Registered Nurse Case Management

Health Marketing; Catoosa (OK); On-site; USD 68,000 - 92,000; Full time

Benefits offered by this job

Comprehensive benefits

Inclusive work environment

Professional development

Job summary

Health Marketing seeks an experienced RN Case Manager to oversee patient care transitions in a hospital environment. You will validate medical necessity, advocate for benefits, coordinate safe discharges and reduce readmissions, working with a multidisciplinary team.

The ideal candidate has 5+ years of RN experience, 3+ years in case management, and preferred certification (CCMC/ACM). Comprehensive benefits and inclusive culture are offered to support professional growth and well-being.

Qualifications

• Active RN license required at hire.
• Certification as Case Manager (CCMC or ACM) preferred.
• Minimum 5 years RN experience and 3+ years in Case Management, with discharge planning experience preferred.

Responsibilities

• Validate medical necessity and facilitate smooth patient transitions.
• Prevent claim denials and manage appeals to optimize revenue.
• Collaborate with multidisciplinary teams to improve operational efficiency and allocate resources.
• Ensure compliance with clinical standards and regulatory requirements to mitigate risks.

Skills

Patient care coordination

Discharge planning

Interdisciplinary collaboration

Regulatory compliance

Education

Registered Nurse license

Case Manager certification (CCMC/ACM)

Job description

Role Overview: The position involves managing patient care transitions within a hospital setting, ensuring appropriate and timely care, advocating for benefits, and coordinating safe discharges to reduce readmissions.

Key Responsibilities:

• Ensure patient-centered care by validating medical necessity and facilitating smooth transitions.
• Optimize organizational revenue by preventing claim denials and managing appeals.
• Enhance operational efficiency through collaboration with multidisciplinary teams and resource allocation.
• Maintain compliance with clinical standards and regulatory requirements to mitigate risks.

Qualifications & Skills:

• Licensed Registered Nurse with a professional license at hire.
• Preferred certification as a Case Manager (CCMC or ACM).
• 5+ years RN experience and 3+ years in Case Management, with hospital discharge planning experience preferred.

Additional Information:

• The role offers comprehensive benefits supporting health, financial security, professional development, and well-being in an inclusive environment.