Adult Care Management RN - Emergency Dept (Full Time - Alternating Schedule)

OU Health; Oklahoma City (OK); On-site; USD 65,000 - 90,000; Full time

Benefits offered by this job

Sign-on bonus

Relocation assistance

Job summary

OU Health in Oklahoma City seeks an Adult Care Management RN for the Emergency Department. The role coordinates care for selected patient populations and ensures efficient use of resources, with a focus on timely assessments, planning, and communication.

The position supports quality outcomes and patient satisfaction while complying with regulatory standards. The schedule features 3x12-hour shifts one week, then a mixed schedule the next week, including every other weekend.

Qualifications

• Associate's degree or higher in nursing.
• 0–3 years nursing experience; care management preferred.
• Current RN license in Oklahoma or eNLC.
• Basic Life Support from American Heart Association required.

Responsibilities

• Assess patient health status and care needs.
• Develop individualized care plans with the care team.
• Educate patients and families on conditions, plans, meds, and self-care.
• Coordinate communication among patients, families, providers, and resources.
• Monitor and adjust care plans to improve outcomes.
• Ensure regulatory and payer compliance in care management.

Skills

Care management

Communication

Regulatory knowledge

EHR proficiency

Education

Associate's degree in nursing

Bachelor's degree in nursing

Bachelor's degree in nursing (BSN)

Tools

EHR systems

Job description

Position Title: Adult Care Management RN - Emergency Dept (Full Time - Alternating Schedule)

Department: OUMC ED Care Management

New to OU Health? Ask your recruiter about our competitive wages and total rewards package, including a sign-on bonus and possible relocation assistance if you are located outside of 100 miles!

This position may be filled as a Level 1, 2, or 3 depending on specific education, experience, and license requirements.

AREA/SCHEDULE: Adult Emergency Dept / 3x 12-hour shifts (36 hours) one week, then 3x 12-hour shifts & 1x 8-hour shift (44 hours) the next week. Every other weekend included.

Care Management RNs are accountable and responsible for coordinating the care and services of selected patient populations and ensuring the efficient utilization of healthcare resources. The primary responsibility of the role will be to assess, plan, implement, coordinate, monitor, and evaluate the options and services required to meet the healthcare needs of patients, while promoting quality outcomes and patient satisfaction.

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.

• Conduct comprehensive assessments of patients' health status, medical history, and ongoing care needs.
• Develop individualized care plans in collaboration with the interdisciplinary healthcare team, patients, and their families to ensure continuity of care.
• Provide education to patients and their families regarding their health conditions, treatment plans, medications, financial expectations, and self-care strategies.
• Coordinate and facilitate communication between patients, families, healthcare providers, and community resources to optimize patient care outcomes.
• Evaluate effectiveness of care plans and adjust as necessary.
• Evaluate healthcare utilization patterns and identify opportunities for improving efficiency and cost-effectiveness.
• Advocate for appropriate allocation of resources and services to meet patients' needs while adhering to regulatory guidelines and reimbursement criteria.
• Collaborate with insurance providers, social workers, and other stakeholders to ensure timely authorization of services and coverage for patients.
• Monitor and evaluate patient outcomes, healthcare processes, and care delivery systems to identify areas for improvement.
• Participate in quality improvement initiatives and interdisciplinary care conferences to promote evidence-based practices and enhance patient safety and satisfaction.
• Ensure compliance with federal, state, and local regulations, as well as accreditation requirements related to care management and patient care.
• Implement strategies to minimize readmissions, prevent complications, and optimize care planning processes.

General Responsibilities

• Performs other duties as assigned.

Minimum Qualifications (Level 1)

Education Requirements: Associate's degree, or higher, in nursing required.

Experience Requirements : Minimum of 0 - 3 years Nursing experience required, with Care Management experience preferred.

License/Certification/Registration Requirements: Current Registered Nurse License (RN License issued by the Oklahoma State Board of Nursing, or a current multistate compact Registered Nurse (eNLC)). Basic Life Support from the American Heart Association required.

Minimum Qualifications (Level 2)

Education Requirements: Bachelor's degree in nursing required.

Experience Requirements: At least 3 years of Care Management experience.

License/Certification/Registration Requirements: Current Registered Nurse License (RN License issued by the Oklahoma State Board of Nursing, or a current multistate compact Registered Nurse (eNLC)). Basic Life Support from the American Heart Association required.

Minimum Qualifications (Level 3)

Education Requirements: Bachelor's degree in nursing required.

Experience Requirements: At least 5 years of Care Management experience.

License/Certification/Registration Requirements: Current Registered Nurse License (RN License issued by the Oklahoma State Board of Nursing, or a current multistate compact Registered Nurse (eNLC)). Basic Life Support from the American Heart Association required for inpatient setting.

Knowledge/Skills/Abilities Required

• Demonstrates expertise in regulatory requirements regarding the care management discipline.
• Strong communication, interpersonal, and leadership skills.
• Detailed oriented with excellent organizational skills.
• Commitment to fostering a culture of continuous learning, quality improvement, and patient-centered care.
• Strong assessment, critical thinking, and problem-solving skills
• Strong knowledge of healthcare regulations, including CMS guideline
• Show clear understanding of utilization management principles and integrate these with care management responsibilities.
• Serve as liaison between patients, families, and healthcare providers.
• Proficiency in utilizing electronic health records (EHR) and care management software.
• Strong assessment, critical thinking, and problem-solving skills.

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OU Health is an equal opportunity employer. We offer a comprehensive benefits package, including PTO, 401(k), medical and dental plans, and many more. We know that a total benefits and compensation package, designed to meet your specific needs both inside and outside of the work environment, create peace of mind for you and your family.