Case Manager (RN)

Saint Francis Hospital Muskogee, Inc.; Muskogee (OK); On-site; USD 60,000 - 90,000; Full time

Job summary

Saint Francis Hospital Muskogee, Inc. is seeking a Registered Nurse to join our Case Management team as a Case Manager. This role emphasizes discharge planning and coordination with the interdisciplinary team to ensure safe transitions of care for patients.

Oklahoma RN license is required; CCM certification is preferred. A minimum of 3 years of clinical RN experience is expected, with ECB status for department hours and limited benefit offerings.

Qualifications

• Oklahoma RN license required.
• Minimum 3 years of clinical RN experience.
• CCM certification preferred.

Responsibilities

• Plans patient care with physicians and healthcare team.
• Ensures care and discharge plans align with patient’s clinical course.
• Identifies potential discharge barriers.
• Participates in multidisciplinary patient rounds.
• Coordinates discharge planning with care team, patient, and caregivers.
• Evaluates progress toward clinical/functional goals.
• Initiates discharge coordination from acute care.
• Obtains payer authorization for post-acute services.
• Arranges care settings (home health, rehab, SNF).
• Assists in hospital-to-hospital transfers.
• Evaluates readmission reasons to improve discharge activities.
• Tracks avoidable days and reports trends to leadership.

Skills

Discharge planning

Communication

Independent work

Organizational skills

Education

RN license and nursing degree

Tools

Microsoft 365

Job description

Current Saint Francis Employees

This position is ECB status – requires a minimum number of worked hours per month as needed by the department; limited benefit offerings.

Job Summary

The Case Manager (RN) provides case management services to patients and families. This role identifies patient discharge and transition of care needs and coordinates discharge planning activities. The case manager works collaboratively with the patient and interdisciplinary team to develop a safe discharge plan that minimizes the risk of hospital re-admissions.

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. Certified Case Manager (CCM), preferred.

Work Experience

Minimum 3 years of clinical experience as a registered nurse. Case management or discharge planning experience, preferred.

Knowledge, Skills and Abilities

Superb customer relations, telephone etiquette, and communication skills. Ability to work independently with minimal supervision. Demonstrated sound clinical knowledge of the medical surgical patient. Ability to be highly organized in a fast-paced environment. Ability to organize and prioritize work in an effective and efficient manner. Working knowledge of Microsoft 365 with basic computer skills.

Essential Functions and Responsibilities

• Plans patient care with physicians and other members of the healthcare team.
• Ensures the care plan and the discharge plan are consistent with the patient's clinical course, continuing care needs, and covered services.
• Identifies and proactively identifies potential barriers to discharge.
• Participates in multidisciplinary patient rounds.
• Coordinates the planning discharge processes in coordination with the health care team, patient, and caregivers.
• Evaluates patient progress towards established clinical/functional goals.
• Initiates efficient coordination of discharge from the acute care setting.
• Obtains authorization from payers from post-acute care services.
• Arranges provisioning of care to the appropriate settings (home health care, rehab, skilled nursing facility).
• Assists in the coordination of hospital-to-hospital transfers.
• Evaluates re-admission reasons to ensure discharge activities are handled accordingly.
• Tracks avoidable days, analyzes trends, and reports findings to leadership.

Decision Making

Independent judgement in making decisions involving non-routine problems under general supervision.

Working Relationship

Works directly with patients and/or customers. Works with internal and/or 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.

Rehabilitation Administration - Muskogee Campus Location

Muskogee, Oklahoma 74401

EOE Protected Veterans/Disability

Saint Francis is a Catholic, not-for-profit Health system based in Tulsa, Oklahoma. We are the largest private employer in Eastern Oklahoma with over 12,000 employees, including 1,000 physicians. The health system is anchored by the 1,112-bed Saint Francis Hospital, the largest hospital in Oklahoma and the 11th largest in the nation. Our system also includes hospitals in south Tulsa, Muskogee and Vinita, as well as 110 Warren Clinic locations from Monkey Island to McAlester, northeastern Oklahoma's only children's hospital, a level IV neonatal intensive care unit, a 168-bed heart hospital, and Tulsa's leading trauma and emergency center.