Nurse Clinical Manager
Company: Integris Health
Posted on: June 2, 2021
RN Case Mgr
Job Code: 1315
The Case Manager is responsible for the clinical and financial
outcomes for an assigned caseload of patients. The Case Manager
facilitates patient care during the hospitalization by managing,
coordinating and monitoring resource utilization to achieve optimal
clinical outcomes and financial goals. The Case Manager is
responsible to proactively plan, coordinate and negotiate efficient
patient movement throughout the continuum of care. In general, the
Case Manager functions in the role of clinician, educator,
researcher, manager and advocate to serve the best interests of the
system and patient. This position requires age related
competencies. Performs all other job duties as assigned. Adheres to
National Patient Safety Goals as appropriate based on the level of
patient contact this position requires.
INTEGRIS is an Equal Opportunity/Affirmative Action Employer. All
applicants will receive consideration regardless of membership in
any protected status as defined by applicable state or federal law,
including protected veteran or disability status.
The RN Case Manager responsibilities include, but are not limited
to, the following:
• Assesses patient from clinical, social, financial perspective and
coordinates post-discharge needs with care team.
• Functions as a clinical and financial resource for patients and
interdisciplinary team members.
• Assists in clinical data collection utilizing established
criteria and the InterQual system.
• Proactively performs utilization review; communicates
coverage.information with third party payers, medical staff and
The Case Manager reports to the Director of the Case Management
Services. The Case Manager meets established deadlines, attends
required inservices, maintains staff competencies and completes
required documentation; collaborates and works as a team player
with all disciplines; presents a professional image to all
customers and patients.
Required Physical Demands (Subject to Reasonable
Keyboarding/Dexterity: Frequently; activity exists from 1/3 to 2/3
of the time
Standing/Walking: Occasionally; activity exists up to 1/3 of the
Strength (Lift/Carry/Push/Pull): Light (Exerting up to 20 pounds of
force occasionally, or up to 10 pounds of force frequently)
Talking (Must be able to effectively communicate verbally): Yes
Color Acuity (Must be able to distinguish and identify colors):
Required to be on call as scheduled by the department.
Potential exposure to infectious diseases, potential physical
danger from disturbed/irate patients and families.
Emotional stress due to inability to control volume of timing of
referrals and necessity to respond to a wide variety of demands and
expectations from patients, families, physicians, and other health
Occupational exposure to bloodborne pathogens and other infectious
materials as defined by OSHA.
This position may have additional or varied physical demand and/or
respiratory fit test requirements. Please consult the Physical
Demands Project SharePoint site or contact Risk Management/Employee
Health for additional information.
All applicants will receive consideration regardless of membership
in any protected status as defined by applicable state or federal
law, including protected veteran or disability status.
• 5 years experience in a variety of clinical settings (i.e., home
health, inpatient, physician office, clinic) required.
• Experience with managed care and payer/provider requirements
• Current licensure as a Registered Nurse (RN) in the State of
Oklahoma or current multistate license from a Nurse Licensure
Compact (eNLC) member state. BSN preferred.
• Excellent interpersonal communication and collaboration
• Computer experience required. Windows preferred.
Keywords: Integris Health, Enid , Nurse Clinical Manager, Other , Enid, Oklahoma
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