RN Case Manager: Hospital Utilization & Care Coordination

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

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