Health Care Management Nurse I/II

Health Care Management Nurse

This position is located in Norman, Oklahoma.

Annual Salary:

Level I: Y15A - $58,055.13 Per Year + Full State Benefits Package

Level II: Y15B - $62,409.27 Per Year + Full State Benefits Package

Travel is EXTENSIVE - Must possess a valid driver's license and must maintain required car insurance. Occasional short-notice home visits are required, and the candidate must be able to report within an acceptable amount of time

Work Hours: Monday - Friday 8:30 am - 5:00 pm initially

Minimum Qualifications:

Level I:

• 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

Level II:

• 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)
• Three years of professional nursing experience

This Registered Nurse position is responsible for conducting comprehensive medical eligibility assessments for State Plan Personal Care and ADvantage Waiver applicants, and, occasionally, for applicants seeking Title 19 nursing home eligibility. Completes a thorough evaluation of the medical level of care eligibility for each applicant.

Job Responsibilities

• Telephone, Electronic, and/or In-Person Home visits in the assigned area with the applicant to complete a comprehensive assessment that is used to identify needs and make recommendations for medical eligibility for long-term care programs.
• Must be able to frequently lift up to 15 lbs. for transporting the computer.
• May be required to assist in other areas, as needed, due to the high application volume.
• Assists with Adult Protective Services evaluations as requested.
• Must have stable and reliable home Internet (not a hotspot) for telework or will be required to work in the office

Preference may be given to applicants who have experience with long-term care assessments and planning.

Knowledge, Skills, and Abilities

• KSAs required include the knowledge, skills, and ability to analyze complex health concerns and issues, including evaluating adherence to established healthcare standards and the effectiveness of health management plans and/or programs and recommending changes or revisions.
• Employees have a high degree of independence in planning and completing work assignments and may function as the lead person on some special projects. It also requires professional nursing knowledge in reviewing, auditing, and analyzing nursing and healthcare services provided by direct care providers to ensure that the appropriate healthcare resources are used at the proper level to meet the healthcare needs of clients.