RN Case Manager

Glenwood Regional Medical Center; West Monroe (LA); On-site; USD 60,000 - 90,000; Full time

Job summary

Glenwood Regional Medical Center in West Monroe, LA, is seeking a case management professional to assume primary responsibility for documentation of medical necessity for inpatient and/or observation status in an acute hospital setting. The role involves communication with physicians, staff, and payers, arranging transfers when needed, and ensuring appropriate level of care.

Collaboration with case managers and allied health professionals supports timely, cost-effective, quality care aligned

Qualifications

• Minimum four years’ hospital experience preferred.
• One-year experience in utilization management/case management preferred.
• Graduate of an accredited school of Nursing, Health Information Management, or Social Work.
• RN preferred.

Responsibilities

• Assess appropriateness, quality, and cost of care aligned with hospital goals.
• Coordinate with case managers and health professionals to ensure timely services.

Skills

Hospital experience

Utilization management

RN preferred

Education

Nursing/Health Information/Social Work degree

Job description

POSITION SUMMARY

Assume primary responsibility of cases for documentation of appropriate medical necessity for the inpatient and/or observation status in the acute hospital setting. Communications with physician, ancillary staff, and payers and assists in arranging transfers or alternate placement when indicated. Assures proper level of care assignment. Facilites with Case Managers and other allied health professionals to promote and ensure that quality care is provided, and outcomes are achieved in a timely and cost-effective manner. Supports hospital goals and objectives in compliance with regulatory guidelines. Works in collaboration with all healthcare disciplines to assure a continuum of appropriate and timely services. Assess appropriateness, quality, and cost effectiveness of proposed hospital, medical and corporate goals and objectives.

EXPERIENCE AND EDUCATION

• Prefer a minimum of four years' experience in hospital setting.
• One-year experience in utilization management/case management is preferred.
• Case Manager must be a graduate of an accredited school of Nursing, Health Information Management, or Social Work.
• RN preferred.

Please indicate whether you have ever been convicted of a crime, including any misdemeanors and/or DUI/DWI. (Criminal conviction(s) will not automatically exclude you from consideration for employment).