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RN Utilization Manager - New Orleans Louisiana
Company: Ochsner Health Location: New Orleans, Louisiana
Posted On: 05/18/2024
We've made a lot of progress since opening the doors in 1942, but one thing has never changed - our commitment to serve, heal, lead, educate, and innovate. We believe that every award earned, every record broken and every patient helped is because of the dedicated employees who fill our hallways. At Ochsner, whether you work with patients every day or support those who do, you are making a difference and that matters. Come make a difference at Ochsner Health and discover your future today! This job confirms a clear, specific care setting order by the physician and applies hospital approved medical necessity criteria to review appropriate admissions, levels of care and continued stay. Documents completed reviews in the hospital approved data set and discusses, when appropriate, alternative care options. Functions as the liaison and communicator with the patient, caregivers, multi-disciplinary team members as well as third party payers. To perform this job successfully, an individual must be able to perform each essential duty satisfactorily. The requirements listed below are representative of the knowledge, skill, and/or ability required. Reasonable accommodations may be made to enable qualified individuals with disabilities to perform the essential duties. This job description is a summary of the primary duties and responsibilities of the job and position. It is not intended to be a comprehensive or all-inclusive listing of duties and responsibilities. Contents are subject to change at Ochsner's discretion. Education Required - High School diploma or equivalent Work Experience Required - 3 years Hospital based experience in the delivery of patient care. Experience responding to change positively and working calmly as well as efficiently in high pressure situations. Experience functioning independently and working well within a team setting. Certifications Preferred - Current State of Louisiana Registered Nurse LicenseCertified Case Manager (CCM) or American Case Management (ACM) certification Knowledge Skills and Abilities (KSAs) |
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