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• Develop 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. • Make outbound calls to assess patient’s current health status. • Identify gaps or barriers in treatment plans. • Coordinate care for members and makes referrals to outside sources. • Ensure members discharging from hospital or emergency department receive the necessary services and resources, including medication reconciliation. • Triage symptom-based calls per approved protocols for a wide range of patients. • Enroll patients and manage alerts for various home monitoring programs. • Provide approved general health information and guidance to public caller from approved sources by assessing needs of the caller. • Document all workflows in EPIC system for purposes of tracking and quality assessment. • Provide patient education to assist with self-management of wellness and disease. • Educate enrolled members on chronic and acute disease processes. • Interact with LCMC Health care partners, leadership and/or physicians to discuss clinical questions, concerns, strategies, and care plans to achieve quality and cost management objectives. • Demonstrate energy, excitement, and a passion for quality work.
• Current nursing license to practice in Louisiana • 2 years of professional nursing or care management experience • Utilization Review and or Care Manager experience preferred • Acute Hospital experience needed • Epic & InterQual experience preferred.
• 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.
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