criteriaconcurrent reviewresource coordinationmanaged carepayer/provider requirements
Soft skills
interpersonal communicationcollaborationorganizational skills
Certifications
BLSRNCase Management Certification