RN Admissions Case Manager - OLGMC (7a-7p and 7p-7a on a 7 days on / 7 days off rotation)

Overview

At Ochsner Health, whether you work with patients every day or support those who do, you are making a difference. Come make a difference at Ochsner Health and discover your future today!

This position determines the psychosocial, environmental, and family economic dynamics that may affect the patient. It functions as the liaison and communicator with the patient, caregivers, multidisciplinary team members, post-acute care, and third-party payers. It confirms a clear, specific care setting order by the physician and applies hospital-approved medical necessity criteria to review appropriate admissions and levels of care. Documents completed reviews in the hospital-approved data set.

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 - 1 year of hospital-based experience in the delivery of patient care.

Preferred - Experience in case management or utilization review.

Certifications

Required - Current Registered Nurse license in state of practice.

Preferred - Commission for Case Manager (CCM), Certified Professional Utilization Review (CPUR), Certified Professional in Utilization Management (CPUM) or Certified Professional in Healthcare Management (CPHM) certification.

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.
• Good knowledge of business / finance.
• Ability to work a flexible work schedule (e.g. 24 / 7, weekend, holiday, on call availability) and travel throughout and between facilities.

Job Duties

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). Physical demand requirements are in excess of those for sedentary work. NOTE : The constant stress and strain of maintaining a production rate pace can be physically demanding. Duties performed routinely may involve exposure to blood, body fluid and tissue. The incumbent works in a patient care area and / or with specimens that could contain diseases; there may be 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.

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.

Individuals who reside in and will work from the following areas are not eligible for remote work position : Colorado, California, Hawaii, Illinois, Maryland, 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. 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.

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