RN Care Manager

ESSENTIAL DUTIES AND RESPONSIBILITIES include the following, other duties may be assigned.

Adheres to agency policy and procedures, CARF and DMHSAS standards and criteria, federal and state confidentiality rules and regulations including HIPAA and 42CFR part 2, and any special funding source requirements.

Supports and promotes a service environment for individuals in immediate need of behavioral health and/or co-occurring services that is recovery focused, welcoming, and attentive to the needs of individuals who may have experienced trauma in their lives.  Attends annual core competencies training in relationship to individuals with co-occurring disorders or who have experienced trauma in their lives.

Establishes and maintains professional working relationships with supervisor, peers and other staff.  Establishes rapport with Consumers, assessing their needs; organizes, plans and delivers face-to-face services.

Monitors eligibility status and coordinates referrals to the benefits specialist for eligible clients for Social Security, Title XIX or HMO (Medicaid), third party insurances and other benefits for which the client may qualify.

Performs comprehensive nursing assessments and ongoing reassessments, including crisis intervention, to identify healthcare and behavioral health needs, provide care coordination, and facilitate timely escalation to a higher level of care when indicated.

Performs screening for general health with priority for high risk conditions and chronic illness.   

Coordinates and participates in Intensive Services, Children and Youth and Urgent Recovery Center treatment teams and makes referrals and recommendations for recovery services.  

Coordinates nursing care with licensed prescribers and administers medications in accordance with provider orders and standing orders, approved protocols and the Oklahoma Nurse Practice Act. Maintains RN accountability for medication room oversight, including medication storage compliance, inventory control, documentation review, and adherence to agency policy and regulatory requirements in coordination with nursing leadership.

Coordinates services with external and community providers, as well as monitoring data information input into the clients’ health record using Health Information Technology Systems. 

Advocates for consumers and community members in need of primary care and/or behavioral health services.

Utilizes the philosophy of Collaborative/Therapeutic Documentation to meet clinical record keeping documentation standards and ensure documentation is completed with the Consumer to the extent possible and all documentation is completed on the same day of the date of service.  Reports and documents services in accordance with agency policy and procedures.

Interacts with other professionals to discuss health and wellness or treatment, new resources or techniques, and to share information.

Reports and documents services in accordance with agency policy and procedures.

May be required to work evening or weekend hours.

Performs other related duties as assigned.

QUALIFICATIONS

To perform this job successfully, an individual must be able to perform each essential duty satisfactorily. The requirements listed below are representative of the knowledge, skill, and/or ability required. Reasonable accommodations may be made to enable individuals with disabilities to perform the essential functions.

EDUCATION and/or EXPERIENCE 

Oklahoma licensed LPN or RN with experience in community based mental health.

CERTIFICATES, LICENSES, REGISTRATIONS 

Licensed RN. In Oklahoma

Required to complete, Therapeutic Options, or approved safety training and annual updates.

BLS Certification Required

May be required to complete and maintain Wellness Coach Certification

LANGUAGE SKILLS 

Ability to read and comprehend instructions, detailed correspondence, and memos. Ability to write simple correspondence. Ability to effectively present information in one-on-one and small group situations to families, clients, and other employees of the organization.

REASONING ABILITY 

Ability to apply commonsense understanding to carry out instructions furnished in written, oral, or diagram form. Ability to deal with problems involving several concrete variables in standardized situations.  Ability to seek out supervisory assistance for additional training when needed and make application of techniques or other skills to meet essential job duties and responsibilities.

OTHER SKILLS AND ABILITIES 

Ability to relate to persons with severe mental illness in a positive, helpful and welcoming manner.  Ability to establish and maintain effective and tactful working relationships with co-workers; to express ideas and facts clearly and concisely in written or oral form.

PHYSICAL DEMANDS

The physical demands described here are representative of those that must be met by an employee to successfully perform the essential functions of this job. Reasonable accommodations may be made to enable individuals with disabilities to perform the essential functions.

While performing the duties of this job, the employee is regularly required to sit. The employee frequently is required to reach with hands and arms; and talk or hear. The employee must occasionally lift and/or move up to 5 pounds. Employee must have vision enough to read written or typed data; hearing and speech enough to communicate effectively with staff, clients, and public in person or by phone and to dictate service notes for transcription.

WORK ENVIRONMENT

The work environment characteristics described here are representative of those an employee encounters while performing the essential functions of this job. Reasonable accommodations may be made to enable individuals with disabilities to perform the essential functions.

The noise level in the work environment is usually quiet.