Registered Nurse (RN) - Case Management - $33+ per hour
Company: Saint Francis Health System
Location: Tulsa
Posted on: October 26, 2024
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Job Description:
Job DescriptionSaint Francis Health System is seeking a
Registered Nurse (RN) Case Management for a nursing job in Tulsa,
Oklahoma.Job Description & Requirements
Current Saint Francis Employees - Please click HERE to login and
apply.Full TimeJob Summary: The case manager is responsible for
facilitating the patient's hospitalization from pre-admission
through discharge. The case manager coordinates with physician's,
nurses, social workers, and other health team members to expedite
medically appropriate cost effective care. The case manager applies
clinical expertise and medical appropriateness criteria to resource
utilization and discharge planning. Will advise the health care
team and provide leadership as needed.
Minimum Education: Has completed the basic professional curricula
of a school of nursing as approved and verified by a state board of
nursing, and holds or is entitled to hold a diploma or degree
therefrom.
Licensure, Registration and/or Certification: Valid multi-state or
State of Oklahoma Registered Nurse License.
Work Experience: Minimum of 3 years of clinical experience as a
registered nurse. Utilization review or discharge planning
preferred.
Knowledge, Skills and Abilities: Demonstrates a strong clinical
background and an understanding of the preparation and post
procedure monitoring requirements for diagnostic/radiological and
or surgical procedures. Ability to utilize Microsoft Office, Excel,
spreadsheet management, database management as needed. Ablity to
utilize keyboard system to learn new programs as required.
Essential Functions and Responsibilities: Using established
criteria, reviews appropriateness of patient's admission, need for
continued stay, information needed for discharge. Obtains order
from physician to ensure accurate visit type and level of care in a
timely manner. Ensures that the care plan and the discharge plan
are consistent with the patient's clinical course, continuing care
needs and covered services. Make interdepartmental/health team
contact as indicated to expedite discharge plan. Initiates
discharge planning within one business day by assessing the
patient's needs and documenting the assessment. Identifies and
proactively manages potential barriers to discharge. Participates
in multidisciplinary patient rounds. Obtains from third party payer
certification due to patient status change and information needed
for discharge. Enters authorization and days approved data into
system to facilitate billing. Responds to third party payer
requests for concurrent clinical information. Assists with medical
necessity denials and performs appeal with medical staff
assistance. Coordinates the transitional planning processes and
discusses with attending physician and/or physician advisor the
appropriateness of resource utilization. Makes appropriate
referrals to social work based on risk criteria and to Complex
Discharge Specialist as indicated. Collects data on variances from
quality screening criteria and medical opportunity days as
required. Communicates issues to Quality, Risk Management, and
Corporate Compliance. Completes all necessary forms in a timely
manner. Documents assessment and discharge plan. Participates in
multidisciplinary patient rounds.
Decision Making: The carrying out of non-routine procedures under
constantly changing conditions, in conformance with general
instructions from supervisor.
Working Relationship: Works directly with patients and/or customers
Works with internal customers via telephone or face to face
interaction Works with external customers via telephone or face to
face interaction Works with other healthcare professionals and
staff
Special Job Dimensions: None.Supplemental Information: This
document generally describes the essential functions of the job and
the physical demands required to perform the job. This compilation
of essential functions and physical demands is not all inclusive
nor does it prohibit the assignment of additional duties.Clinical
Care Management - Yale CampusLocation:Tulsa, Oklahoma 74136EOE
Protected Veterans/DisabilitySaint Francis Healthcare System Tulsa
Job ID #JR14265. Posted job title: Case Manager (Rn)About Saint
Francis Health SystemSaint Francis Health System is a Catholic,
not-for-profit health system wholly owned and operated in Tulsa,
Oklahoma whose mission is to extend the presence and healing
ministry of Christ to all who seek its services. The health system
is anchored by Saint Francis Hospital, a 1,112-bed tertiary center,
which includes the region's only children's hospital and level IV
neonatal intensive care unit, a 168-bed heart hospital and Tulsa's
leading trauma and emergency center. Additionally, Saint Francis
employs more than 450 providers through Warren Clinic, which serves
the region with more than 95 locations throughout eastern Oklahoma.
In total, the organization has more than 11,500 employees, 1,000
physicians and 700 volunteers, making it the largest private
employer in Tulsa County.Benefits
Keywords: Saint Francis Health System, Edmond , Registered Nurse (RN) - Case Management - $33+ per hour, Executive , Tulsa, Oklahoma
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