Registered Nurse (RN) Case Manager - OMC Jeff Hwy - PRN

Registered Nurse (RN) Case Manager - OMC Jeff Hwy - PRN

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 role handles multi‑disciplinary communications and facilitation of care throughout a patient’s hospitalization, including review of appropriate utilization of resources while respecting the patient’s right to self‑determination. Reviews patient hospitalizations, recommends a level of care meeting medically necessary hospital care criteria, and confirms a clear, specific level of care order and other documentation in the medical record. May discuss alternative care options with the Emergency Department (ED) physician or attending physician. Acts as liaison, communicates with patient, caregiver, multi‑disciplinary team members, post‑acute and third‑party payers. Collaborates with the care team to develop and implement discharge plans based on the patient’s individualized needs.

Education

• Registered nurse diploma or equivalent.

Work Experience

• Preferred: Bachelor's degree in nursing.
• Preferred: 3 years of hospital‑based experience in discharge planning, case management or utilization review.
• Required: None.

Certifications

• Current registered nurse license in state of practice.
• Basic Life Support (BLS) certification 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 with ability to present information clearly and professionally across 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 licensure standards while pursuing 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 oversight and management of functional and financial outcomes, including coordination and implementation of the discharge plan during the acute‑care hospitalization.
• Adapts behavior to the specific patient population, respecting privacy, method of introduction, adapting explanation of services or procedures, requesting permissions and communication style.
• Performs other related duties as required.

Compliance & Privacy

Remains knowledgeable of current federal, state and local laws, accreditation standards or regulatory agency requirements that apply to the role and ensures compliance with all such laws, regulations and standards. The employer maintains and conforms to its Compliance & Privacy Program and Standards of Conduct, including immediate reporting of any known or suspected unethical or questionable behavior, patient/employee safety, patient privacy, and other compliance concerns.

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.

Physical & Environmental Demands

Medium work requires intermittent lifting up to 50 pounds. Work may involve standing, walking, and exposure to blood, body fluids and tissues, hazardous medications, and hazardous waste. Reasonable accommodations may be made to enable qualified individuals with disabilities to perform job functions.

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, Minnesota, New Jersey, New York, Vermont, Washington, and Washington D.C.

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Seniority level

• Entry level

Employment type

• Full‑time

Job function

• Health Care Provider

Industries

• Hospitals and Health Care