The Case Manager facilitates clinically appropriate and fiscally responsible patient care through communication with the treating physician and all other members of the healthcare team, while incorporating Utilization Review/Discharge Planning interventions and working in close cooperation with hospital management. The Case Manager assesses and identifies the patient's physical and psychosocial needs and determines, in conjunction with established protocols and input from the treating physician, the health care services and venue of care appropriate for the patient. The Case Manager manages the patient's treatment prospectively through the admission process, concurrently through on-going case management while the patient is an inpatient in one or more venues of care and retrospectively through review of individual cases and identification of trends and patterns. This position requires the full understanding and active participation in fulfilling the Mission of CHRISTUS St. Frances Cabrini Hospital, and demonstrating behavior consistent with the Core Values
Current Louisiana State RN Licensure
Must be able to communicate effectively and professionally with patients, families, and medical staff both verbal and written.
Working knowledge of various reimbursement mechanisms, insurance carriers, and third party payer requirements.
CHRISTUS HEALTH is an international Catholic, faith-based, not-for-profit health system comprised of almost more than 600 services and facilities, including more than 60 hospitals and long-term care facilities, 350 clinics and outpatient centers, and dozens of other health ministries and ventures. CHRISTUS operates in 6 U.S. states, Colombia, Chile and 6 states in Mexico. To support our health care ministry, CHRISTUS Health employs approximately 45,000 Associates and has more than 15,000 physicians on medical staffs who provide care and support for patients. CHRISTUS Health is listed among the top ten largest Catholic health systems in the United States.