Discharge Care Manager Nurse RN - Remote in Louisiana
About the positionResponsibilities• 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 teamsRequirements• 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 LouisianaNice-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 clearlyBenefits• Comprehensive benefits package• Career development opportunities• Flexible work arrangements for Louisiana residents Apply tot his job