Responsible for initial screening of all patients which physicians are requesting hospitalization for medical necessity of admission and appropriateness of status, intervenes with physician, patient care team and patient to ensure appropriate placement and level of care occurs. Assesses patient information to ensure the appropriate level of care at the right time to improve outcomes and manage resource utilization. They will be responsible for the following:
Collaborates with nursing, admitting, medical staff and physician offices, to facilitate flow through the inpatient system
Collaborates with medical staff and emergency department to determine appropriate level of care based on patient status
Demonstrates current knowledge of reimbursement issues with transfers and admissions
Educates nursing and physician staff as needed regarding above issues
Maintains admission and transfer logs for regulatory compliance as well as for flow tracking and planning.
This position requires the full understanding and active participation in fulfilling the Mission of CHRISTUS Shreveport-Bossier Health System, and demonstrating behavior consistent with the Core Values.
Graduate of an accredited school of nursing.
Current Louisiana State RN Licensure
Minimum of 2 years' experience in an acute care setting. One year case management experience preferred.
Working knowledge of various reimbursement mechanisms, insurance carriers, and third party payer requirements.
If you are looking to join a rapidly growing faith-based organization that encourages professional development, we want you to become a part of the CHRISTUS Shreveport-Bossier Health System!
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.