CASE MANAGER & REFERRAL LIAISON-PRN-DAY SHIFT

UHS•Enid, OK

About The Position

St. Mary’s Regional Medical Center is seeking a PRN Case Manager and Referral Coordinator for its rehabilitation team. The Assessment and Referral Coordinator receives referrals and completes preadmission screenings in cooperation with the Medical Director, Program Director, and PPS Coordinator. The role also represents the inpatient rehabilitation program in marketing activities and travels throughout northwest and central Oklahoma to increase the program’s visibility and referral share. The Case Manager coordinates patient care and advocates for patients and families through initial and ongoing assessment, communication of the plan of care, identification of community resources, and discharge planning. The role coordinates with payer sources and provides updates as needed to obtain continued authorization for treatment. The position participates in preadmission screening, quality improvement, and overall team coordination related to patient care. St. Mary’s is a 229-bed acute care hospital in Enid, Oklahoma, serving northwest Oklahoma for more than 100 years. It offers a range of specialties and services, including cardiology, neurology, orthopedics, emergency medicine, rehabilitation, laboratory, women’s imaging, and wound care.

Requirements

Current Oklahoma license as a Registered Nurse or Social Worker.
At least one year of clinical experience in a healthcare setting; hospital or inpatient rehabilitation experience is preferred.
Current BLS certification or ability to obtain it at the time of hire.
Basic computer skills.

Nice To Haves

Experience in marketing or business development.
Three to five years of clinical experience in a healthcare setting.
Experience in market analysis and developing marketing plans.
Two to four years of clinical nursing experience in a medical-surgical or acute rehabilitation setting.
Experience in case management.
Leadership experience.
First Aid certification.

Responsibilities

Develop a comprehensive referral-development plan for the rehabilitation program, including market definition and analysis, referral contacts, and monthly referral targets.
Meet with physicians, case managers, and other providers as needed to identify and reduce or eliminate internal and external obstacles to business growth and retention.
Obtain approval from the admitting psychiatrist and assign patients to appropriate units based on age and clinical presentation.
Provide interim data assessments on the effectiveness of referral-development activities.
Develop and carry out a plan to solicit feedback and satisfaction information from physicians, discharge planners, and other key program stakeholders.
Apply working knowledge of rehabilitation diagnostic groups, including orthopedic and arthritis-related conditions; neurological conditions such as CVA, TBI, degenerative neurological diseases, and SCI; and generalized weakness associated with medical or surgical conditions such as DM, ESRD, amputation, COPD, CHF, and CABG.
Apply knowledge of growth and development, behaviors, needs, comfort, and appropriate treatment for adult and geriatric patients to support individualized interdisciplinary plans of care.
Meet with patients and families before or at admission to identify needs and payer requirements, explain the rehabilitation process, begin discharge planning, and complete assessments according to protocol.
Educate patients and families about the role of Case Management in the rehabilitation program and needs identified during assessment.
Coordinate patient care and advocate for patients and families through ongoing needs assessment, communication of the care plan, and coordination of community resources and continuing-care needs.
Coordinate communication with payer sources and provide updates as needed to secure ongoing treatment authorization.
Participate in preadmission screening, quality improvement, team coordination related to patient care, and discharge planning.