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LPN - Case Manager - PRN
2 months ago
Ochsner LSU Health System is seeking a skilled Licensed Practical Nurse - Case Manager to join our team. As a key member of our healthcare team, you will play a vital role in coordinating patient care and ensuring the highest level of quality and cost outcomes.
Key Responsibilities- Pre-Admission and Admission Reviews: Conduct thorough pre-admission and admission reviews to ensure patients meet admission criteria, including International Classification of Diseases (ICD) and Current Procedural Terminology (CPT) codes and Medical Necessity guidelines.
- Collaboration with Hospital Staff: Work closely with hospital staff to obtain necessary information and authorization for patient care.
- Length of Stay and Resource Management: Identify opportunities to reduce length of stay and resource consumption for case-managed patient populations.
- Third-Party Payor Pre-Certification and Pre-Authorization: Identify patients eligible for third-party payor pre-certification or pre-authorization processes.
- Patient Communication and Adaptation: Adapt communication style to meet the needs of diverse patient populations, including respect for patient privacy and clear explanation of services or procedures.
- Education: Graduate of an accredited licensed practical nurse (LPN) program.
- Work Experience: 3 years of hospital-based experience, with a preference for experience in utilization review.
- Certifications: Current licensed practical nurse (LPN) license in the state of practice.
The physical demands described here are representative of those that must be met by an employee to successfully perform the essential functions of this job. Reasonable accommodations may be made to enable individuals with disabilities to perform the essential functions.
Light Work - Exerting up to 20 pounds of force occasionally, and/or up to 10 pounds of force frequently, and/or a negligible amount of force constantly to move objects. Physical demand requirements are in excess of those for Sedentary Work.
Normal routine involves no exposure to blood, body fluid or tissue and as part of their employment, incumbents are not called upon to perform or assist in emergency care or first aid.
The incumbent has no occupational risk for exposure to communicable diseases.
Because the incumbent works within a healthcare setting, there may be occupational risk for exposure to hazardous medications or hazardous waste within the environment through receipt, transport, storage, preparation, dispensing, administration, cleaning and/or disposal of contaminated waste.
