RN Case Manager: Resource & Care Coordination

Morehouse General Hospital; Bastrop (LA); On-site; USD 34,000 - 61,000; Part time

Job summary

Morehouse General Hospital is seeking an RN Case Manager to oversee disease management resources, utilization review, and interdisciplinary coordination. You will collaborate with physicians, manage discharge planning, and help ensure clinical and financial outcomes align with InterQual criteria.

The role emphasizes resource utilization, medical necessity, and care continuum. Strong communication, organization, and payor liaison skills are essential in a fast-paced hospital setting.

Qualifications

• Louisiana RN/LPN license required.
• Minimum two years related experience required.
• Current human resources and/or compensation credentials or certification preferred.
• Prolonged desk work; must be able to ambulate to patient rooms.

Responsibilities

• Focus on resource management to control costs.
• Ensure medical necessity and clinical/discharge management.
• Coordinate services for appropriate patient outcomes from admission to discharge.
• Participate in discharge planning and payer communications.

Skills

Verbal communication

Written communication

Interpersonal skills

Customer service

Microsoft Office

Analytical skills

Problem-solving

Time management

Attention to detail

Education

Louisiana RN/LPN license

Tools

InterQual criteria

Job description

Morehouse General Hospital is seeking an RN Case Manager to oversee disease management resources, utilization review, and interdisciplinary coordination. You will collaborate with physicians, manage discharge planning, and help ensure clinical and financial outcomes align with InterQual criteria.

The role emphasizes resource utilization, medical necessity, and care continuum. Strong communication, organization, and payor liaison skills are essential in a fast-paced hospital setting.