Ochsner Health

Registered Nurse (RN) - Utilization Manager

Ochsner Health

full-time

Posted on:

Origin:  • 🇺🇸 United States • Louisiana

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Job Level

Junior

About the role

  • Performs Pre-Admission, Admission and Continued Stay activities
  • Maintains open communication with all appropriate parties
  • Manages aspects of the planning process in anticipation of the patient’s movement through the healthcare system
  • Proactively interacts with managed care/ third party payers to obtain financial certification, to appropriate reimbursement and minimize reimbursement denials
  • Manages the care of assigned patients through the healthcare system based on the patient’s individual needs
  • Additional duties as assigned

Requirements

  • Education Required - Registered Nurse Diploma or equivalent
  • Work Experience Required - 1 year of Hospital based experience in the delivery of patient care
  • Experience functioning independently and working well within a team setting
  • Preferred - Experience in Case Management or Utilization Review
  • Certifications Required - Current State of Louisiana Registered Nurse License