Case Manager & Referral Liaison

Responsibilities

Are you in search of a new opportunity that makes a meaningful impact? If so, now is the time to find your calling at St. Mary's Regional Medical Center. 

We are seeking a highly skilled PRN CASE MANAGER/Referral Coordinator to join our rehabilitation team at St. Mary's Regional Medical Center! This role offers the opportunity to work with diverse patient populations, providing exceptional care. 

St. Mary’s is a 229-bed, acute care hospital located in Enid, OK.  St. Mary’s Regional Medical Center has served the healthcare needs of northwest Oklahoma for more than 100 years.  We host more than 125 highly skilled physicians offering specialties in Cardiology, Neurology, Orthopedics, Emergency Medicine, Rehabilitation, Laboratory, Women’s Imaging, Wound Care, and more.  

Position Summary:

The Assessment and Referral Coordinator receives referrals and completes the preadmission screening process in cooperation with the Medical Director, Program Director, and the PPS Coordinator.  The Assessment and Referral Coordinator will also serve as a marketing representative for the IP Rehab Program and be responsible for traveling NW and Central Oklahoma working on growing the IP Rehab’s visibility and marketing share.

The Case Manager is responsible for providing case coordination and functions as a patient/family advocate through initial and ongoing assessment of patient’s needs during the rehabilitation stay, coordination/communication of the patient’s plan of care and identifying and coordinating community resources to meet continuing care needs.  The Case Manager will coordinate communication with payer sources and provide updates as necessary to secure ongoing authorization to treat.  He/she will participate in the preadmission screening process.  He/she shall participate in and demonstrate accountability for quality improvement, overall team coordination (as it applies to patient care issues) and discharge planning.    

Job Duties/Responsibilities:

• Develops a comprehensive referral development plan for the rehab program with minimum components of a) market definition b) market analysis c) referral development contacts to be made d) number of referrals per month.

• Complete meetings with Physicians, Case Managers and/or other providers as needed to ensure the internal and external obstacles for business growth and retention are identified and minimized or eliminated.

• Obtains approval from admitting psychiatrist and assigns patient to appropriate unit based on age and clinical presentation.

• Provides interim data assessment about the effectiveness of referral development activities.

• Develops and carries out plan to solicit feedback and satisfaction information from physicians, discharge planners and other key stakeholders of the program.

• Demonstrates strong working knowledge and skill experience with a variety of diagnostic groups including, but not limited to, the following:  orthopedic and arthritis related conditions; neurological groups including CVA, TBI, degenerative neurological diseases, SCI; generalized weakness as a result of medical or surgical conditions including DM, ESRD, amputation, COPD, CHF, and CABG.
• Demonstrates a working knowledge of normal growth and development, related behaviors, needs, comfort, and range of treatment appropriate to the age (adult, geriatric) and diagnosis of patient services to support the provision of an individualized interdisciplinary plan of care.
• Meets with the patient and family prior to or at the time of admission to identify needs, 3rd party payer requirements, orients to rehab process and begins discharge planning and completes assessment according to protocol.
• Educates and instructs patient/family regarding role of Case Management in the rehabilitation program and needs identified during the assessment.

About Universal Health Services

One of the nation’s largest and most respected providers of hospital and healthcare services, Universal Health Services, Inc. (UHS) has built an impressive record of achievement and performance. During the year, UHS was again recognized as one of the World’s Most Admired Companies by Fortune; and listed in Forbes ranking of America’s Largest Public Companies. Operating acute care hospitals, behavioral health facilities, outpatient facilities and ambulatory care access points, an insurance offering, a physician network and various related services located all over the U.S. states, Washington, D.C., Puerto Rico and the United Kingdom. www.uhs.com

Qualifications

Requirements:

• Current Oklahoma License as a Registered Nurse  OR  Social Worker .
• Experience in marketing or business development preferred.
• Must have a minimum of one (1) year with a preference of 3-5 years of clinical experience in healthcare setting (hospital or inpatient rehab preferred).
• Experience in market analysis and developing marketing plans preferred.
• Ability to develop and carry out a comprehensive marketing plan designed to develop strong referral relationships to support the operations of an inpatient rehabilitation program.
• Current BLS required or obtain at time of hire.
• First Aid certification preferred.
• 2-4 year’s clinical nursing experience in med/surg or acute rehab setting preferred.
• Experience in case management preferred.
• Leadership experience preferred.
• Basic computer skills required.

EEO Statement

It is the policy of the Facility to provide equal opportunity in employment to all employees and applicants for employment.  No person will be discriminated against in employment on the basis any legally protected characteristics such as race, color, religion, sex (including pregnancy, gender identity and sexual orientation), national origin, age (40 and over or as otherwise defined by applicable law), disability or genetic information (including family medical history) or protected veteran status, or any other characteristic protected by applicable Federal, State, or local law.  For purposes of this policy, race includes traits historically associated with race, including but not limited to, hair type, texture, length and protective hairstyles (including but not limited to, braids, locks, twists, Bantu knots, hair coverings, etc.).  If certain workspaces require such restrictions for health and safety reasons, non-discriminatory accommodations should be considered and implemented if feasible.

Notice

At UHS and all subsidiaries, our Human Resources departments and recruiters are here to help prospective candidates with matching skillset and experience with the best possible career at UHS and our subsidiaries.  We take pride in creating a highly efficient and best in class candidate experience. During the recruitment process, no recruiter or employee will request financial or personal information (Social Security Number, credit card or bank information, etc.) from you via email. The recruiters will not email you from a public webmail client like Hotmail, Gmail, Yahoo Mail etc. If you feel suspicious of a job posting or job-related email, let us know by contacting us at: https://uhs.alertline.com or 1-800-852-3449.