RN Discharge & Care Coordination Specialist

Ochsner Health; Bay St. Louis (MS); On-site; USD 65,000 - 85,000; Full time

Job summary

Ochsner Health in Bay St. Louis, MS, is seeking an experienced nurse to join our discharge planning and utilization review team.

This role collaborates with ED physicians, hospitalists and care managers to ensure appropriate levels of care and timely, patient-centered transitions. You will perform pre-admission and continued stay reviews, maintain compliance with CMS guidelines, and support service excellence while upholding licensure standards.

Qualifications

• Current registered nurse license in state of practice.
• Basic Life Support (BLS) from the American Heart Association.
• Preferred - CCM or ACM certification.
• Preferred - 3 years hospital-based discharge planning or utilization review experience.

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 but not limited to respect for privacy, method of introduction to the patient, adapting explanation of services or procedures to be performed, requesting permissions and communication style.
• Performs other related duties as required.

Skills

Verbal and written communication

Interpersonal skills

Flexible work schedule

Computer literacy

Education

Graduate of an accredited school of nursing

Bachelor’s degree in nursing

Job description

Ochsner Health in Bay St. Louis, MS, is seeking an experienced nurse to join our discharge planning and utilization review team.

This role collaborates with ED physicians, hospitalists and care managers to ensure appropriate levels of care and timely, patient-centered transitions. You will perform pre-admission and continued stay reviews, maintain compliance with CMS guidelines, and support service excellence while upholding licensure standards.