Choctaw Nation of Oklahoma Jobs

Job Information

Choctaw Nation of Oklahoma RN Case Manager in Talihina, Oklahoma

RN Case Manager

Description

Job Purpose or Objective(s):

Provides proactive case management for referred patients admitted to other facilities to ensure quality coordination of care as well as provides Disease Management for our complex patients to ensure the best outcomes

Primary Tasks:

  1. Request initial and concurrent reviews on inpatient stays for approved dates of service.

  2. Counsel patients, schedule appointments, data entry, communicates/coordinates with physicians and other departments regarding Choctaw Referred Care.

  3. Ensures services available within the CNHCC are utilized before the patients are referred out.

  4. Consult with Medical Staff to make correct decisions on referrals which do not fall within the CRC medical priority guidelines.

  5. Provide referral management based on the CRC medical priority guidelines.

  6. Fill in as needed for the Utilization Review Coordination by providing utilization management to outside insurance companies on the inpatient stays at CNHCC.

  7. Compile quarterly reports as requested to the Utilization Management Committee per policy.

  8. Ensure the appropriate documentation is utilized within the medical record to ensure continuity of care.

  9. Perform other duties as may be assigned.

Required Education, Skills and Experience:

MINIMUM

  • Associates degree in nursing

  • Current Registered Nurse License

  • CPR Certified

  • Ability to be flexible, organized and function under stressful situations

  • Knowledge of medications and correct administration

  • Good telephone and communication skills

  • Good multi-tasking skills

  • Intermediate Microsoft suite knowledge

  • Three years’ nursing experience Case Management, Emergency or Urgent Care

TARGET

  • Associates degree in nursing

  • Current Registered Nurse License

  • CPR Certified

  • Ability to be flexible, organized and function under stressful situations

  • Knowledge of medications and correct administration

  • Good telephone and communication skills

  • Good multi-tasking skills

  • Intermediate Microsoft suite knowledge

  • Five years’ nursing experience Case Management, Emergency or Urgent Care

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Job Health Care Services

Primary Location OK-Talihina

Work Locations Health Care Center Rt 2, Box 1774 Talihina 74571

Organization Health

Schedule Regular

Full-time

Day Job

Req ID: 22001308

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