Hybrid RN Care Manager: Care Coordination Leader

Telligen; Oklahoma; Hybrid; USD 65,000 - 90,000; Full time

Job summary

Telligen is seeking a Nurse Care Manager (RN) for a hybrid role in Oklahoma City, OK (with possible office in West Des Moines, IA). The role focuses on care management for patients with acute and chronic conditions and assessing care needs for vulnerable populations under client contracts.

The position involves collaboration with healthcare providers, education, adherence monitoring, and ensuring appropriate care per contractual requirements.

Qualifications

• Four-year degree in health care or related field and/or equivalent training and/or experience.
• Minimum 1 year experience in human services and/or 3 years clinical practice experience.
• Licensure as a health care provider or current RN license; state licensure may be required for different clients and contracts.

Responsibilities

• Performs assessment and evaluation of potential care management patients per client contractual obligations and/or state requirements.
• Collaborates with health care providers and ancillary service providers to validate the appropriate treatment plan and identify educational opportunities.
• Assessment/education may include face-to-face interaction for specific contracts.
• Effectively guides members to appropriate member benefit information.
• Provides ongoing education.
• Communicates with all health care providers to ensure appropriateness of care.
• May recommend and make adjustments in care if needed.
• Evaluates treatment adherence and reevaluates the patient’s commitment to make the necessary changes.
• Documents per contractual requirements related to individual member status, and/or medical necessity review, negotiation.
• Escalates issues through appropriate channels, following established hierarchical protocols between clinical and non-clinical staff members.
• Performs miscellaneous duties as assigned.

Skills

Care coordination

Communication

Education

Education

Bachelor's degree in health care or related field

Job description

Telligen is seeking a Nurse Care Manager (RN) for a hybrid role in Oklahoma City, OK (with possible office in West Des Moines, IA). The role focuses on care management for patients with acute and chronic conditions and assessing care needs for vulnerable populations under client contracts.

The position involves collaboration with healthcare providers, education, adherence monitoring, and ensuring appropriate care per contractual requirements.