RN Case Manager

RN Case ManagerIndian Health Care Resource Center of Tulsa (IHCRC) is a nonprofit organization empowering the American Indian community through exceptional, culturally responsive healthcare. Our team-driven environment is rooted in community, respect, accountability, excellence, and stewardship, with a shared commitment to health promotion and disease prevention. We're looking for compassionate, mission-driven professionals who want more than a job who want to be part of meaningful work, grow alongside a supportive team, and help redefine primary healthcare for the American Indian community. We are seeking a dedicated and compassionate Registered Nurse Case Manager to join our growing healthcare team. The primary focus of the RN Case Manager is to assess, plan, implement, and evaluate patient care to ensure optimal outcomes. This position collaborates with healthcare providers, patients, families, and other team members to develop and monitor care plans, provide patient education, and promote quality, cost-effective healthcare services.Essential Job FunctionsObtain all outside records as needed: Specialist, Hospitals, Urgent Care, Pharmacy Immunizations, etc.Communicate with referral specialists to assist patients with education and flu reminders.Set follow up reminders for providers review 30 days prior to patients next appointment.Assist in GPRA compliance by noting goals and identifying patients due for screenings or immunizations, and review providers schedule the week prior.Assist in identifying patient resources, example: food pantries, housing needs, and transportation services. Refer to BH Case Manager.Check provider mailbox, review before placing in providers mailbox.Sort through providers mail, identify requests that require F2F OV, assist in scheduling if needed.Review medications, enter lab orders for review, and obtain records if needed from outside providers.Assist in communication with more complex patients, triage via phone.Communicate with specialist for patients plan of care.Monitor patients charts, assist in scheduling and/or follow up on routine visits-DM/HF/HEP-C.For new patients or re-established care-enter all medications on outside providers lists.Complete all CGM and Cologuard order forms for provider to review and sign as requested by provider.Assist with all other provider request and rooming if needed.Preceptor for new staff as needed.Ensures provider and care team schedules run efficiently, helping where needed.Assists in problem solving with providers, referrals, service issues.Monitor and evaluate effectiveness of the care management plan and modify as necessary.Follow through with patients' needs and specific care plan to promote compliance and positive outcomes.Required License, Certification, Education, Specialized SkillsAssociate level medical/nursing or equivalent.Completion of an accredited RN program. Current and valid Oklahoma RN license.3+ years of clinical experience preferred.BLS CPR Certification.Critical thinking skills, prioritization, ability to adapt and take constructive criticism, and frequent changes is tasks with ability to complete in a timely manner.Medical terminology, communicate medical results to patients in a way they can understand, and have a good understanding of triage medicine and pathophysiology.Basic computer skills and able to navigate multiple medicais records systems.Experience with RPMS or willingness to learn.About Indian Health Care Resource CenterUtilizing a patient-centered, multidisciplinary, medical home approach, Indian Health Care Resource Center, a 501(c)(3) nonprofit organization, offers a full range of health and wellness services tailored to the Indian community. MISSION The mission of the Indian Health Care Resource Center of Tulsa, Inc. (IHCRC) is to empower the American Indian through exceptional healthcare! VISION At IHCRC, we will be the recognized leader in redefining primary healthcare for the American Indian. HEALTH PROMOTION AND DISEASE PREVENTION GOAL The long-term goal of IHCRC is to improve general health status and reduce the incidence and severity of chronic disease by engaging the Indian community in ongoing health promotion, and disease prevention and management programs