Care Manager, RN

Job not on LinkedIn

🔥 10 minutes ago

🌪️ Oklahoma – Remote

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⏰ Full Time

🟡 Mid-level

🟠 Senior

👔 Manager

👻 Ghost score 10%

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Logo of Saint Francis Health System

Saint Francis Health System

10,000+ employees

Founded 1960

🏥 Healthcare

🏨 Hospitality

🤝 Non-profit

Healthcare • Hospitality • Non-profit

Saint Francis Health System is a healthcare organization based in Tulsa, Oklahoma that operates multiple hospitals, clinics, specialty centers, and support services across eastern Oklahoma. It offers a broad range of clinical services including primary care, cardiology and heart & vascular services, cancer care, neurosciences, behavioral and mental health, orthopedic care, women’s and pediatric care, imaging & lab services, rehabilitation, hospice and home care, trauma services, and specialty institutes (e. g. , Heart and Vascular Institute, Trauma Institute, Children’s Hospital). The system provides urgent care, virtual urgent care, in-home urgent care via DispatchHealth, emergency care including a pediatric emergency center, and many outpatient clinics and diagnostic services. It also supports physician services, medical education (OSU residency partnership), community outreach, financial assistance, patient billing/price transparency, charitable giving, and volunteer programs. The organization lists locations, patient resources, MyChart patient portal, and administrative functions (careers, supplier info, privacy and compliance notices).

📋 Description

• Provide patient-centered medical home and care coordination across the health care continuum • Collaborate with physicians, staff and other healthcare professionals to maintain safety, best practices and high-quality care • Coordinate self-management support and disease registry activities • Oversee and maintain the disease registry database • Identify patients overdue for visits, labs or referrals and arrange follow-up services • Identify patients not meeting clinical goals and arrange appropriate follow-up • Create patient-, physician- and office-level quality performance reports • Conduct or facilitate pre-visit chart reviews, preventive care reviews, immunization reviews and chronic disease interventions • Complete pre-visit or office visit forms and communicate reviews to providers • Identify specific diagnosis codes to support optimal HCC outcomes • Support patients and families with chronic disease self-management, medication adherence and health behavior change using the 5A's approach • Provide or arrange patient education and assist with shared medical appointments • Assess patient understanding of disease processes, treatment plans and lifestyle changes • Coordinate care across the continuum and act as a liaison among patients, families, physicians, clinical staff, departments, hospitals and specialty providers • Follow up with patients after hospital discharge and at clinically appropriate intervals • Advocate for patients, address concerns and connect patients with community resources • Participate in quality improvement activities and collaborate with clinic management on office goals • Participate in or coordinate quality improvement committees and develop tools for optimal patient outcomes • Meet with other medical home care guidance nurses for information sharing and continuing education • Prepare data and electronic correspondence • Maintain confidential patient health records • Lead others performing the same work without supervising them

🎯 Requirements

• Completion of the basic professional curricula of a school of nursing approved and verified by a state board of nursing, with a diploma or degree • Valid multi-state or State of Oklahoma Registered Nurse License • Basic Life Support (BLS) certification • 3–4 years of related experience • Understanding of systems and processes in outpatient medical group practices • Effective teaching techniques applying adult learning principles • Ability to coordinate appropriate educational materials for patients and support systems • Professional, appropriate, effective and tactful written, verbal and nonverbal communication • Ability to maintain complete patient confidentiality • Knowledge of various payor regulations • Safety-sensitive position subject to OMMA-related marijuana testing and employment policies

🏖️ Benefits

• Full-time schedule • Days schedule

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