Care Manager

Job Title

Your job is more than a job

This job description is intended to describe the general nature and level of work performed by employees assigned to this department. This is not an exhaustive list of all duties and responsibilities, and LCMC Health reserves the right to amend and change responsibilities to meet organizational needs as necessary.

General Duties

• Develops individualized care plans, including prioritized goals, that consider the patient's and caregivers' goals, preferences and desired level of involvement in the care management plan.
• Makes outbound calls to assess patient's current health status.
• Identifies gaps or barriers in treatment plans.
• Coordinates care for members and makes referrals to outside sources.
• Ensures members discharging from hospital or emergency department receive the necessary services and resources, including medication reconciliation.
• Triages symptom-based calls per approved protocols for a wide range of patients.
• Enrolls patients and manages alerts for various home monitoring programs.
• Provides approved general health information and guidance to public caller from approved sources by assessing needs of the caller.
• Documents all workflows in EPIC system for purposes of tracking and quality assessment.
• Provides patient education to assist with self-management of wellness and disease.
• Educates members on chronic and acute disease processes.
• Forms partnerships with providers to achieve quality and cost management objectives.
• Tracks and monitors enrolled members throughout the continuum of care.
• Interacts with LCMC Healthcare Partners leadership and/or physician group partners to discuss clinical questions and concerns regarding specific cases.
• Participates in case conferences with the interdisciplinary team to strategize and develop member specific care plans.

Experience Qualifications

• 2 years of professional nursing or care management experience.

Licenses And Certifications

• Basic Life Support Health Care Provider (CPR, BLS) - American Heart Association (required for those employees working on site at LCMC Health Facilities)
• Registered Nursing License (RN) - Louisiana State Board Of Nursing

Skills And Abilities

• Ability to work successfully in a stressful environment, relate well to all individuals, and maintain expanding knowledge and use of clinic and hospital information systems and population health/call center platforms.
• Must have strong clinical judgement and a broad knowledge base across a wide spectrum of medical conditions.
• Must be proficient with Windows-style applications and keyboard.
• Must have excellent organizational and time management skills.
• Effective verbal and written communication skills and the ability to present information clearly and professionally to varying levels of individuals.

Work Shift: Days (United States of America)

LCMC Health is a community. Our people make health happen. While our NOLA roots run deep, our branches are the vessels that carry our mission of bringing the best possible care to every person and parish in Louisiana and beyond and put a little more heart and soul into healthcare along the way. Celebrating authenticity, originality, equity, inclusion and a little "come on in" attitude is the foundation of LCMC Health's culture of everyday extraordinary.

Your Extras

• Deliver healthcare with heart.
• Give people a reason to smile.
• Put a little love in your work.
• Be honest and real, but with compassion.
• Bring some lagniappe into everything you do.
• Forget one-size-fits-all, think one-of-a-kind care.
• See opportunities, not problems it's all about perspective.
• Cheerlead ideas, differences, and each other.
• Love what makes you, you - because we do

You are welcome here. LCMC Health is an equal opportunity employer. All qualified applicants receive consideration for employment without regard to race, color, religion, sex, national origin, sexual orientation, gender identity, disability status, protected veteran status, or any other characteristic protected by law.

The above job summary is intended to describe the general nature and level of the work being performed by people assigned to this work. This is not an exhaustive list of all duties and responsibilities. LCMC Health reserves the right to amend and change responsibilities to meet organizational needs as necessary.

Simple things make the difference.

To get started, take your time to fully and accurately complete the application for employment. Incomplete applications get bogged down and are often eliminated due to missing information.

To ensure quality care and service, we may use information on your application to verify your previous employment and background.

To keep our career applications up-to-date, applications are inactive after 6 months and, therefore, require a new application for employment to be completed.

To expedite the hiring process, proof of citizenship or immigration status will be required to verify your lawful right to work in the United States.