Education

Required -Registered Nurse Diploma or equivalent

Preferred -Bachelors degree in Nursing

Work Experience

Required -3 yearsHospital-based experience.

Preferred - Experience in discharge planning, case management or utilizatioin review.

Certifications

Required -Current State of Louisiana Registered Nurse License

Basic Life Support (BLS) from the American Heart Association

Preferred - Certification in Case Management (CCM)or Accredited Case Manager (ACM)

Knowledge Skills and Abilities (KSAs)

• Must have computer skills and dexterity required for data entry and retrieval of patient information.

• Must be proficient with Windows-style applications and keyboard.

• Effective verbal and written communication skills and the ability to present information clearly and professionally to varying levels of individuals throughout the patient care process.

• Strong interpersonal skills

Job Duties

• Performs pre-admission, admission, and continued stay reviews as directed per CMS guidelines, commercial payer guidelines, and/or hospital policy.

• Supports the values of Service Excellence, Teamwork and Integrity, maintains minimum standards for licensure and strives for personal/professional development.

• Maintains knowledge of the Conditions of Participation as it relates to utilization review and dischargeplanning.

• Maintains open communication with all appropriate parties while functioning as a liaison between ED physicians, hospitalists, attending physicians, and Physician Advisors.

• Leads the oversight and management of the functional and financial outcomes, includingcoordination and implementation of the discharge plan, during the acute-care hospitalization.

• Adapts behavior to the specific patient population, including but not limited to: respect for privacy, method of introduction to the patient, adapting explanation of services or procedures to be performed, requesting permissions and communication style.

Other related duties as required. The above statements describe the general nature and level of work only. They are not an exhaustive list of all required responsibilities, duties, and skills. Other duties may be added, or this description amended at any time.

This employer maintains and complies with its Compliance & Privacy Program and Standards of Conduct, including the immediate reporting of any known or suspected unethical or questionable behaviors or conduct; patient/employee safety, patient privacy, and/or other compliance-related concerns.

The employer is an Equal Opportunity Employer. All qualified applicants will receive consideration for employment without regard to race, color, religion, sex, sexual orientation, gender identity, national origin, protected veteran status, or disability status.

Physical and Environmental Demands

The physical essential functions of this job include (but are not limited to) the following: Frequently exerting 10 to 20 pounds of force to move objects; occasionally exerting up to 100 pounds of force. Physical demand requirements are in excess of those for sedentary work. Reasonable accommodations may be made to enable individuals with disabilities to perform the essential functions.

Mechanical lifting devices (carts, dollies, etc.) and team lifts should be utilized.
Must be able to stand up for prolonged periods of time. Must be able to work a flexible work schedule (e.g. 24/7, weekend, holiday, on call availability).

Duties performed routinely require exposure to blood, body fluid and tissue.

The incumbent works in a patient care area; works in an area where patients enter; works directly with patients; and/or works with specimens that could contain diseases. There may be an occupational risk for exposure to all communicable diseases.

Because the incumbent works within a healthcare setting, there may be occupational risk for exposure to hazardous medications or hazardous waste within the environment through receipt, transport, storage, preparation, dispensing, administration, cleaning and/or disposal of contaminated waste. The risk level of exposure may increase depending on the essential job duties of the role.