RN Utilization Manager

2 days ago


New Orleans, Louisiana, United States Ochsner Health Full time
Job Summary

We are seeking a highly skilled and detail-oriented RN Utilization Manager to join our team at Ochsner Health. As a key member of our healthcare team, you will play a critical role in ensuring that our patients receive the highest quality care while also optimizing our resources.

Key Responsibilities
  • Conduct thorough reviews of patient records to determine medical necessity and appropriateness of care
  • Collaborate with healthcare teams to develop and implement effective care plans
  • Communicate with patients, families, and healthcare providers to ensure seamless care transitions
  • Manage and analyze data to identify trends and opportunities for improvement
  • Develop and maintain relationships with payers and other stakeholders to ensure optimal reimbursement
Requirements
  • Current RN licensure in the state of Louisiana
  • 3+ years of experience in a hospital or healthcare setting
  • Strong analytical and problem-solving skills
  • Excellent communication and interpersonal skills
  • Ability to work in a fast-paced environment and prioritize multiple tasks
Preferred Qualifications
  • CCM or ACM certification
  • Experience with electronic medical records and data analysis software
  • Knowledge of healthcare regulations and policies
What We Offer

Ochsner Health is committed to providing a work environment that is inclusive, diverse, and supportive of our employees' growth and development. We offer a competitive salary and benefits package, as well as opportunities for professional growth and advancement.

Join our team and be part of a dynamic and innovative healthcare organization that is dedicated to delivering exceptional patient care and improving the health of our communities.


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