What are the responsibilities and job description for the RN - CASE MANAGER position at INDIAN HEALTH CARE RESOURCE CENTER OF TULSA, INC?
JOB SUMMARY
Facilitate continuity of care using the nursing process, interdisciplinary collaboration, and coordination of all appropriate health care services, including available community resources. Demonstrate technical, critical thinking skills necessary to complete job. Provide patient care that is caring, effective, and evidence based.
Obtain all outside records as needed: Specialist, Hospitals, Urgent Care, Pharmacy Immunizations, etc.
Communicate with referral specialists to assist patients with education and flu reminders.
Set follow up reminders for providers review 30 days prior to patients next appointment.
Assist in GPRA compliance by noting goals and identifying patients due for screenings or immunizations, and review providers schedule the week prior.
Assist in identifying patient resources, example: food pantries, housing needs, and transportation services. Refer to BH Case Manager.
Check provider mailbox, review before placing in providers mailbox.
Sort through providers mail, identify requests that require F2F OV, assist in scheduling if needed.
Review medications, enter lab orders for review, and obtain records if needed from outside providers.
Assist in communication with more complex patients, triage via phone.
Communicate with specialist for patients plan of care.
Monitor patients charts, assist in scheduling and/or follow up on routine visits-DM/HF/HEP-C.
For new patients or re-established care-enter all medications on outside providers lists.
Complete all CGM and Cologuard order forms for provider to review and sign as requested by provider.
Assist with all other provider request and rooming if needed.
Preceptor for new staff as needed.
Ensures provider and care team schedules run efficiently, helping where needed.
Assists in problem solving with providers, referrals, service issues.
Monitor and evaluate effectiveness of the care management plan and modify as necessary.
Follow through with patients’ needs and specific care plan to promote compliance and positive outcomes.
Adheres to instruments sterilization process.
