RN/LPN Case Manager

Job Summary:

We are seeking a compassionate and detail-oriented Case Manager to join our dynamic team. The Case Manager will be responsible for managing the Insurance Verification Request (IVR), reviewing charts, ensuring optimal outcomes, and collaborating with healthcare providers to deliver high-quality care. The ideal candidate will have excellent communication skills, a strong clinical background, and a passion for patient advocacy.

Key Responsibilities:

• Patient Assessment: Conduct comprehensive assessments of patients' health status, needs, and medical history.
• Care Planning: Develop individualized care plans in collaboration with the patient, family, and healthcare team.
• Care Coordination: Coordinate and monitor patient care activities across various healthcare settings to ensure continuity and quality of care.
• Patient Advocacy: Serve as an advocate for patients, ensuring they receive appropriate and timely care and services.
• Resource Management: Identify and utilize resources effectively to optimize patient outcomes and manage costs.
• Education: Provide education and support to patients and their families regarding disease processes, treatment options, and care plans.
• Documentation: Maintain accurate and timely documentation of patient assessments, care plans, interventions, and outcomes.
• Collaboration: Work collaboratively with physicians, nurses, social workers, and other healthcare professionals to facilitate effective patient care.
• Compliance: Ensure compliance with all regulatory requirements, organizational policies, and professional standards.

Qualifications:

• Education: Bachelor of Science in Nursing (BSN); Master’s degree in Nursing or related field preferred.
• Licensure: Current and unrestricted Licensed Practical Nurse (LPN) or Registered Nurse (RN) license in the state of Oklahoma.
• Experience: Minimum of 3-5 years of clinical nursing experience; case management or care coordination experience preferred.
• Certifications: Certified Case Manager (CCM) or Case Management Administrator Certification (CMAC) preferred.

Skills:

o Strong clinical assessment and critical thinking skills.

o Excellent communication and interpersonal skills.

o Ability to work independently and as part of a team.

o Proficient in electronic medical records (EMR) and other relevant software.

o Strong organizational and time management skills.

Working Conditions:

• Environment: Primarily works in an office setting within a medical facility; may require occasional travel to patient homes or other healthcare settings.
• Physical Demands: Requires prolonged periods of sitting, standing, and walking. May require lifting and moving patients or equipment.

Benefits:

• Competitive salary and benefits package
• Health, dental, and vision insurance
• Retirement plan with employer match
• Paid time off and holidays
• Continuing education and professional development opportunities

Job Type: Full-time

Benefits:

• 401(k) matching
• 403(b) matching
• Dental insurance
• Health insurance
• Life insurance
• Paid time off
• Vision insurance

Schedule:

• 8 hour shift
• Monday to Friday

Work Location: In person