Case Manager - RN PRN Premium
- serp_jobs.job_card.full_time
Job Description
The Case Manager 1 directs the utilization review of patient charts, treatment plans, and discharge planning pertaining to the quality of care and treatment criteria for patients in a specific department. The Case Manager 1 specializes in the review of information pertaining specifically to the assigned areas. Relies on education, experience, professional training and judgment to accomplish responsibilities. A wide degree of creativity and latitude is expected. Works under minimal supervision. Directs the utilization review of patient charts and treatment plans pertaining to the quality of care and treatment criteria for patients in a specific department. The Case Manager of Clinical Services specializes in the review of information pertaining specifically to the assigned area (i.e. : Case Management, Geriatrics, Mental & Behavioral Health, Home Health). Most, but not all, of the accountabilities below may apply to each specific area.
Responsibilities
- Evaluation and Analysis :
Contributes to cost effectiveness / efficiency and demonstrates awareness of benefit system and cost benefit analysis. Demonstrates the ability to maximize financial outcomes of assigned patient load using the continuum of care philosophy. Assists in the development, monitoring, and analysis of annual financial goals of targeted population.
Performs effective utilization review techniques to work with physicians, third party payors, and federal and local agencies to prevent denials of payment or days.
Evaluates the quality of necessary medical services, utilizes criteria to determine medical necessity of admission and interacts with physicians to facilitate patient assignment to appropriate alternative of care.
Qualifications
Experience - Three years in general or specialty nursing practice
Education - Associate's Degree
Licensure - Current and unrestricted Louisiana State License as RN
About Us
FMOL Health is a leading health care innovator in Louisiana and Mississippi. We bring together outstanding clinicians, the most advanced technology and leading research to ensure that our patients receive the highest quality and safest care possible.
This commitment is grounded in a history that is more than 100 years old, but reflected today by our strategic vision of transforming healthcare through superior performance and excellent patient care.
In the last fiscal year, FMOL Health had :
As a nonprofit, mission-focused Catholic healthcare ministry, we give special attention to our citizens who are most in need. During the most recent fiscal year, we provided more than $39 million in unreimbursed care and community support to the underprivileged.
Our health system is one of the largest in Louisiana, with hospitals, clinics and physicians located throughout Louisiana and in Mississippi. In fact, we provide care to almost half of Louisiana's citizens, and serve in Mississippi's largest metropolitan area. Because of our size and the partnerships we have with other local organizations, we are able to pool our resources and share cost and service efficiencies and learn from each other, thereby accelerating our ability to improve care and solve challenges.
Since our founding in Monroe, Louisiana in 1911, we have been blessed by the guidance of the Franciscan Sisters. Through their guidance and steadfast example, we have committed to assure that we perpetuate their healing ministry for another hundred years. It is a noble purpose we strive to fulfill every day.
Headquartered in Baton Rouge, Louisiana, we serve patients across Louisiana and Mississippi through a network of hospitals, clinics, physicians, elderly housing and integrated information system. Our health system has partnered with the State of Louisiana as it transforms its healthcare delivery system. The partnership includes inpatient acute care and primary care delivery in Baton Rouge and Bogalusa.
Following in the footsteps of our founders, the Franciscan Missionaries of Our Lady, our team members and physicians are called to provide high quality care and compassion to all people, especially those most in need.
As we look to the future of our healthcare ministry, we chart our course by "going where we are called."
serp_jobs.job_alerts.create_a_job
Rn Case Manager Prn • Baton Rouge, LA, United States
Travel Nurse RN - Med Surg
Travel Nurse RN - Telemetry
Travel Nurse RN - Progressive Care Unit - $1,449 per week in Alexandria, LA
Travel Nurse RN - Progressive Care Unit - $1,678 per week in Alexandria, LA
Travel Nurse RN - Utilization Review - $1,638 per week in Alexandria, LA
Travel Nurse RN - Home Health
Travel Nurse RN - Emergency Room (ER) / Trauma in Metairie, LA
Travel Nurse RN - PCU / Stepdown in Alexandria, LA
Travel Nurse RN - Progressive Care Unit - $1,548 per week in Alexandria, LA
Travel Nurse RN - Progressive Care Unit - $1,752 per week in Alexandria, LA
Travel Nurse RN - Progressive Care Unit - $1,839 per week in Alexandria, LA
Travel Nurse RN - Progressive Care Unit - $1,578 per week in Alexandria, LA
Travel Nurse RN - Progressive Care Unit - $1,560 per week in Alexandria, LA
Travel Nurse RN - Case Manager - $2,052 to $2,206 per week in Baton Rouge, LA
Travel Nurse RN - PCU / Stepdown - $1,460 to $1,660 per week in Alexandria, LA
Travel Nurse RN - Progressive Care Unit - $1,871 per week in Alexandria, LA
Travel Emergency Department RN
