RN Care Manager - Utilization Review

LCMC Health; New Orleans (LA); Sur place; USD 60 000 - 80 000; Plein temps

Avantages offerts par ce poste

Deliver healthcare with heart.

Give people a reason to smile.

Put a little love in your work

Résumé du poste

LCMC Health in Louisiana is seeking a Care Manager responsible for coordinating patient care across the continuum. You will develop individualized care plans, perform outbound health assessments, and coordinate discharges with medication reconciliation.

The role emphasizes collaboration with care teams to improve outcomes and cost management. The position requires an active Louisiana nursing license and at least two years in nursing or care management, with hands-on use of EPIC for workflow

Qualifications

• Current nursing license to practice in Louisiana as defined by the Louisiana State Board of Nursing.
• 2 years of professional nursing or care management experience.

Responsabilités

• Develop individualized care plans considering patient and caregiver goals.
• Make outbound calls to assess patients’ current health status.
• Identify gaps or barriers in treatment plans.
• Coordinate care and make referrals to outside resources.
• Ensure discharge services and med reconciliation are arranged.
• Triage symptom-based calls per approved protocols.
• Enroll patients and manage alerts for home monitoring programs.
• Provide approved general health information to callers.
• Document workflows in the EPIC system for tracking and quality.
• Educate patients to assist with self-management of wellness and disease.
• Educate on chronic and acute disease processes.
• Collaborate with care partners to discuss plans and outcomes.

Connaissances

Care management

Nursing

Communication

Formation

Louisiana nursing license

Outils

EPIC system

Description du poste

Your job is more than a job

You overthink every care option and scenario because, as a Care Manager, you're the hub of your patient's case management and care plan. You assure quality through the continuum of care, collaborate with members of the care team, and implement the plan of care and transition strategies. Achieving the best possible patient outcomes, appropriate length of stay, efficient utilization of resources, coordination of patient, family, and staff communication and education is the center of your nursing universe.

You give new meaning to a 9 to 5 schedule because caring doesn't stop just because you've punched a clock and neither does your innovative brain. If it were your loved one, you'd expect nothing less, so you give so much more. Gatekeeper, facilitator and decision-maker, and hand-holder, you apply nursing knowledge, logic, and a little "extra" heart into everything you do. We love that about you.

Your experiences, knowledge, skills, empathy, compassion, and your "little something extra" all add up to you. And we're excited to get to know you and find out what you'll bring to this case management nursing role.

Your Everyday

• Develop individualized care plans, including prioritized goals, that consider the patient's and caregivers' goals, preferences and desired level of involvement in the care management plan.
• Make outbound calls to assess patient's current health status.
• Identify gaps or barriers in treatment plans.
• Coordinate care for members and makes referrals to outside sources.
• Ensure members discharging from hospital or emergency department receive the necessary services and resources, including medication reconciliation.
• Triage symptom-based calls per approved protocols for a wide range of patients.
• Enroll patients and manage alerts for various home monitoring programs.
• Provide approved general health information and guidance to public caller from approved sources by assessing needs of the caller.
• Document all workflows in EPIC system for purposes of tracking and quality assessment.
• Provide patient education to assist with self-management of wellness and disease.
• Educate enrolled members on chronic and acute disease processes.
• Interact with LCMC Health care partners, leadership and/or physicians to discuss clinical questions, concerns, strategies, and care plans to achieve quality and cost management objectives.
• Demonstrate energy, excitement, and a passion for quality work.

The Must-Haves

Minimum

• Current nursing license to practice in Louisiana and as defined by the Louisiana State Board of Nursing.
• 2 years of professional nursing or care management experience.

Work Shift

Days (United States of America)

LCMC Health is a community.

Our people make health happen. While our NOLA roots run deep, our branches are the vessels that carry our mission of bringing the best possible care to every person and parish in Louisiana and beyond and put a little more heart and soul into healthcare along the way. Celebrating authenticity, originality, equity, inclusion and a little "come on in" attitude is the foundation of LCMC Health's culture of everyday extraordinary

Your extras

• Deliver healthcare with heart.
• Give people a reason to smile.
• Put a little love in your work