RN Case Manager - PRN - Days

We've made a lot of progress since opening the doors in 1942, but one thing has never changed - our commitment to serve, heal, lead, educate, and innovate.

We believe that every award earned, every record broken and every patient helped is because of the dedicated employees who fill our hallways.

At Ochsner, whether you work with patients every day or support those who do, you are making a difference and that matters.

Come make a difference at Ochsner Health and discover your future today!

This job handles multi-disciplinary communications and facilitations of care throughout a patient’s hospitalization, which includes a review of the appropriate utilization of resources, balanced with the patient’s right to self-determination.

Reviews patient hospitalizations, recommends a level of care that meets medically necessary hospital care criteria, and confirms a clear, specific level of care order and other appropriate documentation in the medical record.

May discuss alternative care options with the Emergency Department (ED) physician or attending physician. Works as a liaison and communicates with the patient, caregiver, multi-disciplinary team members as well as post-acute and third-party payers.

Collaborates with the care team to develop and implement discharge plans based on patient’s individualized needs.

Education

Required - Registered nurse diploma or equivalent.

Preferred - Bachelors degree in nursing.

Work Experience

Required - None.

Preferred - 3 years of hospital-based experience in discharge planning, case management or utilization review.

Certifications

Required - 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).

Knowledge Skills and Abilities (KSAs)

Proficiency in using computers, software, and web-based applications.

Effective verbal and written communication skills and ability to present information clearly and professionally to varying levels of individuals throughout the patient care process.

Strong interpersonal skills.

Ability to work a flexible work schedule (e.g. 24 / 7, weekend, holiday, on call availability).

Job Duties

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.

The above statements describe the general nature and level of work only. They are not an exhaustive list of all required responsibilities, duties, and skills.

Other duties may be added, or this description amended at any time.

This employer maintains and complies with its Compliance & Privacy Program and Standards of Conduct, including the immediate reporting of any known or suspected unethical or questionable behaviors or conduct;

patient / employee safety, patient privacy, and / or other compliance-related concerns.

The employer is an Equal Opportunity Employer. All qualified applicants will receive consideration for employment without regard to race, color, religion, sex, sexual orientation, gender identity, national origin, protected veteran status, or disability status.

Physical and Environmental Demands

The physical essential functions of this job include (but are not limited to) the following : Frequently exerting 10 to 20 pounds of force to move objects;

occasionally exerting up to 100 pounds of force. Physical demand requirements are in excess of those for sedentary work.

Reasonable accommodations may be made to enable individuals with disabilities to perform the essential functions.

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.

There may be an occupational risk for exposure to all 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.

The risk level of exposure may increase depending on the essential job duties of the role.

Employee Core Benefits Package Includes : Medical coverage Dental coverage Vision coverage Life insurance & Accidental Death and Dismemberment (AD&D) Short-term and long-term disability Retirement plan Paid-time off (vacation / sick / personal days) / paid holidays Paid parental leave *Benefits are subject to change at any time