Disease Management Case Manager jobs in Oklahoma

Disease Management Case Manager coordinates the overall interdisciplinary plan of care for a patient in a disease management program, from admission to discharge. Acts as a liaison between patient/family, employer and healthcare personnel to ensure necessary care is provided promptly and effectively. Being a Disease Management Case Manager responsibilities include but are not limited to documenting case progress, identifying health risks, and reporting the findings of the case study at appropriate intervals. Requires an associate's degree/bachelor's degree, and is licensed to practice nursing. Additionally, Disease Management Case Manager typically reports to a supervisor or manager. Disease Management Case Manager's years of experience requirement may be unspecified. Certification and/or licensing in the position's specialty is the main requirement. (Copyright 2024 Salary.com)

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Manager, Case Management
  • Oklahoma Complete Health, a Centene Company
  • Oklahoma, OK FULL_TIME
  • Position Purpose: Perform duties to conduct and manage the day to day operations of the care management functions communicating with departmental and plan administrative staff to facilitate daily department functions.

    • Manage the delivery of services to members, ensuring services are appropriate and cost effective.
    • Ensure compliance with government and company requirements in the care management department. Develop and implement new procedures, regulatory filings and manage compliance issues.
    • Develop, implement, and oversee care management policies and procedures and give specific guidance to staff and departments as appropriate.
    • Develop, implement, and maintain care management programs to facilitate the use of appropriate services and resources in order to maintain the member in the least restrictive environment.
    • Direct the daily activities of care management staff. Facilitate on-going communication between case management staff, members, contracted providers, and subsidiaries.
    • Develop staff skills and competencies through training and experience.
    • Manage resolution of complaints, and assist in audits and evaluations related to the Long Term Care Program. If necessary, develop and implement corrective action plans.

    ** Must reside in Oklahoma**

    Education/Experience:

    • Bachelor’s degree in Social Work, Sociology, Psychology, Nursing, Gerontology, related field or RN.
    • 6 of long term care related experience.
    • Thorough knowledge of case and/or utilization management.
    • Familiarity with Medicaid managed care practices and policies, CHIP, and SCHIP.
    • Previous experience as a lead in a functional area, managing cross functional teams on large scale projects or supervisory experience including hiring, training, assigning work and managing the performance of staff.

    For Oklahoma Complete Health only: Education: Bachelor’s degree in nursing preferred.
    License/Certification: Active, OK Registered Nurse (RN) license required, CCM preferred.

    Children’s Specialty Program - Knowledge in Oklahoma Child Welfare systems, Behavioral Health, trauma, resources for caregivers, foster parents, HEDIS and quality measures.

    Our Comprehensive Benefits Package: Flexible work solutions including remote options, hybrid work schedules and dress flexibility, Competitive pay, Paid time off including holidays, Health insurance coverage for you and your dependents, 401(k) and stock purchase plans, Tuition reimbursement and best-in-class training and development.

    Job Type: Full-time

    Pay: $77,659.00 - $93,621.00 per year

    Benefits:

    • 401(k)
    • Dental insurance
    • Health insurance
    • Life insurance
    • Paid time off
    • Tuition reimbursement
    • Vision insurance

    Work Location: Remote

  • Just Posted

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Hospice RN Case Manager
  • Affinity Hospice Management LLC
  • Oklahoma, OK FULL_TIME
  • JOB DESCRIPTION SUMMARY The registered nurse plans, organizes and directs hospice care and is experienced in nursing, with emphasis on community health education/experience. The professional nurse bui...
  • 13 Days Ago

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RN Case Manager - Case Management - Weekends
  • INTEGRIS Health
  • OK, OK FULL_TIME
  • INTEGRIS Health Southwest Medical Center, Oklahoma’s largest not-for-profit health system has a great opportunity for a Registered Nurse Case Manager in Oklahoma City, Oklahoma. In this position, you’...
  • 1 Month Ago

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RN Case Manager - Case Management - Weekends
  • Integris Health
  • Oklahoma, OK OTHER
  • INTEGRIS Health Southwest Medical Center, Oklahoma’s largest not-for-profit health system has a great opportunity for a Registered Nurse Case Manager in Oklahoma City, Oklahoma. In this position, you’...
  • 1 Month Ago

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RN Case Manager - Case Management - Weekends
  • INTEGRIS Health
  • , OK FULL_TIME
  • INTEGRIS Health Southwest Medical Center, Oklahoma’s largest not-for-profit health system has a great opportunity for a Registered Nurse Case Manager in Oklahoma City, Oklahoma. In this position, you’...
  • 1 Month Ago

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RN Case Manager - Case Management - Variable PRN
  • INTEGRIS Health
  • OK, OK FULL_TIME
  • INTEGRIS Health Southwest Medical Center, Oklahoma’s largest not-for-profit health system has a great opportunity for a RN Case Manager in Oklahoma City, OK. In this position, you’ll work Variable Shi...
  • 1 Month Ago

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Health Promotion Council TCAP - Chronic Disease Management
  • Americorps
  • Philadelphia, PA
  • Health Promotion Council TCAP - Chronic Disease Management The VISTA will develop a comprehensive and integrated network...
  • 3/29/2024 12:00:00 AM

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Disease Management Nurse, LPN or RN - Remote Florida Based
  • UnitedHealth Group, Inc.
  • Tampa, FL
  • Consistently exhibits behavior and communication skills that demonstrate commitment to superior customer service, includ...
  • 3/29/2024 12:00:00 AM

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Chronic Disease Management Health Coach (Remote)
  • Vesta Healthcare
  • New York, NY
  • Nice to meet you, we're Vesta Healthcare. Vesta Healthcare is a specialized medical group focused today on aging adults ...
  • 3/28/2024 12:00:00 AM

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Registered Nurse / RN Home Health
  • FC Compassus LLC
  • Nashville, TN
  • At Ascension Saint Thomas at Home, Together with Compassus, we know that caring for our teammates is the first step in c...
  • 3/28/2024 12:00:00 AM

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FPG, Care Coordinator (LPN/MA): FT Days
  • Firelands Regional Medical Center
  • Sandusky, OH
  • Position Highlights: * Retention Bonus:$2,500 - $3,000 based on experience! * Lifestyle: Sandusky was voted "Best Coasta...
  • 3/28/2024 12:00:00 AM

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Licensed Vocational Nurse, Disease Management
  • Arroyo Vista Family Health Center
  • Los Angeles, CA
  • Job Description Job Description Salary Range: $29.38 - 33.09 Hourly Summary: Under the direct supervision of the Registe...
  • 3/26/2024 12:00:00 AM

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Sales, Account Manager - Disease Management Solutions (Cleveland, OH - Remote Based)
  • Philips
  • Cleveland, AL
  • Job Title Sales, Account Manager - Disease Management Solutions (Cleveland, OH - Remote Based) Job Description The Phili...
  • 3/26/2024 12:00:00 AM

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TRICARE Outpatient UR Nurse - Remote
  • Careerbuilder
  • Sacramento, CA
  • 100% Remote Duration : 6 month rolling contract Our client is looking for a Utilization Review Nurse to provide first le...
  • 3/25/2024 12:00:00 AM

Oklahoma is the 20th-largest state in the United States, covering an area of 69,899 square miles (181,040 km2), with 68,595 square miles (177,660 km2) of land and 1,304 square miles (3,380 km2) of water. It lies partly in the Great Plains near the geographical center of the 48 contiguous states. It is bounded on the east by Arkansas and Missouri, on the north by Kansas, on the northwest by Colorado, on the far west by New Mexico, and on the south and near-west by Texas. Much of its border with Texas lies along the Southern Oklahoma Aulacogen, a failed continental rift. The geologic figure defi...
Source: Wikipedia (as of 04/11/2019). Read more from Wikipedia
Income Estimation for Disease Management Case Manager jobs
$73,338 to $84,956

Disease Management Case Manager in Detroit, MI
Providers can directly refer members to our case management program at any time.
January 02, 2020
Disease Management Case Manager in Duluth, MN
A case manager can help a patient understand the benefits of following a treatment plan and the consequences of not following the plan outlined by the physician.
January 09, 2020
Disease Management Case Manager in Rock Island, IL
Our Complex Case Managers are Registered Nurses and / or Social Workers.
February 19, 2020