RN/LPN Case Manager

About Company:

McAlester Regional Health Center is a community-focused healthcare organization committed to delivering compassionate, high-quality care to southeast Oklahoma. With a strong history of service and growth, MRHC is dedicated to improving the health and well-being of the communities we serve while investing in the development of our employees. Guided by values of teamwork, integrity, and excellence, we foster a supportive and inclusive workplace where every team member is valued. At MRHC, employees have the opportunity to make a meaningful difference every day while building a rewarding career in healthcare.

About the Role:

The RN/LPN Case Manager plays a critical role in coordinating and managing patient care to ensure optimal health outcomes. This position involves assessing patient needs, developing individualized care plans, and collaborating with healthcare providers, patients, and families to facilitate effective treatment and resource utilization. The Case Manager monitors patient progress, adjusts care plans as necessary, and ensures compliance with healthcare regulations and organizational policies. By acting as a liaison between patients and healthcare teams, the Case Manager helps to reduce hospital readmissions and improve overall patient satisfaction. Ultimately, this role is essential in delivering high-quality, cost-effective care while supporting patients through their healthcare journeys.

Minimum Qualifications:

• Current and valid Registered Nurse (RN) or Licensed Practical Nurse (LPN) license in the United States.
• Minimum of 2 years clinical nursing experience, preferably in case management, home health, or related healthcare settings.
• Strong knowledge of healthcare systems, insurance processes, and patient care coordination.
• Excellent communication and interpersonal skills to effectively interact with diverse patient populations and healthcare teams.
• Proficiency in electronic health records (EHR) and case management software.

Preferred Qualifications:

• Certification in Case Management (CCM) or equivalent credential.
• Experience working with chronic disease management and utilization review.
• Familiarity with Medicare, Medicaid, and other insurance programs.
• Background in patient education and community resource navigation.
• Bilingual abilities or experience working with culturally diverse populations.

Responsibilities:

• Conduct comprehensive assessments of patients' medical, psychosocial, and environmental needs to develop tailored care plans.
• Coordinate with physicians, nurses, social workers, and other healthcare professionals to implement and monitor care plans.
• Facilitate communication between patients, families, and healthcare providers to ensure understanding and adherence to treatment protocols.
• Monitor patient progress and outcomes, making adjustments to care plans as necessary to address changing needs.
• Ensure documentation is accurate, timely, and compliant with regulatory standards and organizational policies.
• Provide education and support to patients and families regarding disease management, treatment options, and available community resources.
• Identify barriers to care and work proactively to resolve issues that may impact patient outcomes or access to services.
• Participate in quality improvement initiatives and contribute to the development of best practices in case management.

Skills:

The RN/LPN Case Manager utilizes clinical expertise and critical thinking skills daily to assess patient conditions and develop effective care plans. Strong communication skills are essential for coordinating with multidisciplinary teams and educating patients and families about treatment options and health management. Organizational skills enable the Case Manager to manage multiple cases simultaneously while ensuring compliance with documentation and regulatory requirements. Proficiency with electronic health records and case management software supports efficient tracking of patient progress and facilitates data-driven decision-making. Additionally, problem-solving skills are applied to identify and overcome barriers to care, ensuring patients receive timely and appropriate services.