Registered Nurse (RN) - Case Management
Saint Francis Health System
Tulsa, OK
$33+/hourOverview
- Start DateASAP
Pay
Benefits
- Holiday Pay
- Continuing Education
- 401k retirement plan
- Wellness and fitness programs
- Employee assistance programs
- Medical benefits
- Vision benefits
- Dental benefits
Description
Current Saint Francis Employees - Please click HERE to login and apply.
Full TimeJob Summary: The case manager is responsible for facilitating the patient's hospitalization from pre-admission through discharge. The case manager coordinates with physician's, nurses, social workers, and other health team members to expedite medically appropriate cost effective care. The case manager applies clinical expertise and medical appropriateness criteria to resource utilization and discharge planning. Will advise the health care team and provide leadership as needed.
Minimum Education: Has completed the basic professional curricula of a school of nursing as approved and verified by a state board of nursing, and holds or is entitled to hold a diploma or degree therefrom.
Licensure, Registration and/or Certification: Valid multi-state or State of Oklahoma Registered Nurse License.
Work Experience: Minimum of 3 years of clinical experience as a registered nurse. Utilization review or discharge planning preferred.
Knowledge, Skills and Abilities: Demonstrates a strong clinical background and an understanding of the preparation and post procedure monitoring requirements for diagnostic/radiological and or surgical procedures. Ability to utilize Microsoft Office, Excel, spreadsheet management, database management as needed. Ablity to utilize keyboard system to learn new programs as required.
Essential Functions and Responsibilities: Using established criteria, reviews appropriateness of patient's admission, need for continued stay, information needed for discharge. Obtains order from physician to ensure accurate visit type and level of care in a timely manner. Ensures that the care plan and the discharge plan are consistent with the patient's clinical course, continuing care needs and covered services. Make interdepartmental/health team contact as indicated to expedite discharge plan. Initiates discharge planning within one business day by assessing the patient's needs and documenting the assessment. Identifies and proactively manages potential barriers to discharge. Participates in multidisciplinary patient rounds. Obtains from third party payer certification due to patient status change and information needed for discharge. Enters authorization and days approved data into system to facilitate billing. Responds to third party payer requests for concurrent clinical information. Assists with medical necessity denials and performs appeal with medical staff assistance. Coordinates the transitional planning processes and discusses with attending physician and/or physician advisor the appropriateness of resource utilization. Makes appropriate referrals to social work based on risk criteria and to Complex Discharge Specialist as indicated. Collects data on variances from quality screening criteria and medical opportunity days as required. Communicates issues to Quality, Risk Management, and Corporate Compliance. Completes all necessary forms in a timely manner. Documents assessment and discharge plan. Participates in multidisciplinary patient rounds.
Decision Making: The carrying out of non-routine procedures under constantly changing conditions, in conformance with general instructions from supervisor.
Working Relationship: Works directly with patients and/or customers Works with internal customers via telephone or face to face interaction Works with external customers via telephone or face to face interaction Works with other healthcare professionals and staff
Special Job Dimensions: None.
Supplemental Information: This document generally describes the essential functions of the job and the physical demands required to perform the job. This compilation of essential functions and physical demands is not all inclusive nor does it prohibit the assignment of additional duties.
Case Management - South CampusLocation:
Tulsa, Oklahoma 74133EOE Protected Veterans/Disability
Employer
Saint Francis Health System
About Tulsa, OK
- Tulsa's cost of living is 16% lower than the national average, making it an affordable place to live.
- Wages generally match up with the lower cost of living, providing a good balance for residents.
- Summer average highs are around 92°F, and winter average lows are around 26°F, offering a mix of seasons for those who enjoy variety.
- Short term rentals are relatively easy to find in Tulsa, with various options available for travel nurses.
- Tulsa is car-friendly with easy access to major highways.
- Public transportation options are available but may not be as extensive as in larger cities.
- Tulsa has a diverse population with a wide age range.
- Common health issues may include obesity and related conditions.
- There is a growing population of travel nurses due to the presence of several healthcare facilities.
- Tulsa offers a variety of activities including dining at local restaurants, exploring art and music at museums, enjoying outdoor activities at parks, and engaging in sports such as golf.
- The city has a vibrant cultural scene with something for everyone.
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