Care Manager PRN

Marrero, LA, United States

You’re more than your job. Everyone is. And that’s what makes you great at your job—all the little extras you bring to work every day, the things that make you you . At LCMC Health we value those things about you, because we know that all those little extras add up to extraordinary. And we’ve built a culture that supports and celebrates the extraordinary. You’ll see it when you come to work here, in the spirit of our places and the faces of our people. And every patient we heal, every family we comfort, every life we improve is the outcome of countless little extras adding up to an extraordinary result. Join LCMC Health, and you’ll find that our everyday makes it easy to live your extraordinary.

The RN Case Manager facilitates and coordinates the patient's treatment plan of care to assure quality through the continuum of care. Collaborates with the interdisciplinary team to implement the plan of care and transition strategies, ensuring the achievement of desirable patient outcomes, appropriate length of stay, efficient utilization of resources, increased patient and family involvement, and patient/family/staff education.

Develops 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.

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

Identifies gaps or barriers in treatment plans.

Coordinates care for members and makes referrals to outside sources.

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

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

Enrolls patients and manages alerts for various home monitoring programs.

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

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

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

Educates members on chronic and acute disease processes.

Forms partnerships with providers to achieve quality and cost management objectives.

Tracks and monitors enrolled members throughout the continuum of care.

Interacts with LCMC Healthcare Partners leadership and/or physician group partners to discuss clinical questions and concerns regarding specific cases.

Participates in case conferences with the interdisciplinary team to strategize and develop member specific care plans.

Job Qualifications:

Knowledge and Skills

Active RN licensure. GSW or LCSW may qualify if they are recommended by the Director of CM.

Knowledge of and ability to apply nationally recognized criteria to ensure medical necessity of admission and continued stay preferred

Knowledge of CMS Conditions of Participation preferred

Knowledge of payor rules/regulations preferred.

Excellent written and verbal communication skills

Critical Thinking skills

Ability to work independently

Team Leader capabilities*

Education and Experience

Active RN licensure

Case Management Certification preferred

The above job summary is intended to describe the general nature and level of the work being performed by people assigned to this work . This is not an exhaustive list of all duties and responsibilities . LCMC Health reserves the right to amend and change responsibilities to meet organizational needs as necessary .

WORK SHIFT:

Weekends (United States of America) Your job is more than a job

Why a Great Place to Work:

You’re more than your job. Everyone is. And that’s what makes you great at your job—all the little extras you bring to work every day, the things that make you you . At LCMC Health we value those things about you, because we know that all those little extras add up to extraordinary. And we’ve built a culture that supports and celebrates the extraordinary. You’ll see it when you come to work here, in the spirit of our places and the faces of our people. And every patient we heal, every family we comfort, every life we improve is the outcome of countless little extras adding up to an extraordinary result. Join LCMC Health, and you’ll find that our everyday makes it easy to live your extraordinary.

Essential Function:

The RN Case Manager facilitates and coordinates the patient's treatment plan of care to assure quality through the continuum of care. Collaborates with the interdisciplinary team to implement the plan of care and transition strategies, ensuring the achievement of desirable patient outcomes, appropriate length of stay, efficient utilization of resources, increased patient and family involvement, and patient/family/staff education.

Develops 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.

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

Identifies gaps or barriers in treatment plans.

Coordinates care for members and makes referrals to outside sources.

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

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

Enrolls patients and manages alerts for various home monitoring programs.

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

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

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

Educates members on chronic and acute disease processes.

Forms partnerships with providers to achieve quality and cost management objectives.

Tracks and monitors enrolled members throughout the continuum of care.

Interacts with LCMC Healthcare Partners leadership and/or physician group partners to discuss clinical questions and concerns regarding specific cases.

Participates in case conferences with the interdisciplinary team to strategize and develop member specific care plans.

Job Qualifications:

Knowledge and Skills

Active RN licensure. GSW or LCSW may qualify if they are recommended by the Director of CM.

Knowledge of and ability to apply nationally recognized criteria to ensure medical necessity of admission and continued stay preferred

Acute care hospital clinical experience required

Knowledge of CMS Conditions of Participation preferred

Knowledge of payor rules/regulations preferred.

Excellent written and verbal communication skills

Excellent computer skills

Critical Thinking skills

Ability to work independently

Team Leader capabilities*

Education and Experience

Active RN licensure

Case Management Certification preferred

The above job summary is intended to describe the general nature and level of the work being performed by people assigned to this work . This is not an exhaustive list of all duties and responsibilities . LCMC Health reserves the right to amend and change responsibilities to meet organizational needs as necessary .

WORK SHIFT:

Weekends (United States of America) LCMC Health is a community.

Our people make health happen. While our NOLA roots run deep, our branches are the vessels that carry our mission of bringing the best possible care to every person and parish in Louisiana and beyond and put a little more heart and soul into healthcare along the way. Celebrating authenticity, originality, equity, inclusion and a little “come on in” attitude is the foundation of LCMC Health’s culture of everyday extraordinary

About West Jefferson Medical Center

West Jefferson Medical Center, a cornerstone of LCMC Health’s incredible community of care, is regionally recognized and nationally accredited.For over 60 years, we’ve been the hospital-of-choice on the west bank of Jefferson Parish for health, wellness, and family-centered care. Learn more about West Jefferson Medical Center and our Leapfrog “Grade A” Hospital Safety distinction

Your extras

Deliver healthcare with heart.

Give people a reason to smile.

Put a little love in your work.

Be honest and real, but with compassion.

Bring some lagniappe into everything you do.

Forget one-size-fits-all, think one-of-a-kind care.

See opportunities, not problems – it’s all about perspective.

Cheerlead ideas, differences, and each other.

Love what makes you, you - because we do

You are welcome here.

LCMC Health is an equal opportunity employer. All qualified applicants receive consideration for employment without regard to race, color, religion, sex, national origin, sexual orientation, gender identity, disability status, protected veteran status, or any other characteristic protected by law.

The above job summary is intended to describe the general nature and level of the work being performed by people assigned to this work. This is not an exhaustive list of all duties and responsibilities.  LCMC Health reserves the right to amend and change responsibilities to meet organizational needs as necessary.

Simple things make the difference.

1. To get started, take your time to fully and accurately complete the application for employment. Incomplete applications get bogged down and are often eliminated due to missing information.

2. To ensure quality care and service, we may use information on your application to verify your previous employment and background.

3. To keep our career applications up-to-date, applications are inactive after 6 months and, therefore, require a new application for employment to be completed.

4. To expedite the hiring process, proof of citizenship or immigration status will be required to verify your lawful right to work in the United States.

About Us About LCMC Health One-of-a-kind care comes from one-of-a-kind people. At LCMC Health, our people are the magic ingredient that makes our care so extra-extraordinary. We are compassionate, driven, and dedicated to bringing a little something extra to healthcare and to the people of New Orleans and beyond.

If you’re the kind of person who believes that our community deserves the best and that healthcare needs a little more heart, we want you to be a part of our family. From medical roles to administrative positions, every person on our team plays a part in our mission: to provide health, care, and education beyond extraordinary. Let’s make every day extraordinary, together.

#J-18808-Ljbffr