LCMC Health-posted 3 months ago
New Orleans, LA
501-1,000 employees
Hospitals

This job description is intended to describe the general nature and level of work performed by employees assigned to this department. This is not an exhaustive list of all duties and responsibilities, and LCMC Health reserves the right to amend and change responsibilities to meet organizational needs as necessary.

  • Develops individualized care plans, including prioritized goals, that consider the patient's and caregivers' goals, preferences and desired level of involvement in the care management plan.
  • Makes outbound calls to assess patient's current health status.
  • Identifies gaps or barriers in treatment plans.
  • Coordinates care for members and makes referrals to outside sources.
  • Ensures members discharging from hospital or emergency department receive the necessary services and resources, including medication reconciliation.
  • Triages symptom-based calls per approved protocols for a wide range of patients.
  • Enrolls patients and manages alerts for various home monitoring programs.
  • Provides approved general health information and guidance to public caller from approved sources by assessing needs of the caller.
  • Documents all workflows in EPIC system for purposes of tracking and quality assessment.
  • Provides patient education to assist with self-management of wellness and disease.
  • Educates members on chronic and acute disease processes.
  • Forms partnerships with providers to achieve quality and cost management objectives.
  • Tracks and monitors enrolled members throughout the continuum of care.
  • Interacts with LCMC Healthcare Partners leadership and/or physician group partners to discuss clinical questions and concerns regarding specific cases.
  • Participates in case conferences with the interdisciplinary team to strategize and develop member specific care plans.
  • 2 years of professional nursing or care management experience.
  • Basic Life Support Health Care Provider (CPR, BLS) - American Heart Association (required for those employees working on site at LCMC Health Facilities).
  • Registered Nursing License (RN) - Louisiana State Board Of Nursing.
  • Ability to work successfully in a stressful environment, relate well to all individuals, and maintain expanding knowledge and use of clinic and hospital information systems and population health/call center platforms.
  • Strong clinical judgement and a broad knowledge base across a wide spectrum of medical conditions.
  • Proficient with Windows-style applications and keyboard.
  • Excellent organizational and time management skills.
  • Effective verbal and written communication skills and the ability to present information clearly and professionally to varying levels of individuals.
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