Registered Nurse (RN) - Case Manager - Ochsner Baptist

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 duties consist of multi-disciplinary communications and facilitation 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 the patient’s individualized needs. Up to $30,000 sign on bonus! Education Required: Registered Nurse Diploma or equivalent Preferred: Bachelor's degree in Nursing Work Experience Required: 3 years Hospital‑based experience Preferred: Experience in discharge planning, case management or utilization review Certifications Required: Current State of Louisiana Registered Nurse License 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) Must have computer skills and dexterity required for data entry and retrieval of patient information. Must be proficient with Windows‑style applications and keyboard. Effective verbal and written communication skills and the ability to present information clearly and professionally to varying levels of individuals throughout the patient care process. Strong interpersonal skills. 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/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. 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. 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 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. Physical demand requirements are in excess of those for Sedentary Work. Must be able to stand up for prolonged periods of time. Must be able to work a flexible work schedule (e.g. 24/7, weekend, holiday, on call availability). 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, 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 View phone number on click.appcast.io (select option 1). This contact information is for accommodation requests only and cannot be used to inquire about the status of applications. #J-18808-Ljbffr