On-Site RN Case Manager - Utilization Review

INTEGRIS Health; Oklahoma; On-site; USD 65,000 - 90,000; Full time

Benefits offered by this job

Front-loaded PTO

Medical benefits

Education assistance

24/7 mental health support

Job summary

INTEGRIS Health in Oklahoma City, OK is seeking a full-time RN Case Manager for Utilization Review in the Emergency Department. This on-site role supports clinical and financial outcomes by coordinating care and managing resource use.

The position requires 2 years of clinical experience, Oklahoma RN licensure (or compact), BLS, strong communication, and ability to work with CMS/Medicare/Medicaid guidelines. A BSN and Case Management Certification are preferred.

Qualifications

• 2 years experience in a clinical settings (e.g. home health, inpatient, physician office, clinic)
• Excellent interpersonal communication and collaboration skills
• Must have Oklahoma State Driver's License and driving record acceptable to insurance

Responsibilities

• The Case Manager is responsible for clinical and financial outcomes for an assigned caseload.
• Facilitates patient care during hospitalization by coordinating and monitoring resource utilization.
• Plans, coordinates and negotiates efficient patient movement throughout the continuum of care.
• Communicates discharge plan and changes to patient, family, and healthcare professionals.
• Coordinates services between hospital departments to facilitate timely discharge.
• Maintains knowledge of CMS regulations, Medicare/Medicaid, managed care and payer regulations.

Skills

Interpersonal communication

Education

Bachelor's of Science in Nursing

Job description

INTEGRIS Health in Oklahoma City, OK is seeking a full-time RN Case Manager for Utilization Review in the Emergency Department. This on-site role supports clinical and financial outcomes by coordinating care and managing resource use.

The position requires 2 years of clinical experience, Oklahoma RN licensure (or compact), BLS, strong communication, and ability to work with CMS/Medicare/Medicaid guidelines. A BSN and Case Management Certification are preferred.