- Assesses, plans, monitors, and coordinates plan of care from pre-admission to community re-entry through the implementation of case management standards and processes.
- Assesses the individual's personal and medical history, current status, diagnosis, prognosis, and the proposed treatment plan.
- Promotes and utilizes the appropriate level of care for the patient and refers to other facilities as needed.
- Adheres to contract agreements and specific criteria.
- Serves as a liaison with payor source points of contact to verify and guarantee coverage and identify items required to process the claim for service.
- Assists patient and or caregiver in developing realistic goals to direct the treatment regimen.
- Proactively communicates with payor source to explore coverage solutions (flex benefits, out of contract, etc.).
- Promotes optimal outcomes for the patient within the boundaries of the diagnosis.
- Coordinates and facilitates interdisciplinary team (IDT) meetings and plan of treatment.
- Meets with patient, family, and IDT to facilitate "continuity of care".
- Implements utilization review process and continuously evaluates the appropriate level of care with the interdisciplinary team and payor, and patient/caregiver(s). Proactively obtains authorization for any extension of service of LOS.
- Coordinates the discharge plan with the IDT and providers.
- Monitors expense versus revenue for caseload on a daily basis.
- Proactively collaborates with the health care team, payors, community agencies, providers and legal representatives to ensure continuity throughout the continuum.
- Serves as a liaison with the treatment team and the primary care physician, referring physician, medical director, patient/caregiver(s), and other parties as appropriate.
- Promotes effective communications among treatment team members, patient/caregiver(s), primary care physician, referring physician, medical director, and payor.
- Participates in care conferences, family conferences, etc. when indicated.
- Educates and supports the individual/family to be empowered and self-reliant in being advocates for themselves.
- Uses the mechanism of early referral to promote and provide optimum care and cost containment.
- Represents the individual's best interests through assisting in finding necessary funding, offering treatment alternatives, and coordinating treatment.
- Continuously reviews and evaluates the patient's progress, as reflected by the goals defined in the treatment plan.
- Uses appropriate auditing processes and tools to ensure department and treatment efficiency.
- Participates in performance improvement evaluation processes with particular emphasis on results-oriented treatment.
- Maintains professional growth in case management by: attending continuing education opportunities; reviewing pertinent professional literature; maintaining knowledge of current community resources; and reviewing and being familiar with the managed care marketplace to determine managed care growth potential, opportunities, penetration, service trends, relationships, networks, etc.
-
Case Manager
2 days ago
Hillcrest Medical Center Careers Tulsa, United States Permanent, Full timeOverview · Join our team as a evening shift, full-time, Case Management, Registered Nurse in Tulsa, OK. · Fulfilling your purpose begins here: · People First, Always. Here's how we take care of our people: · Medical, vision, dental health insurance, health savings account / fle ...
-
Case Manager
3 weeks ago
Saint Francis Health System Tulsa, United StatesThe case manager is responsible for facilitating the patient's hospitalization from pre-admission through discharge. The case manager coordinates with physician's, nurses, social workers, and other health team members to expedite medically appropriat Case Manager, Manager, Regist ...
-
Case Manager
3 weeks ago
Family & Children's Services Tulsa, OK, United StatesCurrent Payrate $55,000/year · Premium Medical, Dental & Vision Benefits with Zero Cost Options · Retirement Savings Program with up to 6% Employer Match · Life Insurance, Short & Long Term Disability Benefits · Employee Assistance Programs · 33 Paid Days Off 1st year · About thi ...
-
Case Manager
3 weeks ago
Family & Children's Services Tulsa, OK, United States$55,000/year salary · 33 Paid days off 1st year · Generous Benefit Package · POPULATION SERVED: ACT Teams provide intensive, community-based services to individuals with severe mental illness. Individuals served by ACT Teams often have complex mental health needs, including acute ...
-
Case Manager
3 weeks ago
Morton Comprehensive Health Services Tulsa, United StatesOur patient care and the well being of our patients is our top priority at Morton Comprehensive Health Services. Our care team works collaboratively to assess needs, implement a program, and follow through with our patient programs. · Morton offers an extensive benefit package, ...
-
Case Manager
3 weeks ago
Family & Children's Services Tulsa, OK, United StatesCurrent Payrate $55,000/year · Premium Medical, Dental & Vision Benefits with Zero Cost Options · Retirement Savings Program with up to 6% Employer Match · Life Insurance, Short & Long Term Disability Benefits · Employee Assistance Programs · Student Loan Repayment Programs · 33 ...
-
Case Manager
3 weeks ago
Family & Children's Services Tulsa, OK, United StatesCurrent Payrate $55,000/year Bachelor's Degree in Social Services Required. · Premium Medical, Dental & Vision Benefits with Zero Cost Options · Retirement Savings Program with up to 6% Employer Match · Life Insurance, Short & Long Term Disability Benefits · Employee Assistance P ...
-
Case Manager
3 weeks ago
Family & Children's Services Tulsa, OK, United States$55,000/year salary · 33 Paid days off 1st year · Generous Benefit Package · POPULATION SERVED: ACT Teams provide intensive, community-based services to individuals with severe mental illness. Individuals served by ACT Teams often have complex mental health needs, including acute ...
-
Case Manager
5 days ago
Family & Children's Services Tulsa, United StatesPremium Medical, Dental & Vision Benefits with Zero Cost Options · Retirement Savings Program with up to 6% Employer Match · Life Insurance, Short & Long Term Disability Benefits · Employee Assistance Programs · Student Loan Repayment Programs · 33 Paid Days Off 1st year · ...
-
Case Manager
1 week ago
Morton Comprehensive Health Services Tulsa, United StatesJob Description · Job DescriptionOur patient care and the well being of our patients is our top priority at Morton Comprehensive Health Services. Our care team works collaboratively to assess needs, implement a program, and follow through with our patient programs. · Morton offer ...
-
Case Manager
3 weeks ago
All Ways Caring HomeCare Tulsa, United StatesJob Description · Job DescriptionOverview · Our operational team members focus on efficiently meeting the needs of our clients across various lines of business. If your passion is to ensure quality care to help our clients live their best life we encourage you to apply today · Jo ...
-
RN Case Manager
1 week ago
Trinity Employment Specialists Tulsa, United StatesJob Description · Job DescriptionRN Case Manager | Tulsa, OK · $80k-$92K DOE · Job Description · The RN Case Manager provides patient care management across the continuum of care. The RN Case Manager is responsible for ongoing assessment of patient needs and coordination of the d ...
-
ADvantage Case Manager
2 weeks ago
LIFE Senior Services, Inc. Tulsa, United StatesPOSITION SUMMARY: With required certification and training, provide certified ADvantage Case Management services though collaborating with ADvantage Members and their support systems, including family members, caregivers, etc., by assessing, facilitating, planning, advocating and ...
-
RN Case Manager
2 weeks ago
Mays Home Health Tulsa, United StatesRN Case Manager / Clinical Field Staff Supervisor · Reports to Director of Nurses · About Us · At Mays, we take pride in the quality service that we provide our patients. If you have a passion for providing excellent care to patients, we want you to be part of our work family. Wh ...
-
RN Case Manager
2 weeks ago
Hospice of Green Country Tulsa, United StatesJob Description · Job DescriptionPosition: RN Case Manager · Reportsto : Director of Patient Care · Department: Patient Care Services · FSLA Status: Exempt · Job Summary: The RN Case Manager is responsible for coordinating care of assigned patients; performing skilled assessments ...
-
Case Manager- Housing
3 weeks ago
Family & Children's Services Tulsa, OK, United States$55K annual starting salary · Full benefit package- Medical, Dental, Vision and more · 33 Paid days off 1st year · CCBHC is an integrated community behavioral health model of care intended to provide integrated, evidence-based, trauma-informed, recovery-oriented and person-and-f ...
-
ADvantage Case Manager
2 weeks ago
LIFE Senior Services Inc Tulsa, OK, United States Full timePOSITION SUMMARY: With required certification and training, provide certified ADvantage Case Management services though collaborating with ADvantage Members and their support systems, including family members, caregivers, etc., by assessing, facilitating, planning, advocating and ...
-
Case Management Specialist
5 days ago
The Salvation Army USA Southern Territory Tulsa, United StatesThe Salvation Army, an internationally recognized non-profit, faith-based organization, is seeking a Case Management Specialist for our Shelter, located in Downtown Tulsa, Oklahoma. · Job Summary · Interviews, accepts, and provides comprehensive, short/medium term, structured, ...
-
RN Case Manager
1 week ago
Trinity Employment Specialists Tulsa, United StatesJob Description · Job DescriptionRN Case Manager| Tulsa, OK| 80,000+ · Job Summary: · The RN Case Manager is responsible for helping coordinate and evaluate the management of patients with acute and chronic conditions, across the care continuum, to achieve high quality care measu ...
-
ADvantage Case Manager
2 weeks ago
LIFE Senior Services Inc Tulsa, OK, United StatesPOSITION SUMMARY: With required certification and training, provide certified ADvantage Case Management services though collaborating with ADvantage Members and their support systems, including family members, caregivers, etc., by assessing, facilitating, planning, advocating and ...
Case Manager FT - Tulsa, United States - PAM Health
Description
Case Manager (RN, OT, PT, SLP or LSW)
The
Case Manager is responsible for the interdisciplinary coordination of care for a designated patient population.
The Case Manager performs reviews of all inpatient admission records to ensure proper utilization of hospital resources and determination of admission for appropriate level team to facilitate achievement of desired financial and quality outcomes.
The Case Manager will also maintain and enhance payor relationships. Performs other related duties as assigned or requested. This is an exempt position.RESPONSIBILITIES
Admission Data Collection and Assessment
Planning, Implementation & Facilitation
Advocacy
Monitoring & Evaluation
Professional Growth
QUALIFICATIONS
Education and Training:RN, OT, PT, SLP, RT or LSW licensure in state where the hospital resides required. Current BLS certification required.
Experience: Three to five years of inpatient experience, preferably in an acute, IRF or LTACH setting.
ABOUT US
PAM HEALTH(PAM) based inEnola, Pennsylvania, provides specialty healthcare services through more than 70 long-term acute care hospitals and physical medicine and rehabilitation hospitals, as well as wound clinics and outpatient physical therapy locations, in 17 states. PAM Health is committed to providing high-quality patient care and outstanding customer service, coupled with the loyalty and dedication of highly trained staff, to be the most trusted source for post-acute services in every community it serves. Its mission is to serve people by providing compassionate, expert care, and to support recovery through education and research.
Joining our PAMily allows you to work in a collaborative environment with colleagues and leadership with exposure to a variety of patient care levels.
Aside from our competitive pay, generous paid benefit time, and excellent insurance options, you will also have opportunities for professional growth through our Education Advancement Program.
We are excited to learn more about you and hope that you consider joining us on a shared mission to improve the lives of others by being an integral part of our We Care Program.
Please take a moment to visit us online for a comprehensive look at how we're able to positively impact our local communities.
PAM Health does not discriminate and does not permit discrimination, including, without limitation, bullying, abuse or harassment, on the basis of actual or perceived race, color, religion, national origin, ancestry, age, gender, physical or mental disability, sexual orientation, gender identity or expression or HIV status, or based on association with another person on account of that person's actual or perceived race, color, religion, national origin, ancestry, age, gender, physical or mental disability, sexual orientation, gender identity or expression or HIV status.