Case Manager Rn (prn Days)

FMOLHS

Baton Rouge, LA, US
Utilization review of patient charts
Discharge planning coordination
Collaboration with healthcare team
The Case Manager RN directs utilization review and discharge planning to ensure quality care and appropriate treatment criteria for patients

Job Summary

  • The Case Manager RN directs utilization review and discharge planning to ensure quality care and appropriate treatment criteria for patients.
  • They collaborate with physicians, payors, and healthcare team members to optimize reimbursement and coordinate cost-effective patient care.
  • The role requires assessing patient needs, developing treatment and discharge plans, and promoting continuous professional development.

Matching Summary

The Case Manager RN directs utilization review and discharge planning to ensure quality care and appropriate treatment criteria for patients.

Skills & Requirements

Must-have

  • Utilization review of patient charts
  • Discharge planning coordination
  • Collaboration with healthcare team
  • Cost effectiveness and financial analysis
  • Quality assurance and medical necessity evaluation

Nice-to-have

  • Knowledge of healthcare delivery systems
  • Experience with third party payors
  • Community resource utilization
  • Participation in professional development
  • Understanding of ADA and disability legislation

Key Requirements

  • Three years nursing experience
  • Associate's Degree
  • Current unrestricted Louisiana RN license

Work Rights

Not specified

Tailored Resume

Cover Letter