Nurse Care Manager

Position Title: Care Management Extender - Adult Department: OUMC Care Management Job Description: New to OU Health? Ask your recruiter about our competitive wages and total rewards package, PLUS possible relocation assistance if you are located outside of 100 miles! These positions are available in levels 1,2,or 3 depending on experience, education, and licenses/certifications The Case Management Extender (CME) provides non-licensed, clerical and administrative support to the RN and SW Case Managers to facilitate and execute plan of care and other related case management activities as needed. Essential Responsibilities Responsibilities listed in this section are core to the position. Inability to perform these responsibilities with or without an accommodation may result in disqualification from the position. Assists RN/SW Care Manager in arranging care coordination needs. Assist RN/SW Care Manager by communicating with alternate level of care liaisons to identify an accepting facility and to establish a timeline for transfer. Arrange and/or assist with referrals for home care services. Ascertain resource and assist in making timely arrangements (ie transportation, food, lodging). Arrange or assist with durable medical equipment needs determined by hospital policy and physician order. Assist in scheduling appointments with providers such as PCP, Therapy, Specialist, diagnostic testing as needed. Maintain patient confidentiality of all communications and documents as required by hospital policy and as regulated by HIPPA. Enters data into multiple systems and submits appropriate information in a timely fashion to facilitate approval transition of care, i.e. PASRR, medication prior authorizations, etc. Issues patient correspondence to ensure compliance with regulatory requirements. Responds to inquiries, maintains and revises record keeping and filing systems; classifies, sorts, and files correspondence, articles, records, and other documents. Assists RN/SW Care Manager in arranging care coordination needs. Assists Case Manager in submitting PHI clinical information to facilities by fax or submitting clinical on payer portals. Maintain patient confidentiality of all communications and documents as required by hospital policy and as regulated by HIPPA. General Responsibilities Performs other duties as assigned. Minimum Qualifications (Level 1) Education: High School Diploma or GED required. Experience: 0-3 years of work experience required. 2 or more years of healthcare experience. License/Certification/Registration: Basic Life Support from the American Heart Association required. Minimum Qualifications (Level 2) Education: High School Diploma or GED required. Experience: 3 - 5 years of work experience required. 2 or more years of healthcare experience. License/Certification/Registration: Basic Life Support from the American Heart Association required. Knowledge / Skills / Abilities Required Working knowledge of medical systems and medical terminology or complete department approved training within three (3) months of hire. Knowledge of CMS regulations, payment systems, post-acute care requirements or acquisition within 3 months of hire. Knowledge of third-party payer issues concerning reimbursement and regulatory perimeters or acquisition within 3 months of hire. In-depth understanding of typical insurance benefit plans regarding coverage or acquisition within 3 months of hire. Must be proficient with basic computer skills (word processing, excel spreadsheet, electronic fax). Excellent typing skills. Ability to work independently, manage time and prioritize patient needs. Able to work some weekends and holidays. Able to adapt to frequent changes in direction. Excellent interpersonal and communications skills with nursing staff, physicians, nurse practitioners and other health workers. Ability to meet deadlines and manage multiple priorities, and effectively adapt and respond to complex, fast-paced, rapidly growing, and results-oriented environments. Able to work in a dynamic, fast-paced team environment and to promote team concepts. Excellent verbal and written communication skills. Excellent interpersonal skills and ability to maintain composure in difficult situations. OU Health is an equal opportunity employer. We offer a comprehensive benefits package, including PTO, 401(k), medical and dental plans, and many more. We know that a total benefits and compensation package, designed to meet your specific needs both inside and outside of the work environment, create peace of mind for you and your family. OU Health is the state’s only comprehensive academic health system of hospitals, clinics and centers of excellence. With 11,000 employees and more than 1,300 physicians and advanced practice providers, OU Health is home to Oklahoma’s largest doctor network with a complete range of specialty care. OU Health serves Oklahoma and the region with the state’s only freestanding children’s hospital, the only National Cancer Institute-Designated OU Health Stephenson Cancer Center, Oklahoma’s flagship hospital, which serves as the state’s only Level 1 trauma center and Edmond Medical Center in the heart of the Edmond Community. Becker’s Hospital Review named University of Oklahoma Medical Center one of the 100 Great Hospitals in America for 2020. OU Health’s oncology program at OU Health Stephenson Cancer Center was named Oklahoma’s top facility for cancer care by U.S. News & World Report in its 2020-21 rankings. OU Health also was ranked by U.S. News & World Report as high performing in these specialties: Colon Surgery, COPD and Congestive Heart Failure. OU Health’s mission is to lead healthcare in patient care, education and research. Experts in prevention, treatment and cures, our team works to improve lives through innovation in medical care, education and research, while investing in the people, technologies and facilities that will enable us to achieve our goals. We are seeking individuals who have a passion and talent for caring for others. By joining our team, you will provide quality health care to our community through the work you do every day. We provide clinical and non-clinical opportunities to further your career and we invite you to explore our available positions. Equal employment opportunities are provided to all employees and applicants for employment without regard to race, color, religion, gender, national origin, age, disability, sexual orientation, gender identity, genetic information or protected veteran status in accordance with applicable federal laws. This policy applies to all terms and conditions of employment, including, but not limited to, hiring, placement, promotion, termination, layoff, transfer, leaves of absence, compensation, and training. Reasonable accommodations are made to the known physical and mental limitations of qualified individuals with disabilities. #J-18808-Ljbffr