RN Care Manager-Complex Care Ambulatory

OU Health•Oklahoma City, OK

68d

About The Position

This RN would be responsible for coordinating and delivering patient-centered, comprehensive care management services for individuals with heart failure and other high-risk conditions. This role will focus on reducing hospital readmissions, improving clinical outcomes, supporting self-management, and enhancing quality of life through evidence-based interventions and interdisciplinary collaboration. As a member of a multidisciplinary care management team, the nursing case manager is accountable and responsible for coordinating the care and services of selected patient populations.

Requirements

Graduate from an accredited school of nursing required.
(3) years clinical nursing experience in an acute care facility.
Current RN License issued by the Oklahoma State Board of Nursing, or a current multistate Compact RN License (eNLC).
Current Basic Life Support issued by the American Heart Association required upon hire.
Knowledge of nursing practices and procedures.
Strong clinical assessment skills.
Must be knowledgeable about resources available in the community for use by patients, families and the health care team that would facilitate in the recovery of the patient.
Requires knowledge of third party payer issues concerning reimbursement and regulatory perimeters.
Must be able to explain technical and complex information in such a way that patients and family can understand.
Strong interpersonal skills that facilitate the gathering of information necessary for assessing the patient’s needs and the range of treatment and care necessary.

Nice To Haves

3-years’ experience in cardiology, heart failure, and/or complex care management with a strong knowledge of evidence-based heart failure management, transitions of care
Bachelor of Science (or higher) in Nursing Board Approved Program preferred.

Responsibilities

Comprehensively assesses patient goals: biophysical, psychosocial, environmental, discharge planning needs and financial status.
Closely monitors patient’s progress for changes in medical needs that could affect present and future medical treatment.
Procures services and serves as advocate on behalf of the patient and family with scarce resources.
Works closely with third party payers to resolve problems and issues affecting the continuity of patient care.
Coordinates and directs the discharge planning of patients with family members, health care team and the community.
Reviews admission data within the designated timeframe to determine the suitability of the level of care in accordance with ISD-A criteria and/or established criteria.
Performs other duties as assigned