Nurse

• Conduct comprehensive face-to-face assessments of newly admitted members at assigned acute care facilities
• Evaluate members’ physical, psychosocial, and health needs and refer them to Humana programs as appropriate
• Support and educate members and families on discharge planning from admission through post-discharge
• Facilitate follow-up visits with primary care providers
• Identify gaps in care, safety concerns, and barriers to discharge
• Develop and implement strategies to address care and discharge issues
• Collaborate with attending providers, facility case managers, and other healthcare professionals
• Provide education on diagnoses, medications, and preventive measures
• Complete required documentation accurately and promptly
• Maintain infection control, safety, and patient privacy standards
• Coordinate care onsite at Norman Regional Hospital and complete documentation remotely when permitted

Onsite Care Coordination Nurse coordinating hospital-to-home transitions for Humana healthcare members

Care Coordination Nurse

Onsite Care Coordination Nurse supporting Humana members through acute-care assessments and hospital-to-home transitions. Coordinating discharge planning and documentation at Norman Regional Hospital with limited remote work.

• Communication with patients/families to discuss continuum of care services.
• Meeting/Communicating with referral sources (case management, social work, clinics, providers, SNF/ALF facilities etc).
• Care coordination between continuum of care departments, such as branch departments, business development etc.
• Eligibility/Chart Review to determine appropriateness for continuum of care services.
• Reviews and analyzes patient referrals to determine the appropriateness of home health, hospice and infusion services.
• Coordinates all aspects of service to optimize the patient’s smooth transition from hospital to home care.
• Communicates key components of patient’s needs and physicians' orders to clinicians to help establish the patient’s plan of care.
• Provides educational information to case managers, physicians, key hospital staff, and nursing home staff regarding qualifying criteria, access to services, etc.

Licensed Practical Nurse handling admissions and patient care coordination

Licensed Practical Nurse – Admission / Intake Coordinator

Licensed Practical Nurse managing admissions and patient care coordination for home health and hospice services. Involves communication with families and care teams for service appropriateness and patient transitions.

• Communication with patients/families to discuss continuum of care services.
• Meeting/ Communicating with referral sources (case management, social work, clinics, providers, SNF/ALF facilities etc).
• Care coordination between continuum of care departments, such as branch departments, business development etc.
• Eligibility/Chart Review to determine appropriateness for continuum of care services.
• Reviews and analyzes patient referrals to determine the appropriateness of home health, hospice and infusion services.
• Coordinates all aspects of service to optimize the patient’s smooth transition from hospital to home care.
• Communicates key components of patient’s needs and physicians' orders to clinicians to help establish the patient’s plan of care.
• Provides educational information to case managers, physicians, key hospital staff, and nursing home staff regarding qualifying criteria, access to services, etc.

Licensed Practical Nurse coordinating patient care for hospice and home health services

Licensed Practical Nurse coordinating care between patients and healthcare providers for hospice and home health. Assessing needs and ensuring smooth transitions from hospital to home care.

• Provides administrative and clinical support to the hospital and treatment teams
• Communicates with providers about reimbursement issues
• Participates in treatment teams and committees
• Gathers and prepares clinical/treatment information for authorization
• Assists in discharge planning
• Reviews patient eligibility and benefits for level of care utilization
• Investigates and prepares appeals for insurance companies

Utilization Management Nurse supporting clinical teams at Saint Francis Health System

Utilization Management Nurse, RN

Utilization Management Nurse supporting clinical and administrative teams at Saint Francis Health System. Involves patient reviews and communication with providers regarding reimbursement issues.

Nurse jobs in Oklahoma

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Care Coordination Nurse

Licensed Practical Nurse – Admission / Intake Coordinator

Licensed Practical Nurse – Admission / Intake Coordinator

Utilization Management Nurse, RN