RN Case Manager - Patient Flow Center - Full-time Days/Evenings
Ochsner Health
1 hour ago
Full-time
On-site
Jefferson, Louisiana, United States
Registered Nurse
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.
To perform this job successfully, an individual must be able to perform each
essential duty satisfactorily. The requirements listed below are representative
of the knowledge, skill, and/or ability required. Reasonable accommodations may
be made to enable qualified individuals with disabilities to perform the
essential duties.
This job description is a summary of the primary duties and responsibilities of
the job and position. It is not intended to be a comprehensive or all-inclusive
listing of duties and responsibilities. Contents are subject to change at the
company's discretion.
Education
Required - Graduate of an accredited school of nursing.
Preferred - Bachelor’s 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.
Remains knowledgeable on current federal, state and local laws, accreditation
standards or regulatory agency requirements that apply to the assigned area of
responsibility and ensures compliance with all such laws, regulations and
standards.
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 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. (Constantly: activity or condition exists
2/3 or more of the time) to move objects. Physical demand requirements are in
excess of those for Sedentary Work. Even though the weight lifted may be only a
negligible amount, a job should be rated Light Work: (1) when it requires
walking or standing to a significant degree; or (2) when it requires sitting
most of the time but entails pushing and/or pulling of arm or leg controls;
and/or (3) when the job requires working at a production rate pace entailing the
constant pushing and/or pulling of materials even though the weight of those
materials is negligible. NOTE: The constant stress and strain of maintaining a
production rate pace, especially in an industrial setting, can be and is
physically demanding of a worker even though the amount of force exerted is
negligible.
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.
Are you ready to make a difference? Apply Today!
Ochsner Health does not consider an individual an applicant until they have
formally applied to the open position on this careers website.
Please refer to the job description to determine whether the position you are
interested in is remote or on-site. Individuals who reside in and will work from
the following areas are not eligible for remote work position: Colorado,
California, Hawaii, Illinois, Maine, Maryland, Massachusetts, Minnesota, New
Jersey, New York, Vermont, Washington, and Washington D.C.
Ochsner Health endeavors to make our site accessible to all users. If you would
like to contact us regarding the accessibility of our website, or if you need an
accommodation to complete the application process, please contact our HR
Employee Solution Center at 504-842-4748 (select option 1)
or careers@ochsner.org [careers@ochsner.org]. This contact information is for
accommodation requests only and cannot be used to inquire about the status of
applications.
Ochsner is an equal opportunity employer. All qualified applicants will receive
consideration for employment without regard to any legally protected class,
including protected veterans and individuals with disabilities.
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.
To perform this job successfully, an individual must be able to perform each
essential duty satisfactorily. The requirements listed below are representative
of the knowledge, skill, and/or ability required. Reasonable accommodations may
be made to enable qualified individuals with disabilities to perform the
essential duties.
This job description is a summary of the primary duties and responsibilities of
the job and position. It is not intended to be a comprehensive or all-inclusive
listing of duties and responsibilities. Contents are subject to change at the
company's discretion.
Education
Required - Graduate of an accredited school of nursing.
Preferred - Bachelor’s 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.
Remains knowledgeable on current federal, state and local laws, accreditation
standards or regulatory agency requirements that apply to the assigned area of
responsibility and ensures compliance with all such laws, regulations and
standards.
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 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. (Constantly: activity or condition exists
2/3 or more of the time) to move objects. Physical demand requirements are in
excess of those for Sedentary Work. Even though the weight lifted may be only a
negligible amount, a job should be rated Light Work: (1) when it requires
walking or standing to a significant degree; or (2) when it requires sitting
most of the time but entails pushing and/or pulling of arm or leg controls;
and/or (3) when the job requires working at a production rate pace entailing the
constant pushing and/or pulling of materials even though the weight of those
materials is negligible. NOTE: The constant stress and strain of maintaining a
production rate pace, especially in an industrial setting, can be and is
physically demanding of a worker even though the amount of force exerted is
negligible.
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.
Are you ready to make a difference? Apply Today!
Ochsner Health does not consider an individual an applicant until they have
formally applied to the open position on this careers website.
Please refer to the job description to determine whether the position you are
interested in is remote or on-site. Individuals who reside in and will work from
the following areas are not eligible for remote work position: Colorado,
California, Hawaii, Illinois, Maine, Maryland, Massachusetts, Minnesota, New
Jersey, New York, Vermont, Washington, and Washington D.C.
Ochsner Health endeavors to make our site accessible to all users. If you would
like to contact us regarding the accessibility of our website, or if you need an
accommodation to complete the application process, please contact our HR
Employee Solution Center at 504-842-4748 (select option 1)
or careers@ochsner.org [careers@ochsner.org]. This contact information is for
accommodation requests only and cannot be used to inquire about the status of
applications.
Ochsner is an equal opportunity employer. All qualified applicants will receive
consideration for employment without regard to any legally protected class,
including protected veterans and individuals with disabilities.