Pediatric Care Management RN - PRN

Position Title Pediatric Care Management RN - PRN Department OCH Care Management Job Description RN Care Manager is accountable and responsible for coordinating the care and services of selected patient populations and ensuring the efficient utilization of healthcare resources. The primary responsibility of the role will be to assess, plan, implement, coordinate, monitor, and evaluate the options and services required to meet the healthcare needs of patients. PRN POSITIONS REQUIRE A MINIMUM OF 2 SHIFTS/MONTH 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. Conduct comprehensive assessments of patients' health status, medical history, and ongoing care needs. Develop individualized care plans in collaboration with the interdisciplinary healthcare team, patients, and their families to ensure continuity of care. Provide education to patients and their families regarding their health conditions, treatment plans, medications, financial expectations, and self-care strategies. Coordinate and facilitate communication between patients, families, healthcare providers, and community resources to optimize patient care outcomes. Evaluate effectiveness of care plans and make adjustments as necessary. Evaluate healthcare utilization patterns and identify opportunities for improving efficiency and cost-effectiveness. Advocate for the appropriate allocation of resources and services to meet patients' needs while complying with regulatory guidelines and reimbursement criteria. Collaborate with insurance providers, social workers, and other stakeholders to ensure timely authorization of services and coverage for patients. Monitor and evaluate patient outcomes, healthcare processes, and care delivery systems to pinpoint areas for improvement. Participate in quality improvement initiatives and interdisciplinary care conferences to promote evidence-based practices and improve patient safety and satisfaction. Ensure compliance with federal, state, and local regulations as well as accreditation requirements related to care management and patient care. Implement strategies to minimize readmissions, prevent complications, and optimize care planning processes. General Responsibilities Performs other duties as assigned. Education Associate's degree in nursing required. Experience At least 1 year of Care Management experience. License/Certification/Registration Requirements Current Registered Nurse License (RN License issued by the Oklahoma State Board of Nursing, or a current multistate compact Registered Nurse (eNLC). Basic Life Support (BLS) from the American Heart Association (AHA) required. Knowledge/Skills/Abilities Required Demonstrates expertise in regulatory requirements regarding the care management discipline. Strong communication, interpersonal, and leadership skills. Detailed- oriented with excellent organizational skills. Commitment to fostering a culture of continuous learning, quality improvement, and patient-centered care. Strong assessment, critical thinking, and problem-solving skills. Strong knowledge of healthcare regulations, including CMS guideline. Show clear understanding of utilization management principles and integrate these with care management responsibilities. Serve as liaison between patients, families, and healthcare providers. Proficiency in utilizing electronic health records (EHR) and care management software. Benefits We offer a comprehensive benefits package, including PTO, 401(k), medical and dental plans, and many more. Equal Employment Opportunities OU Health is an equal opportunity employer. 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. Reasonable Accommodations Reasonable accommodations are made to the known physical and mental limitations of qualified individuals with disabilities. Company Overview 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. #J-18808-Ljbffr OU Medicine