Registered Nurse (RN) Case Manager

Ochsner Health - New Orleans, LA

Full-time - Entry Level

Remote - New Orleans, LA

Ambulatory Health Care Services

About the position

The Registered Nurse (RN) Case Manager at Ochsner Clinic Foundation is responsible for managing multi-disciplinary communications and facilitating care throughout a patient's hospitalization. This role involves reviewing patient hospitalizations, recommending appropriate levels of care, and collaborating with various stakeholders to develop and implement discharge plans tailored to individual patient needs. The RN Case Manager serves as a liaison among patients, caregivers, and healthcare teams, ensuring effective communication and resource utilization during the care process.

Responsibilities

• Perform pre-admission, admission, and continued stay reviews as directed per CMS guidelines, commercial payer guidelines, and/or hospital policy.
• Support the values of service excellence, teamwork, and integrity while maintaining minimum standards for licensure and striving for personal/professional development.
• Maintain knowledge of conditions of participation related to utilization review and discharge planning.
• Maintain open communication with all appropriate parties while functioning as a liaison between ED physicians, hospitalists, attending physicians, and physician advisors.
• Lead the oversight and management of functional and financial outcomes, including coordination and implementation of the discharge plan during acute-care hospitalization.
• Adapt behavior to the specific patient population, respecting privacy and communication styles.
• Perform other related duties as required.

Requirements

• Registered nurse diploma or equivalent (required).
• Current registered nurse license in state of practice (required).
• Basic Life Support (BLS) certification from the American Heart Association (required).
• Bachelor's degree in nursing (preferred).
• 3 years of hospital-based experience in discharge planning, case management, or utilization review (preferred).
• Certification in Case Management (CCM) or Accredited Case Manager (ACM) (preferred).
• Proficiency in using computers, software, and web-based applications.
• Effective verbal and written communication skills.
• Strong interpersonal skills.
• Ability to work a flexible work schedule (e.g., 24/7, weekend, holiday, on-call availability).

Nice-to-haves

• Bachelor's degree in nursing.
• Certification in Case Management (CCM) or Accredited Case Manager (ACM).
• 3 years of hospital-based experience in discharge planning, case management, or utilization review.

Benefits

• Health insurance coverage.
• Paid holidays.
• Flexible scheduling options.