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CategoryHealthcare
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No of Jobs1
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Apply Before12/08/2025
Description
RN Case Manager Team Lead
American Health Partners - Oklahoma City, OK
Job Title: RN Case Manager Team Lead
Position: Registered Nurse Case Manager
Job Type:
Pay: Competitive pay
Shift:
Work Type:
Location
Address:
City: Oklahoma City
State: OK
ZIP Code:
Job Responsibilities
- Manage assigned patient caseload
- Complete health risk assessments for designated members
- Initiate, reassess and revise plans of care in collaboration with the health care team as appropriate
- Evaluate, coordinate, and plan patient care in collaboration with the interdisciplinary health team
- Provide education to the patient/family and facility staff in accordance with identified needs utilizing available teaching resources as needed
- Coordinate outpatient discharge planning in accordance with patient needs, clinical circumstances and benefit coverage
- Participate in all Managed Care related audits; generate, maintain and track reports and documents to support Care Coordination program
- Perform improvement projects involving development of monitoring/collection tools, review of medical records, data entry, analysis, and preparation of audit findings and reports
- Participate in patient care conferences, committee meetings, staff development and educational programs to maintain professional competency
- Apply medical management criteria correctly
- Research clinical questions from employers, members and payors as required; educate members on health access options
- Respond, manage, and resolve day-to-day issues presented in care coordination; communicate effectively with the facility
- Rounding in patient care delivery areas per market needs
- Other duties as assigned
Required Skills
Core Skills
- Excellent communication and presentation skills
- Analytical thinking
- Customer and personal service
- Accountability
Preferred Skills
- Ability to manage multiple priorities
- Collaboration with multiple teams
- Independent discretion/decision making
Requirements
Experience: Two (2) years’ experience in clinical nursing or rehabilitation for the geriatric population; Two (2) years’ experience in managed care; 3-5 years’ experience performing case management within a managed care environment
Education: Graduate from an accredited Registered Nursing Program; Bachelor’s degree preferred
License & Certification:
- Current state Registered Nursing License
- Current and valid driver’s license
- Current motor vehicle insurance
Schedule:
COVID-19 Requirements: Not Specified
Benefits
- Generous benefits
- Advancement opportunities
- Reward and recognition programs
Supplemental Pay
- Not specified
Special Notes
- Equal opportunity employer statement
- Organization will make reasonable accommodations for qualified individuals with disabilities
Facility Details
Name: American Health Partners
Description: A division of American Health Partners, a multifaceted company with operations in multiple states.
Specialties:
- Nursing homes
- Health plans for Medicare beneficiaries
- Psychiatric care
- Home health
- Hospice
- Rehabilitation
- Specialty pharmacy services
Mission: To care for the people that care for patients.
Job Info
