Nurse

• Assess members’ status by collecting in-depth patient information and identifying needs
• Develop and implement comprehensive disease management plans with specific objectives, goals, and actions
• Implement interventions to accomplish established goals
• Coordinate, organize, integrate, and modify resources needed to accomplish goals
• Monitor plans by gathering information and evaluating effectiveness
• Meet staff and unit performance targets and department productivity goals
• Perform care coordination or Utilization Management as designated by RN and/or clinical leadership
• Research and interpret contract benefits to facilitate accurate benefit administration and product-specific authorization requirements
• Conduct medical necessity reviews using accepted criteria, guidelines, medical delegations, and policies
• Review, resolve, and respond to utilization-of-benefits issues and coordinate appropriate care
• Negotiate payment rates when provider network deficiencies exist
• Calculate and document care management savings, identify product enhancement opportunities, and capture ROI
• Communicate with members and providers regarding contract requirements and collect planned-care information by telephone
• Manage verbal notifications and written materials in compliance with regulatory and operational guidelines
• Serve as a technical resource to non-clinical staff by interpreting clinical information
• Perform other job-related duties within scope of responsibilities

Care Coordination Nurse I

• Deliver dialysis treatments and monitor patient status
• Assess, troubleshoot, and respond to clinical situations
• Educate patients and build meaningful relationships
• Work as part of a supportive care team
• Provide compassionate and professional delivery of dialysis-related nursing services in an outpatient setting
• Ensure patient safety, comfort, and wellbeing
• Collaborate with a professional team of clinicians
• Use critical thinking to solve problems and support patient care

Registered Nurse

• Review prior authorization requests for appropriate care and setting
• Follow guidelines and policies to approve services or forward requests to appropriate stakeholders
• Complete medical necessity and level-of-care reviews using clinical judgment
• Refer cases to internal stakeholders for review based on findings
• Educate providers on utilization and medical management processes
• Enter and maintain pertinent clinical information in medical management systems
• Interpret varied assignments and independently determine appropriate courses of action
• Work according to department, segment, and organizational strategy and operating objectives
• Make decisions regarding work methods with minimal direction
• Follow established guidelines and procedures

Pre-Authorization Nurse

• Provide skilled nursing care to patients in their homes, including administering medications, performing wound care, and conducting patient assessments
• Develop and implement individualized care plans with physicians and healthcare professionals
• Monitor patients' conditions and report changes
• Educate patients and families on disease management, medication, and treatment options
• Maintain accurate patient-care records and coordinate with healthcare professionals
• Report patient care and condition progress to the patient's physician and Clinical Manager
• Oversee Home Health Aides and monitor completion of documentation

Home Health Registered Nurse

• Utilize the nursing process while delivering, directing, and supervising care to patients admitted to the nursing unit
• Plan, coordinate, and provide patient care
• Participate in interdisciplinary planning
• Coordinate discharge planning
• Provide patient and family teaching for post-hospitalization
• Access community resources
• Perform other related duties as assigned or requested
• May perform Charge Nurse duties

Registered Nurse, RN – FT Days

• Utilize the nursing process while delivering, directing and supervising care to patients admitted to the nursing unit
• Plan, coordinate, and provide patient care
• Participate in interdisciplinary planning
• Perform discharge planning
• Provide patient and family teaching for post-hospitalization
• Access community resources
• Perform other related duties as assigned or requested, including Charge Nurse duties

Registered Nurse, PRN

• Utilize the nursing process while delivering, directing, and supervising care to patients admitted to the nursing unit
• Plan, coordinate, and provide patient care
• Participate in interdisciplinary planning
• Conduct discharge planning
• Provide patient and family teaching for post-hospitalization
• Access community resources
• Oversee dialysis treatments ordered by physicians for patients with acute or chronic kidney failure
• Perform other related duties as assigned or requested, including Charge Nurse duties
• Work under the direction of the Chief Nursing Officer/Director of Nursing, Nurse Manager, or Charge Nurse

Registered Nurse, Dialysis

• Utilize the nursing process while delivering, directing, and supervising care to patients admitted to the nursing unit
• Plan, coordinate, and provide patient care
• Participate in interdisciplinary planning
• Perform discharge planning
• Provide patient and family teaching for post-hospitalization
• Access community resources
• Perform other related duties as assigned or requested, including Charge Nurse duties

• Coordinate patient care requests by phone for all physicians
• Serve as a resource to staff
• Review all incoming faxes to the office
• Answer pharmacy calls and medication refill requests
• Coordinate physician orders, including home health, hospice, and hospital orders
• Handle emergency calls on the designated emergency line
• Serve as liaison between physicians and other facilities and between physicians and patients
• Triage patient calls
• Manage oral chemotherapy and medication orders
• Coordinate patient care and documentation
• Perform nursing duties

Nurse jobs in Louisiana

Care Coordination Nurse I

Registered Nurse

Pre-Authorization Nurse

Home Health Registered Nurse

Registered Nurse, RN – FT Days

Registered Nurse, PRN

Registered Nurse, Dialysis

Registered Nurse, PRN

Triage Nurse, RN or LPN