Health Care Management Nurse I/II
About The Position
This position is located in Tulsa, Oklahoma. The Health Care Management Nurse will assist with identifying health risks for DDS service recipients by completing a Physical Status Review (PSR) health acuity tool, analyzing medical documentation, and participating in interdisciplinary team meetings to aid in the development of the Individual Plan. The role involves conducting home visits and reviewing home medical records for service recipients with elevated health needs/risks, updating medical records in the consumer's electronic file, and developing a Nursing Service Support Plan as indicated. Responsibilities also include making telephone calls to hospital medical staff on behalf of service recipients during hospital admissions to obtain updates and assist with discharge planning, completing initial 24-hour mortality reports, and potentially completing Pre-admission Screening and Resident Review (PASRR) assessments for Medicaid-certified nursing facilities. The nurse will also assist in identifying existing community health services and developing new ones if needed.
Requirements
- Possession of a valid permanent Oklahoma license as a registered nurse as approved by the Oklahoma Board of Nursing or Registered Nurse Licensure Compact (eNLC)
- Two years of professional nursing experience (for Level I)
- Three years of professional nursing experience (for Level II)
- Must possess a valid driver's license
- Must maintain required car insurance
Nice To Haves
- Knowledge, skills, and ability to analyze complex health concerns and issues, including the evaluation of adherence to established health care standards and the effectiveness of health management plans and/or programs and recommending changes or revisions.
- Professional nursing knowledge in reviewing, auditing, and analyzing nursing and healthcare services provided by direct care providers to insure that the appropriate healthcare resources are used at the appropriate level to meet the health care needs of clients.
Responsibilities
- Assist with identification of DDS service recipient's health risk by completing a Physical Status Review (PSR) health acuity tool, analyzing medical documentation and participating in service recipient's interdisciplinary team meetings to assist with development of the Individual Plan.
- Conducts home visits and reviews the home medical record for service recipients determined by PSR acuity score to have elevated health needs/risks.
- Updates medical records in consumer's electronic file.
- Develop a Nursing Service Support Plan as indicated.
- Conducts telephone calls with hospital medical staff on behalf of service recipients during hospital admissions to obtain updates on the individual's condition and to assist with planning for safe discharge.
- Completes initial 24 Hour Mortality Report when notified of service recipient’s death.
- May complete a Pre-admission Screening and Resident Review (PASRR) assessment for determination of admission eligibility to a Medicaid certified nursing facility for persons who may have an intellectual disability.
- Assist with seeking out existing generic community health related services to meet the service recipient’s health needs and actively develop (locate, contact and identify) services when none are available.
Benefits
- Full State Employee Benefits
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What This Job Offers
Job Type
Full-time
Career Level
Mid Level
