RN Case Manager

Glenwood Regional Medical Center • West Monroe, LA

5d

About The Position

Assume primary responsibility of cases for documentation of appropriate medical necessity for the inpatient and/or observation status in the acute hospital setting. Communications with physician, ancillary staff, and payers and assists in arranging transfers or alternate placement when indicated. Assures proper level of care assignment. Facilites with Case Managers and other allied health professionals to promote and ensure that quality care is provided, and outcomes are achieved in a timely and cost-effective manner. Supports hospital goals and objectives in compliance with regulatory guidelines. Works in collaboration with all healthcare disciplines to assure a continuum of appropriate and timely services. Assess appropriateness, quality, and cost effectiveness of proposed hospital, medical and corporate goals and objectives.

Requirements

• Graduate of an accredited school of Nursing, Health Information Management, or Social Work.
• RN preferred.
• Have you ever been convicted of a crime, including any misdemeanors and/or DUI/DWI? (Criminal conviction(s) will not automatically exclude you from consideration for employment).

Nice To Haves

• Minimum of four years' experience in hospital setting.
• One-year experience in utilization management/case management is preferred.

Responsibilities

• Assume primary responsibility of cases for documentation of appropriate medical necessity for the inpatient and/or observation status in the acute hospital setting.
• Communicate with physician, ancillary staff, and payers.
• Assist in arranging transfers or alternate placement when indicated.
• Assure proper level of care assignment.
• Facilitate with Case Managers and other allied health professionals to promote and ensure that quality care is provided, and outcomes are achieved in a timely and cost-effective manner.
• Support hospital goals and objectives in compliance with regulatory guidelines.
• Work in collaboration with all healthcare disciplines to assure a continuum of appropriate and timely services.
• Assess appropriateness, quality, and cost effectiveness of proposed hospital, medical and corporate goals and objectives.

What This Job Offers

• Career Level: Mid Level
• Education Level: Associate degree