RN Discharge Planner - Full Time - Ochsner Rush - Meridian, MS

Ochsner Health•Meridian, MS

1d•Onsite

About The Position

This job plans, organizes and implements utilization management programs based upon individualized patient biopsychosocial assessments/reassessments and through the knowledge and use of the company and community based non-acute services to coordinate and implement complex discharge plans. Provides information and referral to governmental and community resources. Collaborates and communicates (verbally and through maintenance of the medical record) with the multidisciplinary team to (re)evaluate and respond to patient’s biopsychosocial and appropriate spiritual and cultural needs. Demonstrates actions consistent with the company's guiding principles as duties are performed on a daily basis. When needed will assist with daily clinical review of patient’s medical records for utilization review purposes. Works independently with minimal supervision under the direction of Registered Nurse Case Managers. Communicates the clinical review either verbally or in writing to insurance companies, Registered Nurse Case Manager or other members of the health care team. Performs duties under general supervision and following complex procedures and guidelines.

Requirements

Graduate of an accredited school of nursing.
1 year experience in Health care.
Registered Nurse in the state of Mississippi
Must have computer skills and dexterity required for data entry and retrieval of information.
Effective verbal and written communication skills and the ability to present information clearly and professionally.
Must be proficient with Windows-style applications, various software packages specific to role and keyboard.
Strong interpersonal skills.
Possess the ability to respond to high volume, fast paced clinical and office setting.
Dynamic knowledge of managed care and public programs such as those funded by Medicare (especially Medicare risk products), Medicaid, and other payers 3rd party.
Maintain a professional, neat work environment, manages stress in order to maintain a professional demeanor and perform multiple tasks simultaneously.
Ability to promotes a positive image of the organization while maintaining strict confidentiality.

Nice To Haves

Bachelor’s degree in nursing.
ACLS, PALS, BLS

Responsibilities

Under the direction of the Case Manger Director perform Discharge Planning functions for the Case Management Department.
Responsible for arranging referrals for post discharge needs of patient and or family choice.
Communicates with physicians, nurses, therapies, case managers and third party payer regarding the discharge plan.
Under the direction of a RN Case Manger performs utilization review functions for the Case Management Department.
Demonstrates participation in professional growth and development, maintaining required knowledge and skills needed to perform the duties of the position.
Adapts behavior to the specific patient population, including but not limited to: respect for privacy, method of introduction to the patient, adapting explanation of services or procedures to be performed, requesting permissions and communication style.
Remains knowledgeable on current federal, state and local laws, accreditation standards or regulatory agency requirements that apply to the assigned area of responsibility and ensures compliance with all such laws, regulations and standards.
This employer maintains and complies with its Compliance & Privacy Program and Standards of Conduct, including the immediate reporting of any known or suspected unethical or questionable behaviors or conduct; patient/employee safety, patient privacy, and/or other compliance-related concerns.