What Makes Us Different?
We offer career opportunities for people who have a calling to share their gifts and talents as part of our healing ministry. As part of the Franciscan Missionaries of Our Lady Health System, we are here to create a spirit of healing - and we invite you to join our team today if you would like to be part of that spirit. In addition to competitive salaries and generous benefits, we offer you something special - the chance to do God's work by helping to serve people in need throughout our community, every day.
Job Summary
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.
Minimum Requirements
- Experience: 3 years of general or specialty nursing practice
- Education: Graduate of an accredited RN program
- Special Skills: Proficient in the English language, verbal and written communication skills, computer skills.
- Licensure: Licensed as RN in state of Louisiana or work permit and BLS certification
Apply now! Here, you are more than an employee. You are a team member, a co-worker, our friend and part of our family. Our healthcare team is working together to heal this community one patient at a time!
Responsibilities:
Individual High Risk Care Management
- Assists health plan member to set realistic goals using system tools and judgement. Gain trust to assure disease based, high risk or high utilization individuals set and meet or exceed targets.
- Consistently measures and communicates with the individual on goal status and documents progress and measures of improvement using system tools. Process includes constant communication, psycho-social skills and disease management care plans such as obesity, diabetes and hyperlipidemia.
- Coordinates care team around individual to assure obstacles to goals are removed including such activities as making appointments, assuring prescriptions are filled, directing care to physicians, specialists, EAP or other providers.
- Uses system tools to monitor, identify, and facilitate in the closing of gaps in care and collaborates with members encouraging compliance in order to achieve health status goals.
Provider Collaboration
- Communicates effectively with the provider to assure that the panel of individuals is on track with health goals.
- Monitors care plans including outcomes for measurement of disease, wellness and other goals.
Member Satisfaction
- Ensures that services provided to members maintains or improves member health status, optimizes benefits available within health plan, and improves overall patient satisfaction of services delivered.
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