Registered Nurse (RN) Care Manager (Inpatient/Outpatient) – Jeff Hwy
1 day ago Be among the first 25 applicants
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!
Job Overview
This position manages identified complex/catastrophic patients. Using the case management process, you assess healthcare needs, identify barriers, develop treatment plans, coordinate with PCPs and other providers, negotiate services, monitor effectiveness, and adjust plans as necessary. You work as part of a multidisciplinary team to ensure seamless care across the continuum of care.
Education
Graduate of an accredited school of nursing.
Work Experience
Preferred: Bachelor’s degree in nursing.
Required: 3 years of clinical experience; experience documenting in electronic medical records and using Microsoft Office; experience working in a multi‑disciplinary team.
Preferred: Experience in case management, care coordination, or disease management.
Certifications
Required: Current RN license in the state of practice.
Preferred: Certification as a Case Manager (CCM).
Knowledge, Skills, & Abilities
Proficiency in using computers, software, and web‑based applications.
Effective verbal and written communication skills and the ability to present information clearly and professionally to varied audiences.
Excellent knowledge of managed care, CMS, Medicaid, and other regulatory standards; ability to use community resources to facilitate care throughout the continuum.
Good organizational and time‑management skills; ability to be self‑directed and demonstrate good judgment.
Job Duties
Collaborate with the health‑care team, the patient, and caregivers to develop and implement a coordinated treatment plan.
Assess patients for social determinants of health that may create barriers to care and incorporate SDOH in the care plan; refer to Social Work or Community Health Worker as appropriate.
Use the case‑management process to develop comprehensive cost‑effective plans of care for patients in care management.
Collaborate with the multidisciplinary team, Primary Care Provider, and other appropriate providers to facilitate appropriate care.
Coordinate referrals and appointments with members of the care team.
Provide disease‑based patient education and formulate collaborative action plans with patient/caregiver to achieve self‑management goals.
Provide community resources to patients, families, and caregivers to avoid or reduce hospital admissions through telephonic and face‑to‑face contact.
Identify quality issues that may adversely affect patient outcomes and submit to department leadership.
Perform other related duties as required.
Physical and Environmental Demands
The work includes light physical demands such as walking, standing, or mild lifting up to 20 pounds occasionally. Exposure to communicable diseases and hazardous medications may occur in isolation rooms or during routine care. Occupational risks include exposure to hazardous waste and medication safety protocols.
Equal Opportunity Employer
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.