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    Medical Unit - Tulsa, OK, United States - Saint Francis Health System

    Saint Francis Health System
    Saint Francis Health System Tulsa, OK, United States

    1 day ago

    Default job background
    Full time
    Description
    Saint Francis Health System is seeking a Registered Nurse (RN) Case Management for a nursing job in Tulsa, Oklahoma.


    Specialty:
    Case Management


    Start Date:

    ASAP

    Employment Type:
    Staff

    Full Time


    The case manager coordinates with physician's, nurses, social workers, and other health team members to expedite medically appropriate cost effective care.

    The case manager applies clinical expertise and medical appropriateness criteria to resource utilization and discharge planning. Will advise the health care team and provide leadership as needed.

    Minimum Education:

    Has completed the basic professional curricula of a school of nursing as approved and verified by a state board of nursing, and holds or is entitled to hold a diploma or degree therefrom.


    Licensure, Registration and/or Certification:

    Work Experience:
    Minimum of 3 years of clinical experience as a registered nurse. Utilization review or discharge planning preferred.

    Demonstrates a strong clinical background and an understanding of the preparation and post procedure monitoring requirements for diagnostic/radiological and or surgical procedures.

    Ability to utilize Microsoft Office, Excel, spreadsheet management, database management as needed. Obtains order from physician to ensure accurate visit type and level of care in a timely manner.

    Ensures that the care plan and the discharge plan are consistent with the patient's clinical course, continuing care needs and covered services.

    Make interdepartmental/health team contact as indicated to expedite discharge plan. Initiates discharge planning within one business day by assessing the patient's needs and documenting the assessment. Identifies and proactively manages potential barriers to discharge. Enters authorization and days approved data into system to facilitate billing. Assists with medical necessity denials and performs appeal with medical staff assistance. Coordinates the transitional planning processes and discusses with attending physician and/or physician advisor the appropriateness of resource utilization. Makes appropriate referrals to social work based on risk criteria and to Complex Discharge Specialist as indicated. Collects data on variances from quality screening criteria and medical opportunity days as required. Communicates issues to Quality, Risk Management, and Corporate Compliance. Documents assessment and discharge plan. Works directly with patients and/or customers Works with internal customers via telephone or face to face interaction Works with external customers via telephone or face to face interaction Works with other healthcare professionals and staff

    Supplemental Information:

    This document generally describes the essential functions of the job and the physical demands required to perform the job.

    Clinical Care Management - Yale Campus

    EOE Protected Veterans/Disability
    Saint Francis Healthcare System Tulsa Job ID #JR11837. About Saint Francis Health System

    Saint Francis Health System is a Catholic, not-for-profit health system wholly owned and operated in Tulsa, Oklahoma whose mission is to extend the presence and healing ministry of Christ to all who seek its services.

    The health system is anchored by Saint Francis Hospital, a 1,112-bed tertiary center, which includes the region's only children's hospital and level IV neonatal intensive care unit, a 168-bed heart hospital and Tulsa's leading trauma and emergency center.

    Additionally, Saint Francis employs more than 450 providers through Warren Clinic, which serves the region with more than 95 locations throughout eastern Oklahoma.

    In total, the organization has more than 11,500 employees, 1,000 physicians and 700 volunteers, making it the largest private employer in Tulsa County.

    Holiday Pay
    ~ 401k retirement plan
    ~ Employee assistance programs
    ~ Medical benefits
    ~ Dental benefits
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