Care Management RN- PRN; Adult

Overview

Care Management RN- PRN (Adult) at OU Health. PRN positions require a minimum of 24 hours per month.

• Care Management RNs are accountable and responsible for coordinating the care and services of selected patient populations and ensuring the efficient utilization of healthcare resources.
• Assess, plan, implement, coordinate, monitor, and evaluate the options and services required to meet the healthcare needs of patients.
• Conduct comprehensive assessments of patients  health status, medical history, and ongoing care needs.
• Develop individualized care plans in collaboration with the interdisciplinary healthcare team, patients, and families to ensure continuity of care.
• Provide education to patients and families regarding health conditions, treatment plans, medications, financial expectations, and self-care strategies.
• Coordinate and facilitate communication between patients, families, healthcare providers, and community resources to optimize patient care outcomes.
• Evaluate effectiveness of care plans and make adjustments as necessary.
• Evaluate healthcare utilization patterns and identify opportunities for improving efficiency and cost-effectiveness.
• Advocate for appropriate allocation of resources and services while complying with regulatory guidelines and reimbursement criteria.
• Collaborate with insurance providers, social workers, and other stakeholders to ensure timely authorization of services and coverage for patients.
• Monitor and evaluate patient outcomes, healthcare processes, and care delivery systems to identify areas for improvement.
• Participate in quality improvement initiatives and interdisciplinary care conferences to promote evidence-based practices and improve patient safety and satisfaction.
• Ensure compliance with federal, state, and local regulations as well as accreditation requirements related to care management and patient care.
• Implement strategies to minimize readmissions, prevent complications, and optimize care planning processes.

• Education: Associate’s degree, or higher, in nursing required.
• Experience: At least 1 year of Care Management experience.
• License/Certification/Registration: Current Registered Nurse License (RN License issued by the Oklahoma State Board of Nursing, or a current multistate compact Registered Nurse (eNLC)). Basic Life Support certification from the American Heart Association required.

• Regulatory requirements regarding the care management discipline.
• Strong communication, interpersonal, and leadership skills.
• Detail-oriented with excellent organizational skills.
• Commitment to continuous learning, quality improvement, and patient-centered care.
• Strong assessment, critical thinking, and problem-solving skills.
• Knowledge of healthcare regulations, including CMS guidelines.
• Understanding of utilization management principles integrated with care management responsibilities.
• Ability to serve as liaison between patients, families, and healthcare providers.
• Proficiency in using electronic health records (EHR) and care management software.

• Seniority level: Entry level
• Employment type: Part-time
• Job function: Health Care Provider
• Industries: Hospitals and Health Care

OU Health is an equal opportunity employer. We offer a comprehensive benefits package, including PTO, 401(k), medical and dental plans.