Registered Nurse (RN) - Case Manager - Ochsner Baptist - Full Time

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. This role handles multi-disciplinary communications and facilitation of care throughout a patient's hospitalization. Responsibilities include reviewing the appropriate utilization of resources, balancing the patient's right to self-determination, recommending a level of care that meets medically necessary hospital care criteria, confirming clear, specific level-of-care orders, and ensuring appropriate documentation in the medical record. The supervisor may discuss alternative care options with the Emergency Department (ED) physician or attending physician. The analyst works as a liaison, communicating with the patient, caregiver, multidisciplinary team members, as well as post-acute and third‑party payers, and collaborates with the care team to develop and implement discharge plans based on individualized patient needs. Education Required – Registered nurse diploma or equivalent. Preferred – Bachelor's degree in nursing. Work Experience Required – 3 years of hospital-based experience. Preferred – Experience in discharge planning, case management or utilization review. Certifications Required – Current registered nurse license in the state of practice. Required – 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 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, maintains minimum standards for licensure, and strives for personal and 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 respect for privacy, method of introduction, adapting explanation of services or procedures, requesting permissions, and communication style. Performs other related duties as required. Physical and Environmental Demands 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. Regular exposure to blood, body fluid, and tissue. Potential occupational risk for exposure to hazardous medications or hazardous waste through receipt, transport, storage, preparation, dispensing, administration, cleaning, and/or disposal of contaminated waste. Ochsner Health 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. #J-18808-Ljbffr Society of Trauma Nurses