Registered Nurse (RN) - Outpatient Case Manager -- FT-Days-Remote

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 manages complex/catastrophic patients assigned to Ochsner Network Primary Care Physicians. Utilizes the Case Management process to assess the health care needs of the enrollee, develop a comprehensive treatment plan complete with specific goals and objectives, implement a treatment plan in collaboration with the PCP team and the other providers involved in the patient's care, negotiate and coordinate services for the patient, monitor and evaluate the effectiveness of the plan in achieving the goals and objectives, and change and modify the plan as needs and situations change. This job is embedded within the Primary Care Practice and participates as a key team member in the Patient Centered Medical Home. Assumes responsibility for coordinating care among multiple healthcare providers, the patient's caregiver(s), community services, payors, and others involved in the care of the patient to ensure services are provided seamlessly throughout the continuum of care. Arranges and coordinates resources necessary to manage the patient's disease processes in the home environment and at alternate levels of care (SNF/LTAC/Rehab/Custodial Nursing Home) throughout the care continuum and adheres to the CMSA Standards of Practice for Case Management.

Education

Required - Nursing Diploma or Associates degree in Nursing

Preferred - Bachelor's degree in Nursing

Work Experience

Required: 6 years recent experience in a clinical setting; experience documenting in an electronic medical record and using Microsoft Office; experience working in a multi-disciplinary team environment. 

Preferred: 3 years experience in case management, care coordination or disease management.  Case management certification.

Certifications

Required - Current RN License in the state of practice

Preferred - Certification as a Case Manager (CCM)

Knowledge Skills and Abilities (KSAs)

• Must have computer skills and dexterity required for data entry and retrieval of patient information. Must be proficient with Windows-style applications and keyboard.
• Effective verbal and written communication skills and the ability to present information clearly and professionally to varying levels of individuals.
• Excellent knowledge of managed care, CMS, Medicaid and other regulatory standards/requirements. Knowledge and experience in using, community resources and other resources to facilitate the patient's care throughout the care continuum.
• Good organizational skills
• Strong written and verbal communication skills
• Strong time management skills and self directed 
• Demonstrates Good Judgement 

Job Duties

• Identifies patients with complex or catastrophic conditions who are at high risk and collaborates with members at the health care team, the patient and the patient's caregiver(s) to implement a coordinated treatment plan across the continuum.
• Utilizes the case management process to develop comprehensive cost-effective plans at care for patients in care management.
• Collaborates with the multidisciplinary team, PCP and other appropriate care providers to facilitate appropriate care and treatment of the patient
• Coordinates referrals and appointments with members of the care team and accompanies the patient as needed to appointments
• Provides education and community resources to members, families and/or caregivers to avoid or reduce hospital admissions through telephonic and face-to-face contact.
• Transitions the patient to the Health Coach or other appropriate team member when discharge from formal case management is appropriate
• Identifies quality issues that may adversely affect patient outcomes and submit to quality department

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