RN Case Manager: Discharge & Care Coordination

Ochsner Health; Morgan City (LA); On-site; USD 70,000 - 90,000; Full time

Job summary

Ochsner Health seeks a registered nurse for discharge planning and utilization review to optimize patient care during hospitalization. You will work with ED physicians, hospitalists, and care teams to ensure appropriate levels of care and effective discharge planning.

Responsibilities include CMS-guided reviews, care coordination, and communication with multiple stakeholders, with emphasis on patient privacy and quality outcomes.

Qualifications

• Graduate of an accredited school of nursing.
• Bachelor’s degree in nursing preferred.
• Current registered nurse license in state of practice, BLS from the American Heart Association.
• Preferred - CCM or ACM certification is mentioned in the source.

Responsibilities

• Performs pre-admission, admission, and continued stay reviews as directed per CMS guidelines, commercial payer guidelines, and/or hospital policy.
• Leads the oversight and management of the functional and financial outcomes, including coordination and implementation of the discharge plan, during the acute-care hospitalization.
• Maintains knowledge of the conditions of participation as it relates to utilization review and discharge planning.
• Maintains open communication with all appropriate parties while functioning as a liaison between ED physicians, hospitalists, attending physicians, and physician advisors.
• Adapts behavior to the specific patient population, including respect for privacy and communication style.
• Performs other related duties as required.

Skills

Computer skills

Verbal & written comms

Interpersonal skills

Flexible schedule

Education

RN license in state

Bachelor’s in Nursing (preferred)

Job description

Ochsner Health seeks a registered nurse for discharge planning and utilization review to optimize patient care during hospitalization. You will work with ED physicians, hospitalists, and care teams to ensure appropriate levels of care and effective discharge planning.

Responsibilities include CMS-guided reviews, care coordination, and communication with multiple stakeholders, with emphasis on patient privacy and quality outcomes.