RN Care Manager/UR - Remote - PRN

RN Care Manager - PRN - Remote

You overthink every care option and scenario because, as a Care Manager, you’re the hub of your patient's case management and care plan. You assure quality through the continuum of care, collaborate with members of the care team, and implement the plan of care and transition strategies. Achieving the best possible patient outcomes, appropriate length of stay, efficient utilization of resources, coordination of patient, family, and staff communication and education is the center of your nursing universe.  

You give new meaning to a 9 to 5 schedule because caring doesn’t stop just because you’ve punched a clock and neither does your innovative brain. If it were your loved one, you’d expect nothing less, so you give so much more. Gatekeeper, facilitator and decision-maker, and hand-holder, you apply nursing knowledge, logic, and a little “extra” heart into everything you do. We love that about you.  

Your experiences, knowledge, skills, empathy, compassion, and your “little something extra” all add up to you. And we’re excited to get to know you and find out what you’ll bring to this case management nursing role. 
 
Your Everyday 

Develop 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. 

Make outbound calls to assess patient’s current health status. 

Identify gaps or barriers in treatment plans. 

Coordinate care for members and makes referrals to outside sources. 

Ensure members discharging from hospital or emergency department receive the necessary services and resources, including medication reconciliation. 

Triage symptom-based calls per approved protocols for a wide range of patients. 

Enroll patients and manage alerts for various home monitoring programs. 

Provide approved general health information and guidance to public caller from approved sources by assessing needs of the caller. 

Document all workflows in EPIC system for purposes of tracking and quality assessment.  

Provide patient education to assist with self-management of wellness and disease. 

Educate enrolled members on chronic and acute disease processes. 

Interact with LCMC Health care partners, leadership and/or physicians to discuss clinical questions, concerns, strategies, and care plans to achieve quality and cost management objectives. 

Demonstrate energy, excitement, and a passion for quality work. 

The Must-Haves 
 

Minimum: 

Current nursing license to practice in Louisiana and as defined by the Louisiana State Board of Nursing,

2 years of professional nursing or care management experience.

Utilization Review and or Care Manager experience preferred.

Acute Hospital experience needed.

Epic & InterQual experience preferred.