Case Manager - RN, Health Leaders Network

Franciscan Missionaries of Our Lady Health System - Baton Rouge, LA

Full-time - Mid Level

Baton Rouge, LA

Hospitals

About the position

The Case Manager - RN position at Franciscan Missionaries of Our Lady Health System involves directing the utilization review of patient charts, treatment plans, and discharge planning to ensure quality care and treatment criteria for patients. This role requires a blend of nursing expertise, communication skills, and the ability to work independently while managing high-risk care for health plan members. The Case Manager will collaborate with healthcare providers and coordinate care to help patients achieve their health goals.

Responsibilities

• Direct the utilization review of patient charts and treatment plans.
• Specialize in discharge planning and quality of care criteria for patients.
• Assist health plan members in setting realistic health goals.
• Communicate effectively with providers to ensure health goals are met.
• Monitor care plans and document progress using system tools.
• Coordinate care teams to remove obstacles to patient goals.
• Ensure member satisfaction by optimizing health plan benefits.

Requirements

• 3 years of general or specialty nursing practice.
• Graduate of an accredited RN program.
• Licensed as an RN in the state of Louisiana or possess a work permit.
• BLS certification required.
• Proficient in English with strong verbal and written communication skills.
• Computer skills necessary for documentation and care management.

Benefits

• Employee assistance program
• Competitive salaries
• Generous benefits package