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 Now
Apply Now