RN Case Manager
1 week ago
Job Summary
Ochsner LSU Health System is seeking a skilled RN Case Manager to join our team. As a RN Case Manager, you will play a critical role in ensuring that patients receive the appropriate level of care during their hospital stay. This includes reviewing patient hospitalizations, recommending a level of care that meets medically necessary hospital care criteria, and confirming a clear, specific level of care order and other appropriate documentation in the medical record.
Responsibilities
- Perform pre-admission, admission, and continued stay reviews as directed per CMS guidelines, commercial payer guidelines, and/or hospital policy.
- Support the values of service excellence, teamwork, and integrity and maintain minimum standards for licensure and strive for personal/professional development.
- Maintain knowledge of the conditions of participation as it relates to utilization review and discharge planning.
- Maintain open communication with all appropriate parties while functioning as a liaison between ED physicians, hospitalists, attending physicians, and physician advisors.
- Lead the oversight and management of the functional and financial outcomes, including coordination and implementation of the discharge plan, during the acute-care hospitalization.
- Adapt 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.
Requirements
- Current registered nurse license in state of practice.
- Basic Life Support (BLS) from the American Heart Association.
- Preferred - Certification in Case Management (CCM) or Accredited Case Manager (ACM).
- Strong interpersonal skills and ability to work a flexible work schedule.
Physical and Environmental Demands
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.
Medium Work - Exerting 20 to 50 pounds of force occasionally, and/or 10 to 25 pounds of force frequently, and/or greater than negligible up to 10 pounds of force constantly to move objects.
Duties performed routinely require exposure to blood, body fluid, and tissue. The incumbent works in a patient care area; works in an area where patients enter; works directly with patients; and/or works with specimens that could contain diseases.
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