RN Case Manager: Discharge & Care Liaison

Ochsner Health; Louisiana (MO); On-site; USD 75,000 - 105,000; Full time

Job summary

Ochsner Health is seeking a Registered Nurse to support discharge planning and utilization review within an acute-care setting. You will collaborate with physicians, care managers, and payers to ensure appropriate levels of care and timely discharges.

The role emphasizes adherence to CMS guidelines, strong communication with the care team, and patient advocacy across the hospitalization process. A valid RN license and healthcare experience are required.

Qualifications

• Graduate of accredited nursing program with active RN license.
• Experience in discharge planning or utilization review preferred.
• Strong knowledge of CMS guidelines and hospital policy.

Responsibilities

• Performs pre-admission, admission, and continued stay reviews as directed per CMS guidelines, commercial payer guidelines, and/or hospital policy.
• Supports the values of service excellence, teamwork and integrity and maintains minimum standards for licensure and strives for personal/professional development.
• 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.
• Leads the oversight and management of the functional and financial outcomes, including coordination and implementation of the discharge plan, during the acute-care hospitalization.
• Adapts behavior to the specific patient population, including respect for privacy and adapting explanations of services.
• Performs other related duties as required.

Skills

Discharge planning

Utilization review

Interdisciplinary communication

Patient advocacy

Education

Graduate of accredited nursing program

BSN preferred

Tools

Epic EHR

Meditech

Job description

Ochsner Health is seeking a Registered Nurse to support discharge planning and utilization review within an acute-care setting. You will collaborate with physicians, care managers, and payers to ensure appropriate levels of care and timely discharges.

The role emphasizes adherence to CMS guidelines, strong communication with the care team, and patient advocacy across the hospitalization process. A valid RN license and healthcare experience are required.