RN Clinic Case Manager

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 patient's progress for changes in medical needs that could affect 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 affecting thecontinuity 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 from an accredited school of nursing required. Bachelor of Science (or higher) in Nursing Board Approved Program preferred.

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

License(s)/Certification(s)/Registration(s) Required: Current RN License issued by the Oklahoma State Board of Nursing, or a current multistate Compact RN License (eNLC). Current Basic Life Support issued by the American Heart Association required 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 patient's needs and the range of treatment and care necessary.