Case Manager

Oklahoma State University Medical Center; Oklahoma; On-site; USD 65,000 - 85,000; Full time

Job summary

Oklahoma State University Medical Center in Oklahoma City is seeking an RN Case Manager to coordinate patient care across the continuum with the unit manager, social workers, and the care team.

You will assess patient needs, guide discharge planning, advocate with insurers, and contribute to quality improvement through data-driven outcomes.

Qualifications

• Associate degree preferred (2-year) for nursing or related field.
• Valid OK RN License and BLS certification preferred.
• 1–3 years of RN experience in case management or related area.

Responsibilities

• Coordinate care across continuum with unit manager, social worker and care team.
• Assess patient needs and ensure admission, continued stay and discharge criteria.
• Develop discharge plans and facilitate transitions between care levels.
• Advocate for patients with insurers based on defined needs and outcomes.
• Engage in quality improvement using trend data to identify areas for improvement.
• Educate patients and families; train multidisciplinary team on care and case management.
• Complete Interqual Reviews for initial and concurrent reviews.

Skills

Case management

Care coordination

Quality improvement

Patient education

Education

Associate Degree (2-year) in Nursing or related field

Tools

Interqual Reviews

Job description

Job Description

The RN Case Manager provides patient care management across the continuum of care. The RN Case Manager is responsible for ongoing assessment of patient needs and coordination of the delivery of patient care through the unit manager, Social Worker, and the multi-disciplinary health care team. The RN Case Manager is accountable to ensure patients meet criteria for admission, continued stay, and discharge. They focus on facilitating the development of discharge plans and the appropriate movement of patients from one level of care to another. In collaboration with the Social Workers, they insure a smooth transition to other levels of care. The RN Case Managers function as a liaison with insurers to advocate for patients based on defined needs. There is a significant focus on patient care outcomes and the RN Case Manager oversees the evaluation of outcomes (treatment and financial outcomes). The practice of the RN Case Manager is highly collaborative with physicians and other health care team members. They are involved in quality improvement utilizing trended data to focus on issues identified for improvement. RN Case Managers are teachers to patient/families and members of the multi-disciplinary team. RN Case Managers are accountable for the training related to the principles of care and case management. They assist the Social Worker with the complicated medical issues. The RN Case Manager is responsible for completing Interqual Reviews for initial and concurrent reviews.

Qualifications

• Education 2 year / Associate Degree (preferred) License / Certification Valid OK RN License BLS Certified Case Manager (preferred) Experience 1 - 3 years