RN Case Manager: Discharge & Care Coordination

Ochsner Health; New Orleans (LA); On-site; USD 70,000 - 95,000; Full time

Job summary

Ochsner Health in New Orleans seeks an experienced registered nurse to coordinate discharge planning and utilization review during hospitalization. You will review patient needs, recommend appropriate levels of care, and collaborate with ED physicians, hospitalists and the care team to develop individualized discharge plans.

The role emphasizes clear communication, adherence to CMS guidelines and payer requirements, and protecting patient privacy while supporting service excellence in a

Qualifications

• Registered nurse diploma or equivalent.
• Current RN license in state of practice.
• BLS from American Heart Association.
• Bachelor's degree in nursing preferred.
• Experience in discharge planning, case management, or utilization review preferred.

Responsibilities

• Performs pre-admission, admission, and continued stay reviews as directed per CMS guidelines, commercial payer guidelines, and/or hospital policy.
• Supports service values and maintains licensure and professional development.
• Maintains knowledge of participation requirements related to utilization review and discharge planning.
• Maintains open communication with ED physicians, hospitalists, attending physicians, and physician advisors.
• Leads the oversight and management of discharge planning during acute-care hospitalization.
• Adapts communication to the patient population, respecting privacy and explaining services clearly.
• Performs other related duties as required.

Skills

Computer skills

Verbal communication

Written communication

Interpersonal skills

Flexibility

Education

RN diploma

RN license

Bachelors in Nursing (preferred)

BLS certification (required)

CCM/ACM (preferred)

Job description

Ochsner Health in New Orleans seeks an experienced registered nurse to coordinate discharge planning and utilization review during hospitalization. You will review patient needs, recommend appropriate levels of care, and collaborate with ED physicians, hospitalists and the care team to develop individualized discharge plans.

The role emphasizes clear communication, adherence to CMS guidelines and payer requirements, and protecting patient privacy while supporting service excellence in a