UNKNOWN

FEED

The primary responsibility of the role will be to assess, plan, implement, coordinate, monitor, and evaluate the options and services required to meet the healthcare needs of patients, while promoting quality outcomes and patient satisfaction. ***The ideal candidate will have experience in HCC coding, risk adjustment, clinical documentation improvement, and value-based care, along with strong clinical, analytical, and project leadership skills.

OU Health

RN Care Manager – HCC Risk Adjustment & Value-Based Care

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The primary responsibility of the role will be to assess, plan, implement, coordinate, monitor, and evaluate the options and services required to meet the healthcare needs of patients, while promoting quality outcomes and patient satisfaction. License/Certification/Registration Requirements: Current Registered Nurse License (RN License issued by the Oklahoma State Board of Nursing, or a current multistate compact Registered Nurse (eNLC)).

Adult Case Manager, RN - Emergency Dept

If applying as a Social Worker: Current Licensed Master Social Worker (LMSW) or under supervision for Licensed Clinical Social Work (LCSW) or LCSW from the Oklahoma State Board of Licensed Social Workers. Your primary responsibility will be conducting electronic medical record (EMR) reviews and/or patient interviews—via face-to-face or telephonic engagement—to assess, identify, and close clinical and non-clinical gaps in patient care.

Case Manager RN - Pediatric Complex Care

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This role works with members, caregivers, providers, and interdisciplinary teams to develop individualized care plans, address barriers to care, and reduce avoidable utilization. JOB SUMMARY:The Population Health Nurse Case Manager supports Population Health Management (PHM) by assessing member needs, coordinating care, and promoting improved health outcomes.

CommunityCare

Health Equity - Nurse Case Manager - Population Health 148-2006

This role works with members, caregivers, providers, and interdisciplinary teams to develop individualized care plans, address barriers to care, and reduce avoidable utilization. JOB SUMMARY: The Population Health Nurse Case Manager supports Population Health Management (PHM) by assessing member needs, coordinating care, and promoting improved health outcomes.

Health Equity - Nurse Case Manager - Population Health 148-2005

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Excellent communication & collaboration skills with interdisciplinary care teams (PCP, cardiology, hospitalists, ED, NOC, home health, hospice, social worker, dietary, rehab, infusion center, post-acute facilities). Facilitates timely, safe, and appropriate transition of patients from one care level to the next, such as transition from/to home, emergency department, inpatient, or other post-acute care settings.

Our Mercy health system was founded by the Sisters of Mercy in 1986. But our heritage goes back more than 185 years. It began with an Irish woman named Catherine McAuley, who wanted to help the poor women and children of Dublin. Though Catherine had a modest upbringing, she received an unexpected inheritance that allowed her to fulfill her dreams. In 1827, she opened the first House of Mercy in Dublin, intending to teach skills to poor women and educate children. Many volunteers came to help. A few years later, Catherine founded the Sisters of Mercy, the first religious order not bound to the rules of the cloister, whose Sisters were free to walk among the poor and visit them in their homes. By the time Catherine died in 1841, there were convents in Ireland and England, and in 1843, the Sisters of Mercy came to the United States. In 1871, they traveled to St. Louis and from there throughout the Midwest, beginning what would, today be known as Mercy. Mercy, named one of the top five large U.S. health systems in 2018, 2017 and 2016 by IBM Watson Health, serves millions annually. Mercy includes more than 40 acute care and specialty (heart, children’s, orthopedic and rehab) hospitals, 800 physician practices and outpatient facilities, 44,000 co-workers and 2,100 Mercy Clinic physicians in Arkansas, Kansas, Missouri and Oklahoma. Mercy also has clinics, outpatient services and outreach ministries in Arkansas, Louisiana, Mississippi and Texas. In addition, Mercy's IT division, Mercy Technology Services, supply chain organization, ROi, and Mercy Virtual commercially serve providers and patients in more than 20 states coast to coast.

Mercy

RN Case Manager - PRN - Mercy Hospital Watonga

Collaborate with hospital leadership teams at each facility to ensure smooth and coordinated patient transfers, ensuring that patients are placed in hospitals best equipped to meet their clinical needs. Decompression of the Emergency Department (ED): Work closely with Emergency Department (ED) leadership to decompress the ED by facilitating rapid patient transfers to appropriate inpatient units or other care areas within the INTEGRIS Health System.

Integris Health Inc

RN Clinical Expediter Patient Logistics - Baptist

Administer a variety of pre-examination tests including skin tests, blood tests, and other tests used in determining communicable disease; provide information and education to patients before and after tests as necessary. Essential Duties and Responsibilities: Provide health related counseling on the prevention of communicable diseases; coordinate health programs with outside organizations and agencies; introduce general health related information and instruction to individuals, families and community groups.

Iowas of Oklahoma

Community Health Nurse

Job Requirements:RN, Associates degree in nursing or higherPreferred Job Requirements:Two (2) years acute hospital-based nursing experienceCertification in case management (ACM or CCM)Experience in acute care hospital case management. The RN case manager is responsible for assessing and coordinating patient care across the continuum, utilizing accepted criteria and guidelines to manage benefits and determine the medical necessity of the services provided.

Ardent Health Partners LLC

Case Manager / RN Acute Care

Makes initial and/or comprehensive nursing evaluation visits, ensures patients meet home health eligibility and medical necessity guidelines, determines primary focus of care, develops the plan of care within State guidelines with the physician, and submits accurate documentation. Actively participates in survey/survey readiness activities and performance improvement plans, works to reduce unnecessary patient hospitalizations, improve patient safety, and implements processes and best practices to ensure positive patient outcomes.

HOUR

divvyDOSE

Registered Nurse (Per Diem)

IRecruitee

specialists, respiratory therapist, nutritionist, physical therapist, home health providers, care managers, and social workers) by optimizing the office-based care team to send, receive, and triage information flows among providers. In collaboration with other members of the healthcare team, the RN Care Manager is responsible for organizing, coordinating, and providing care management services, within the practice, who are at risk for health deterioration, poor health outcomes, and/or avoidable utilization of emergency care services.

Variety Care LLC

RN, Care Manager (70573)

Iowa Tribe Of Oklahoma

The Supervisor, House - RN provides critical leadership during assigned shifts to oversee hospital operations and ensure the delivery of safe, high-quality patient care. Provides administrative decision-making support in the absence of department managers or senior administrators, escalating critical issues to the Administrator on Call (AOC) as needed.

Community Health Systems, Inc. is a non-profit 501 (c) (3) 330 HRSA Grantee with Federally Qualified Health Center (FQHC) status. Established from the roots of Inland Empire Community Health Center in Bloomington, CHSI has grown with community health centers in the counties of Riverside, San Bernardino, and San Diego. These centers have been developed in accordance with standards established for safety net providers by the U.S. Department of Health and Human Services (HHS), the Health Resources Services Administration (HRSA), the Public Health Service (PHS), and the Bureau of Primary Health Care (BPHC). As such, services are offered to the neediest in each community - the un-insured and under-insured, the working poor, those with limited ability to pay, the homeless, and the indigent. Services are provided at discounted (sliding fee scale) rates for those who qualify based on gross annual income and family size.

Community Health Systems Inc

RN House Supervisor

OTHER

Responsibilities: The RN case manager is responsible for assessing and coordinating patient care across the continuum, utilizing accepted criteria and guidelines to manage benefits and determine the medical necessity of the services provided. This position functions to achieve optimal clinical and quality outcomes by effectively managing care and resources to reduce unnecessary utilization.

Hillcrest Medical Center

[AW]-iCims

As a licensed clinical professional and sales partner, the CE collaborates closely with hospital case managers, discharge planners, physicians, patients, and caregivers to ensure safe, efficient placement of patients into home or alternate-site infusion therapy. The CE combines clinical expertise with consultative sales skills to educate referral sources, patients, and healthcare teams on Amerita's services, ensuring appropriate patient selection, seamless discharge coordination, and successful therapy initiation.

YEAR

BrightSpring Health Services

Clinical Nurse Educator Infusion

Office Based Surgical Center/Ambulatory Surgical Center/Vascular Access, Cardiac Cath Lab, or a combination of ASC, surgical, Interventional Radiology and ICU/CCU or emergency department experience preferred. MAINTENANCE/TECHNICAL: Operates appropriate facility equipment and technology, including but not limited to, patient monitors, defibrillators, medical recording devices, sterilizers and computers in a safe and efficient manner.

Fresenius Medical Care AG & Co KGaA

Registered Nurse

Provides day- to-day patient care in the home setting which includes, but is not limited to: case management and total care of multiple patients with different levels of acuity, admissions to home care services, post-hospitalization assessments, recertifications, discharges, patient teaching, dressing changes, IV therapy administration, access site care and general skilled nursing according to policy and procedure, assists with other needs that may be apparent in the home to assure safety and appropriate care i.e. lifeline, meals on wheels, and instruction on public programs availability. From day one, Mercy offers outstanding benefits - including medical, dental, and vision coverage, paid time off, tuition support, and matched retirement plans for team members working 32+ hours per pay period.

RN - Case Manager, Home Health Yukon

Work at Home Requirements: To ensure Home or Hybrid Home/Office employees’ ability to work effectively, the self-provided internet service of Home or Hybrid Home/Office employees must meet the following criteria: At minimum, a download speed of 25 Mbps and an upload speed of 10 Mbps is required; wireless, wired cable or DSL connection is suggested. The pay range may be higher or lower based on geographic location and individual pay will vary based on demonstrated job related skills, knowledge, experience, education, certifications, etc.$71,100 - $97,800 per yearThis job is eligible for a bonus incentive plan.

Humana

Onsite Care Coordination Nurse

Works closely with the Advanced Care leadership team to support and promote the care redesign of Advanced Care program services developed to provide 24/7 comprehensive care delivered in the home as an alternative to a hospital stay. The opportunity for this position is to contribute to the creation and refinement of a novel care model while helping reduce hospital admissions, decrease ER utilization, improve patient success, and increase the patient and provider experience.

DispatchHealth

clinical-registered-nurse

FULL_TIME

Maximus compensation is based on various factors including but not limited to job location, a candidate's education, training, experience, expected quality and quantity of work, required travel (if any), external market and internal value analysis including seniority and merit systems, as well as internal pay alignment. *********Minimum Requirements: - High School Degree and 2+ years clinical experience required; Associate's Degree preferred or equivalent combination of education or experience.

MAXIMUS provides business services to help governments operate health and human services programs, mostly at the state and national levels. The company's health services segment offers outsourced program management and administrative services,

Utilization Management Nurse Jobs in Oklahoma

RN Care Manager – HCC Risk Adjustment & Value-Based Care OU Health

Adult Case Manager, RN - Emergency Dept OU Health

Case Manager RN - Pediatric Complex Care OU Health

Health Equity - Nurse Case Manager - Population Health 148-2006 CommunityCare

Health Equity - Nurse Case Manager - Population Health 148-2005 CommunityCare

RN Case Manager - PRN - Mercy Hospital Watonga Mercy

RN Clinical Expediter Patient Logistics - Baptist Integris Health Inc

Community Health Nurse Iowas of Oklahoma

Case Manager / RN Acute Care Ardent Health Partners LLC

Registered Nurse (Per Diem) divvyDOSE

RN, Care Manager (70573) Variety Care LLC

Community Health Nurse Iowa Tribe Of Oklahoma

RN House Supervisor Community Health Systems Inc

Case Manager / RN Acute Care Hillcrest Medical Center

Clinical Nurse Educator Infusion BrightSpring Health Services

Registered Nurse Fresenius Medical Care AG & Co KGaA

RN - Case Manager, Home Health Yukon Mercy

Onsite Care Coordination Nurse Humana

clinical-registered-nurse DispatchHealth

Clinical Review Lead Coordinator, LPN/RN Maximus

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