Registered Nurse, Case Manager - NICU (Days)

OU Health; Oklahoma City (OK); Vor Ort; USD 80.000 - 110.000; Vollzeit

Benefits dieser Stelle

Sign-on bonus

Relocation assistance

Competitive wages

Total rewards package

Zusammenfassung

OU Health is seeking a Registered Nurse, Case Manager for the NICU on the Day shift in Oklahoma City. The role involves coordinating care for NICU patients, developing and implementing plans with the care team, and educating families on treatment and financial aspects.

Collaboration with insurers, social workers, and providers is essential to ensure timely services and optimal outcomes. Responsibilities include comprehensive patient assessments, care plan development, and ongoing evaluation of

Qualifikationen

• RN licensure required/active (OK SNB/eNLC).
• Knowledge of care management and utilization review.
• Ability to coordinate care across teams and with families.

Aufgaben

• Assess patients' health status and care needs.
• Develop individualized care plans with the care team.
• Educate patients and families on conditions, plans, and costs.
• Coordinate communication between patients, families, providers, and resources.
• Monitor outcomes and adjust care plans as needed.
• Ensure regulatory and reimbursement compliance and minimize readmissions.

Kenntnisse

Care coordination

Regulatory compliance

Communication skills

Leadership

Critical thinking

Team collaboration

Ausbildung

Associate’s degree in nursing

Bachelor’s degree in nursing

Tools

Epic EHR

Care management software

Jobbeschreibung

Registered Nurse, Case Manager - NICU (Days) - Logo### Registered Nurse, Case Manager - NICU (Days)Apply: Oklahoma City: Full time: Posted Today: R0069390## **Position Title:**Registered Nurse, Case Manager - NICU (Days)## **Department:**OCH Care Management## **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.\\*\\**** **AREA/SCHEDULE: NICU / Days, 8a-5p** 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***Responsibilities listed in this section are core to the position. Inability to perform these responsibilities with or without an accommodation may result in disqualification from the position.** 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):****Education Requirements:** Associate’s degree, or higher, in nursing required.**Experience Requirements :** Minimum of 0 - 3 years Nursing experience required, with Care Management experience preferred.**License/Certification/Registration Requirements:** 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):****Education Requirements:** Bachelor’s degree in nursing required.**Experience Requirements:** At least 3 years of Care Management experience.**License/Certification/Registration Requirements:** 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):****Education Requirements:** Bachelor’s degree in nursing required.**Experience Requirements:** At least 5 years of Care Management experience.**License/Certification/Registration Requirements:** 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 for inpatient setting. **Knowledge/Skills/Abilities Required*** 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.* Strong assessment, critical thinking, and problem-solving skills. *This is a Safety Sensitive position under 63 0.S. 427.8 and is subject to a zero-tolerance drug and alcohol standard in compliance with Oklahoma law.*