We've made a lot of progress since opening the doors in 1942, but one thing has never changed - our commitment to serve, heal, lead, educate, and innovate. We believe that every award earned, every record broken and every patient helped is because of the dedicated employees who fill our hallways. At Ochsner, whether you work with patients every day or support those who do, you are making a difference and that matters. Come make a difference at Ochsner Health and discover your future today! 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. To perform this job successfully, an individual must be able to perform each essential duty satisfactorily. The requirements listed below are representative of the knowledge, skill, and/or ability required. Reasonable accommodations may be made to enable qualified individuals with disabilities to perform the essential duties. This job description is a summary of the primary duties and responsibilities of the job and position. It is not intended to be a comprehensive or all-inclusive listing of duties and responsibilities. Contents are subject to change at the company's discretion.
Stand Out From the Crowd
Upload your resume and get instant feedback on how well it matches this job.
Job Type
Part-time
Career Level
Mid Level
Education Level
Associate degree
Number of Employees
5,001-10,000 employees