RN Admissions Case Manager – Concurrent and ED

Ochsner Health

. Determine psychosocial, environmental, family, and economic dynamics affecting patients .

Posted 10/26/2026part-timeRemote • Louisiana • United StatesJuniorWebsite

Core Competencies

Role fit

Core Competencies

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Demonstrates expertise in patient care management, including psychosocial and environmental assessments, compliance with healthcare regulations, and effective communication with multidisciplinary teams and third-party payers. Proficient in navigating healthcare delivery systems and managing patient movement through various care settings.

Highest-signal resume keywords

Registered Nurse LicensePatient Care ManagementHealthcare Delivery SystemsEffective Communication SkillsConflict Resolution Skills

ATS Keywords

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Applicant Tracking System Keywords

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Hard Skills

Patient CareData EntryCompliance ManagementFinancial CertificationMedical-Necessity CriteriaCare CoordinationDocumentationAssessment SkillsHealthcare RegulationsPatient Movement Management

Soft Skills

Team CollaborationAdaptabilityHigh-Pressure Situations ManagementOpen CommunicationProblem Solving

Tools & Technologies

Windows ApplicationsPatient-Information Systems

Certifications & Qualifications

Registered Nurse Diploma

Industry Keywords

Healthcare ComplianceMultidisciplinary TeamsThird-Party PayersManaged CareAccreditation Standards

About the role

Key responsibilities & impact

Determine psychosocial, environmental, family, and economic dynamics affecting patients
Confirm physician-ordered care settings and apply hospital-approved medical-necessity criteria
Review admissions, levels of care, and continued stays
Document completed reviews in the hospital-approved data set
Discuss alternative care options with ED, admitting, and attending physicians
Serve as liaison and communicator among patients, caregivers, multidisciplinary teams, post-acute care providers, and third-party payers
Perform pre-admission, admission, and continued-stay activities
Maintain open communication with appropriate parties
Manage planning for patient movement through the healthcare system
Interact with managed-care and third-party payers to obtain financial certification, support appropriate reimbursement, and minimize denials
Manage assigned patients’ care through the healthcare system based on individual needs
Maintain compliance with applicable laws, accreditation standards, and regulatory requirements
Report suspected unethical, questionable, safety, privacy, and compliance-related concerns

Requirements

What you’ll need

Registered Nurse Diploma or equivalent
1 year of hospital-based experience in the delivery of patient care
Current RN License in the state of practice
Experience functioning independently and working well within a team setting
Experience responding positively to change and working calmly and efficiently in high-pressure situations
Business and financial knowledge and understanding of healthcare delivery systems
Computer skills and dexterity for patient-information data entry and retrieval
Proficiency with Windows-style applications and keyboard
Effective verbal and written communication skills
Excellent conflict resolution skills
Ability to work a flexible schedule, including 24/7, weekends, holidays, and on-call availability
Ability to stoop, bend, reach, grab, and sit for prolonged periods
Ability to work in a patient-care environment with potential exposure to blood, body fluids, tissue, communicable diseases, hazardous medications, and hazardous waste

Benefits

Comp & perks

Equal opportunity employment and consideration without regard to legally protected characteristics
Reasonable accommodations for qualified individuals with disabilities
Accessibility and application accommodation support