Job description
Overview:
Who We Are
Responsibilities:
Join Hillcrest as a Full Time, Day Shift, Case Manager!
Who We Are
Hillcrest HealthCare System (HHS) is changing lives for the better, together. Serving northeastern Oklahoma, the system includes:
- 9 hospitals: Hillcrest Medical Center, Hillcrest Hospital South, Oklahoma Heart Institute, Tulsa Spine & Specialty Hospital, Bailey Medical Center, Hillcrest Hospital Cushing, Hillcrest Hospital Claremore, Hillcrest Hospital Henryetta, Hillcrest Hospital Pryor
- 2 physician groups: Oklahoma Heart Institute and Utica Park Clinic
- 6,250 employees
- 322 employed providers
- 1,235 licensed beds
- Nearly 150,000 patients treated per year
- More than 110,000 ER visits per year
- $27 million in capital improvements in 2016
HHS is currently looking for a member to join our team! After meeting our leadership team, you will learn how our Utilization Review department is powered by our purpose of caring for people – our employees, our patients and one another. With great teamwork and a knowledgeable, tenured staff, we offer great learning opportunities to grow your career, while doing what you love most – caring for people. If you meet the minimum requirements below, enjoy work that is valued, has purpose and you want to join our team, please apply today!
Responsibilities:
What You’ll Bring
- 1-3 years exprerience in a related field
- OK RN Licensure required, CCM preferred
- Associate’s degree required, Bachelors Degree is a plus
- Must have a passion for excellence
- Must demonstrate excellent English grammar and writing skills
- Professionalism displayed through sound judgement, initiative, and flexibility
- Good interpersonal, communication, team-work, and customer service skills
- Strong organizational, problem-solving and follow-through skills
- Ability to multi-task constantly, react to changes quickly/productively, and tolerate interruptions
- Ability to perform work when no directions are given, and give directions to others
What You’ll Do
To manage individual’s health needs through the full continuum of care while ensuring and facilitating the achievement of quality, clinical and financial outcomes. Assesses the ongoing needs of the patient/family and makes referrals to the appropriate community resources or other health care services. The case manager uses a clinical reasoning process for assessing, planning, implementing and evaluating the plan of care while ensuring that coordination of services are done in a timely manner. The case manager is held accountable to ensure that discharge planning is appropriate, timely and communicated to the patient, family and health care team. The case manager will perform utilization review in accordance with InterQual criteria, which will assure appropriate use of health care resources. The nurse case manager is expected to adhere to and abide by the rules and regulations set forth by the Oklahoma Board of Nursing. Must be able to demonstrate awareness and appropriateness in the care of patient’s at end of life.
To manage individual’s health needs through the full continuum of care while ensuring and facilitating the achievement of quality, clinical and financial outcomes. Assesses the ongoing needs of the patient/family and makes referrals to the appropriate community resources or other health care services. The case manager uses a clinical reasoning process for assessing, planning, implementing and evaluating the plan of care while ensuring that coordination of services are done in a timely manner. The case manager is held accountable to ensure that discharge planning is appropriate, timely and communicated to the patient, family and health care team. The case manager will perform utilization review in accordance with InterQual criteria, which will assure appropriate use of health care resources. The nurse case manager is expected to adhere to and abide by the rules and regulations set forth by the Oklahoma Board of Nursing. Must be able to demonstrate awareness and appropriateness in the care of patient’s at end of life.
Communicates effectively and demonstrates ability to assess and interpret data about the patient’s status in order to identify each patient’s age specific needs and provide the care needed by pediatric, adolescent, young adult, middle-aged and geriatric patient groups.- Demonstrates knowledge of cultural diversity, the ability to provide care and service and exhibit the communication skill necessary to interact effectively with the customer.
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