Palliative RN Care Manager

OU Medicine; United States; On-site; USD 70,000 - 100,000; Full time

Job summary

OU Health is seeking a Care Management Registered Nurse - Palliative Care to coordinate care for patients and optimize outcomes within the care team. The role emphasizes assessment, planning, and collaboration with families to meet healthcare needs while aligning with regulatory and reimbursement guidelines.

The ideal candidate has experience in palliative/hospice settings, strong communication, and expertise in care coordination, utilization management, and patient advocacy, supporting quality

Qualifications

• Associate's degree in nursing required for Level 1.
• Bachelor's degree in nursing required for Level 2/3.
• RN license and BLS from AHA required.

Responsibilities

• Conduct comprehensive assessments of patients' health status and care needs.
• Develop individualized care plans with the interdisciplinary team and families.
• Educate patients/families about health conditions, treatment plans, and self-care strategies.
• Coordinate communication among patients, families, providers, and community resources.
• Monitor and evaluate care plans to improve outcomes and efficiency.
• Ensure compliance with regulations and reimbursement criteria.

Skills

Regulatory compliance

Communication skills

Leadership abilities

Care coordination

EHR proficiency

Critical thinking

Education

Associate's degree in nursing

Bachelor's degree in nursing

Tools

EHR systems

Job description

Position Title

Care Management Registered Nurse - Palliative Care

Department

OUMC

Job Description

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. Ideal candidate will have experience in a Palliative/Hospice care setting. 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

• 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)

• Associate's degree in nursing required.
• Minimum of 0 - 3 years Nursing experience required, with Care Management experience preferred.
• 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)

• Bachelor's degree in nursing required.
• At least 3 years of Care Management experience.
• 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)

• Bachelor's degree in nursing required.
• At least 5 years of Care Management experience.
• 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.

Knowledge, Skills, and Abilities

• 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.

About OU Health

OU Health is the state’s only comprehensive academic health system of hospitals, clinics and centers of excellence. With 11,000 employees and more than 1,300 physicians and advanced practice providers, OU Health is home to Oklahoma’s largest doctor network with a complete range of specialty care. OU Health serves Oklahoma and the region with the state’s only freestanding children’s hospital, the only National Cancer Institute-Designated OU Health Stephenson Cancer Center, Oklahoma’s flagship hospital, which serves as the state’s only Level 1 trauma center and Edmond Medical Center in the heart of the Edmond Community. Becker’s Hospital Review named University of Oklahoma Medical Center one of the 100 Great Hospitals in America for 2020. OU Health’s oncology program at OU Health Stephenson Cancer Center was named Oklahoma’s top facility for cancer care by U.S. News & World Report in its 2020-21 rankings. OU Health also was ranked by U.S. News & World Report as high performing in these specialties: Colon Surgery, COPD and Congestive Heart Failure.

OU Health’s mission is to lead healthcare in patient care, education and research. Experts in prevention, treatment and cures, our team works to improve lives through innovation in medical care, education and research, while investing in the people, technologies and facilities that will enable us to achieve our goals.

We are seeking individuals who have a passion and talent for caring for others. By joining our team, you will provide quality health care to our community through the work you do every day. We provide clinical and non-clinical opportunities to further your career and we invite you to explore our available positions.

Equal Employment Opportunity

OU Health is an equal opportunity employer.

Equal employment opportunities are provided to all employees and applicants for employment without regard to race, color, religion, gender, national origin, age, disability, sexual orientation, gender identity, genetic information or protected veteran status in accordance with applicable federal laws.

Reasonable accommodations are made to the known physical and mental limitations of qualified individuals with disabilities.