Case Manager - Raisso Inc.
Oklahoma City, OK 73104
About the Job
Job Summary: As a member of a multidisciplinary care management team, the nursing case manager is accountable and responsible for coordinating the care and services of selected patient populations. Essential Responsibilities: -Comprehensively assesses patient goals: biophysical, psychosocial, environmental, discharge planning needs and financial status. -Closely monitors patient s progress for changes in medical needs that could affect present and future medical treatment. -Procures services and serves as advocate on behalf of the patient and family with scarce resources. -Works closely with third party payers to resolve problems and issues affecting the continuity of patient care. -Coordinates and directs the discharge planning of patients with family members, health care team and the community. -Reviews admission data within the designated timeframe to determine the suitability of the level of care in accordance with ISD-A criteria and/or established criteria.
Required Skills & Experience: -Three (3) years clinical nursing experience in an acute care facility. -Knowledge of nursing practices and procedures. -Strong clinical assessment skills. -Must be knowledgeable about resources available in the community for use by patients, families and the health care team that would facilitate in the recovery of the patient. -Requires knowledge of third party payer issues concerning reimbursement and regulatory perimeters. -Must be able to explain technical and complex information in such a way that patients and family can understand. -Strong interpersonal skills that facilitate the gathering of information necessary for assessing the patient s needs and the range of treatment and care necessary. Preferred Skills & Experience: -N/A
Required Skills & Experience: -Three (3) years clinical nursing experience in an acute care facility. -Knowledge of nursing practices and procedures. -Strong clinical assessment skills. -Must be knowledgeable about resources available in the community for use by patients, families and the health care team that would facilitate in the recovery of the patient. -Requires knowledge of third party payer issues concerning reimbursement and regulatory perimeters. -Must be able to explain technical and complex information in such a way that patients and family can understand. -Strong interpersonal skills that facilitate the gathering of information necessary for assessing the patient s needs and the range of treatment and care necessary. Preferred Skills & Experience: -N/A
Source : Raisso Inc.