RN Case Manager

2 days ago

Harahan, United States Truhealth LLC Full time

Come Grow with Us

TruHealth is a division of American Health Partners, a multifaceted company with operations in multiple states. We own nursing homes, health plans for Medicare beneficiaries living in long-term care facilities, as well as divisions offering psychiatric care, home health, hospice, rehabilitation and specialty pharmacy services.

We offer competitive pay, generous benefits and advancement opportunities. We believe in caring for the people that care for patients and have many reward and recognition programs to highlight the awesome and important work our clinicians do each and every day.

The RN Case Manager is primarily responsible for the daily management and support of the Case Management strategies for care coordination for a group of members who are associated with a Medicare Advantage plan. Visit (in person and/or telephonic) patients to ensure proper nursing care. Interview or correspond with physicians to correct errors or omissions and to investigate questionable claims. Consult and coordinate with health care team members to assess, plan, implement and evaluate patient care plans.

This position requires an individual who is a self-starter and team player, has the ability to manage multiple priorities, work with minimal supervision on assigned projects and activities, and demonstrates excellent communication and presentation skills. This individual must be able to adapt quickly to change and be able to collaborate with multiple teams

Here are a few of our benefits:

  • Annual performance wage increases
  • 401k retirement plan with a company match
  • Medical, dental and vision insurance
  • Paid time off
  • UKG Wallet – access your pay faster
  • Holiday pay
  • Telehealth through 98point6 – free to all employees
  • Continuing Education opportunities
  • Career Advancement Opportunities

Qualifications/Requirements:

  • Minimum of 2 years of experience in clinical nursing or rehabilitation for the geriatric population.
  • 2-years managed care experience required.
  • Minimum of 3-5 years’ experience doing case management in a managed care environment preferably with a managed care organization or like facility, Preferred.

Essential Functions:

  • Complete Health Risk Assessments for members as assigned.
  • Initiate, update and/or revise care plans as needed.
  • Maintain a case load of patient as assigned.
  • Evaluates, coordinates, and plans patient care in collaboration with an interdisciplinary health team; reassesses and revises plans of care in collaboration with other members of the health care team.
  • Provides patient/family education based on identified learning needs utilizing available teaching resources
  • Provides education based on identified learning needs utilizing available teaching resources to members of the Home/Facility staff as needed.
  • Coordinates outpatient discharge planning based on patient needs, clinical circumstances and benefit coverage.
  • Participates in all Managed Care related audits; generates, maintains and tracks periodic and annual reports/documents via MS Office program, e-mails to support Care Coordination program.
  • Performs improvement projects involving development of monitoring/collection tools, review of medical records, data entry, analysis, and preparation of audit findings and reports.
  • Participates in patient care conferences, committee meetings, staff development and educational programs to increase or maintain professional competency.
  • Correctly applies medical management criteria.
  • Researches clinical questions from employers, members and payers as required.
  • Educate members on health access options.
  • Responds, manages, and resolves day-to-day problems presented in care coordination and communicates effectively with the Facility/Home.
  • Other duties as assigned.

Education:

  • Graduate of an accredited RN program.
  • Bachelor’s Degree preferred.

Licensure/Certifications:

  • Current license to practice as a register nurse in assigned state.
  • Current CCM license, Preferred
  • CPR for Healthcare Professionals certification.
  • Current valid driver’s license.
  • Current motor vehicle insurance.

ExperienceRequired
  • 2 year(s): Geriatric Care
Preferred
  • 2 year(s): Skilled Nursing
Licenses & CertificationsRequired
  • Registered Nurse

  • Registered Nurse

    3 weeks ago

    Harahan, United States DAVITA Full time

    3631 Behrman Place, New Orleans, Louisiana, 70114, United States of America Registered Nurse – Peritoneal Dialysis We are looking for a self-motivated, organized individual who is passionate about patient care and excited for the opportunity to independently manage their cases with confidence and accountability. As a Peritoneal Dialysis Registered Nurse...

  • Referral Care Navigator RN/LPN

    3 weeks ago

    Harahan, United States UHS Full time

    Responsibilities Job Description:River Oaks Hospital, located in metropolitan New Orleans, Louisiana, is a private psychiatric facility for adults, adolescents and children. Since 1970, River Oaks has established a tradition of excellence in the treatment of acute psychiatric illness, dual diagnosis, alcohol and drug detoxification, trauma based disorders,...

  • Referral Care Navigator RN/LPN

    3 months ago

    Harahan, United States Foundations for Living Full time

    Responsibilities Job Description: River Oaks Hospital, located in metropolitan New Orleans, Louisiana, is a private psychiatric facility for adults, adolescents and children. Since 1970, River Oaks has established a tradition of excellence in the treatment of acute psychiatric illness, dual diagnosis, alcohol and drug detoxification, trauma based...

  • Registered Nurse

    6 months ago

    Harahan, United States STAT Home Health Full time

    Do you have a supportive back-office team that ensures you have everything you need to be successful in the field? Join STAT Home Health and become part of a team that provides excellent patient care, respects one another and supports one another! Bringing Excellence Home! STAT Home Health in New Orleans, LA is seeking Full-Time and Part-Time ...

  • Quality Engineer

    3 weeks ago

    Harahan, United States Intralox Full time

    Intralox, L.L.C., a division of Laitram, L.L.C., and a global provider of conveyance solutions and services, has an opening for a Quality Engineer within the Digital Solutions (DS) team. The DS team is leading Intralox‘s implementation and evolution of our enterprise business applications and new digital solutions. DS is more than just an IT department -...

  • LPN Referral Nurse

    4 weeks ago

    Harahan, United States Universal Health Services Full time

    Responsibilities Job Description: River Oaks Hospital, located in metropolitan New Orleans, Louisiana, is a private psychiatric facility for adults, adolescents and children. Since 1970, River Oaks has established a tradition of excellence in the treatment of acute psychiatric illness, dual diagnosis, alcohol and drug detoxification, trauma based...

  • Social Worker

    2 weeks ago

    Harahan, United States Universal Health Services, Inc. Full time

    Responsibilities River Oaks Hospital, located in metropolitan New Orleans, Louisiana, is a private psychiatric facility for adults, adolescents and children. Since 1970, River Oaks has established a tradition of excellence in the treatment of acute psychiatric illness, dual diagnosis, alcohol and drug detoxification, trauma based disorders, compulsive...

  • Functional Analyst

    4 weeks ago

    Harahan, United States Intralox Full time

    Intralox, L.L.C., has an opening for a Microsoft Dynamics Customer Engagement (CE) Functional Analyst working within our Digital Solutions team. As our presence continues to grow, internally and with our customers, we are looking to expand our team and grow our technical expertise so we can deliver more value to users, iterate faster on features, level up...

  • Registered Nurse

    2 months ago

    Harahan, United States LHC Group Full time

    Job Description Company OverviewEGAN Ochsner Home Health is looking for nurses that want to make a difference in the lives of their patients. We have a great opportunity for a Registered Nurse (RN)! The Registered Nurse (RN) in Home Health provides and directs provisions of nursing care to patients in their homes as prescribed by the physician and in...

  • Primary Care Physician

    3 weeks ago

    Harahan, United States ChenMed Full time

    We’re unique. You should be, too. We’re changing lives every day. For both our patients and our team members. Are you innovative and entrepreneurial minded? Is your work ethic and ambition off the charts? Do you inspire others with your kindness and joy? We’re different than most primary care providers. We’re rapidly expanding and we need great...

  • Primary Care Physician

    3 weeks ago

    Harahan, United States ChenMed Full time

    We’re unique. You should be, too. We’re changing lives every day. For both our patients and our team members. Are you innovative and entrepreneurial minded? Is your work ethic and ambition off the charts? Do you inspire others with your kindness and joy? We’re different than most primary care providers. We’re rapidly expanding and we need great...

  • Psychiatric Nurse Specialist

    1 week ago

    Harahan, Louisiana, United States STAT Home Health Full time

    We are seeking a highly skilled Psychiatric Registered Nurse to join our team at STAT Home Health. As a Psychiatric Nurse Specialist, you will play a vital role in delivering high-quality patient care and support to individuals with mental health conditions.About the RoleIn this full-time position, you will work closely with our interdisciplinary team to...

  • Home Health Registered Nurse

    1 week ago

    Harahan, LA, United States STAT Home Health Full time

    Do you have a supportive back-office team that ensures you have everything you need to be successful in the field? Join STAT Home Health and become part of a team that provides excellent patient care, respects one another and supports one another! Bringing Excellence Home! STAT Home Health is seeking Full-Time Registered Nurses (RN) with Psych experience to...