Discharge Care Manager Nurse RN - Remote in Louisiana
About the position Responsibilities • Evaluate member discharge needs including delays in care and readmission prevention plan • Collaborate with providers and members to coordinate care post discharge • Participate in rounds with the Medical Director to discuss cases as needed • Identify internal or community-based program support or resources • Coordinate with the facility Discharge Planner to ensure post hospital services are arranged prior to the member being discharged • Assist with coordination of difficult cases needing placement in an alternate level of care facility • Document discharge activities as outlined in standard operating procedures and data entry strategies • Participate in team meetings, education discussions and related activities • Work collaboratively with team members in a matrix environment to ensure an end-to-end positive experience for members, providers and care teams Requirements • Bachelor of Science in Nursing • Current, unrestricted RN license in the State of Louisiana • 5+ years of recent experience in the inpatient acute setting • 2+ years of experience of discharge planning • Experience working with multiple health insurance products (Medicaid, Medicare, Commercial) within the insurance industry, including regulatory and compliance requirements • Proficient in typing skills and software applications including Microsoft Word, Excel, PowerPoint, and Outlook • Have a designated workspace and access to install secure high speed internet via cable/DSL in your home • Permanent residence in Louisiana Nice-to-haves • Compact RN License • Case Management Certification • InterQual/MCG Guidelines or other nationally recognized practice guidelines • Demonstrated ability to assist with focusing activities toward a strategic direction as well as develop tactical plans, drive performance, and achieve targets • Proven problem-solving skills; the ability to systematically analyze problems, draw relevant conclusions and devise appropriate courses of action • Proven excellent verbal and written communication skills; ability to convey complex information clearly Benefits • Comprehensive benefits package • Career development opportunities • Flexible work arrangements for Louisiana residents Apply tot his job