Pediatric Home Health RN Case Manager — Impactful Care

Optum; Covington (LA); On-site; USD 52,000 - 77,000; Full time

Benefits offered by this job

Comprehensive benefits package

Incentive and recognition programs

401k contribution

Equity stock purchase

Job summary

Egan-Ochsner Northshore PCS, a part of LHC Group and member of the Optum family, seeks an RN for home care coordination in Louisiana. You evaluate eligibility, coordinate staffing, and approve plans of care while ensuring compliance with regulations and reimbursement guidelines.

Join a team focused on caring for patients and supporting staff—offering development, benefits, and a path to expanded roles within a nationwide care organization.

Qualifications

• Registered Nurse license in the state of practice.
• Solid understanding of home care regulations and reimbursement mechanisms.
• Driver's License and access to reliable transportation.

Responsibilities

• Evaluate patient eligibility and reimbursement criteria for home care services; collaborate with Agency Director on referral acceptance and care planning.
• Schedule and ensure timely documentation of initial assessments.
• Coordinate with Case Coordinators to ensure appropriate staffing and coverage.
• Monitor patient utilization for compliance with physician orders, agency policies, and funding guidelines; investigate and resolve unfilled shifts.
• Assist with scheduling for Case Managers, nurses, and PRN staff; ensure timely and accurate documentation submission.
• Approve and update plans of care (POC), including verbal orders, medications, and treatments.
• Ensure timely completion of recertifications and verify plan of care content and compliance with policies.
• Conduct routine and supervisory field visits as required by state regulations.
• Support training and orientation of newly hired nurses, caregivers, and staff.

Job description

Egan-Ochsner Northshore PCS, a part of LHC Group and member of the Optum family, seeks an RN for home care coordination in Louisiana. You evaluate eligibility, coordinate staffing, and approve plans of care while ensuring compliance with regulations and reimbursement guidelines.

Join a team focused on caring for patients and supporting staff—offering development, benefits, and a path to expanded roles within a nationwide care organization.