Manager Case Management Utilization Review - OU Medical Center
Company: OU Health
Location: Oklahoma City
Posted on: May 6, 2024
Job Description:
Position Title:Manager Case Management Utilization Review - OU
Medical CenterDepartment:Case ManagementJob Description:General
Description: Under direction, the Manager of case management
supervises the case managers and assists in the management of the
department.Essential Responsibilities: Responsibilities listed in
this section are core to the position. Inability to perform these
responsibilities with or without an accommodation may result in
disqualification from the position.
- Assesses, plans, facilitates and advocates options and services
to meet a patient's health needs and to promote cost-effective
outcomes.
- Assists in developing and implementing the Utilization Plan,
departmental goals, and departmental policies and procedures.
- Evaluates work performance of case manager in collaboration
with the Director.
- Ensures appropriate case management staffing.
- Compiles reports as appropriate.
- Ensures compliance with applicable federal guidelines.
- Represents the department on assigned hospital committees.
- Ensures cost-effective care through utilization management and
care coordination.General Responsibilities:
- Performs other duties as assignedMinimum
Qualifications:Education: Bachelor of Science in Nursing;
andExperience: Three (3) years clinical nursing experience in an
acute care facility. One year supervisory
experience.License(s)/Certification(s)/Registration(s) Required:
Current RN License issued by the Oklahoma State Board of Nursing,
or a current multistate compact RN License (eNLC). Current Basic
Life Support issued by the American Heart Association required upon
hire. Knowledge, Skills and Abilities: Knowledge of nursing
practices and procedures. Strong clinical assessment skills. Must
be knowledgeable about resources available in the community for use
by patients, families and the health care team that would
facilitate in the recovery of the patient. Requires knowledge of
third party payer issues concerning reimbursement and regulatory
perimeters. Must be able to explain technical and complex
information in such a way that patients and family can understand.
Strong interpersonal skills that facilitate the gathering of
information necessary for assessing the patient's needs and the
range of treatment and care necessary. Current OU Health Employees
- Please click HERE to login.OU Health is an equal opportunity
employer. We offer a comprehensive benefits package, including PTO,
401(k), medical and dental plans, and many more. We know that a
total benefits and compensation package, designed to meet your
specific needs both inside and outside of the work environment,
create peace of mind for you and your family.
Keywords: OU Health, Stillwater , Manager Case Management Utilization Review - OU Medical Center, Executive , Oklahoma City, Oklahoma
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