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- Coordinate and facilitate access to medical care for medically complex/special health care needs members identified through various referral sources including self-referrals, provider referrals, and other state agency referrals.
- Conduct clinical reviews and document Care Management activities utilizing the clinical case management system and other available tools.
- Collaborate with intra-agency and inter-agency personnel regarding policy and program issues related to Care Management.
- Possession of a valid permanent Oklahoma license as a registered nurse as approved by the Oklahoma Board of Nursing or Registered Nurse License recognized by the Enhanced Nurse Licensure Compact (eNLC)
- 2 years of professional nursing experience
RN Health Care Management Nurse/Nurse Care Manager - Oklahoma City - State of Oklahoma
Description
Job Title
RN Health Care Management Nurse/Nurse Care Manager
Description
The Oklahoma Health Care Authority (OHCA) works to ensure Oklahomans have access to better health and better care.
The Nurse Care Manager ensures that medically complex and special healthcare needs of SoonerCare members are effectively managed by coordinating access to medical care, community resources, and social services.
This role involves conducting clinical reviews, facilitating care management activities, and collaborating with intra- and inter-agency personnel to ensure program adherence to state and federal guidelines.
Responsibilities
Requirements
Salary
$65,607.00 / annual
Benefits
Generous state paid benefit allowance to help cover insurance premiums, A wide choice of best-in-class health insurance plans, Optional flexible spending accounts for health care expenses or dependent care, Employee assistance program and health and fitness programs, 11 paid holidays, 15 days of vacation and 15 days of sick leave the first year, Retirement Savings Plan with a generous contribution, Longevity Bonus for years of service, Public Service Loan forgiveness and educational assistance reimbursement program, Training opportunities for CEU requirements
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