Acts as a liaison between patients, caregivers, and multidisciplinary teams to ensure smooth transitions and continuity of care. Manages complex patient care plans to minimize readmissions and identifies barriers to care within the healthcare continuum.
Requirements summary
Requires a graduate degree from an accredited school of nursing with at least 2 years of nursing experience. Must hold a current RN license and BLS certification from the American Heart Association.
We've made a lot of progress since opening the doors in 1942, but one thing has never changed - our commitment to serve, heal, lead, educate, and innovate.
We believe that every award earned, every record broken and every patient helped is because of the dedicated employees who fill our hallways.
At Ochsner, whether you work with patients every day or support those who do, you are making a difference and that matters.
Come make a difference at Ochsner Health and discover your future today!
This job functions as the liaison and communicator with the patient, caregivers, healthcare providers, and multi-disciplinary team members, as well as post-acute care and third party payers.
Discusses alternative care options with patient/caregivers as well as the multi-disciplinary team and assists with discharge planning needs.
Facilitates movement along the healthcare continuum to ensure quality, cost effective outcomes are achieved in collaboration with the multi-disciplinary team.
To perform this job successfully, an individual must be able to perform each essential duty satisfactorily.
The requirements listed below are representative of the knowledge, skill, and/or ability required.
Reasonable accommodations may be made to enable qualified individuals with disabilities to perform the essential duties.
This job description is a summary of the primary duties and responsibilities of the job and position.
It is not intended to be a comprehensive or all-inclusive listing of duties and responsibilities.
Contents are subject to change at the company's discretion.
Education Required - Graduate of an accredited school of nursing.
Preferred - Associate's or Bachelor’s degree in nursing.
Work Experience Required - 2 years of nursing experience.
Certifications Required - Current registered nurse (RN) license in state of practice.
Basic Life Support (BLS) from the American Heart Association.
Preferred - Certification in clinical specialty area.
Knowledge Skills and Abilities (KSAs) Proficiency in using computers, software, and web-based applications.
Effective verbal and written communication skills and ability to present information clearly and professionally to varying levels of individuals throughout the patient care process.
Excellent conflict resolution skills.
Ability to work a flexible work schedule (e.g.
24/7, weekend, holiday, on call availability) and travel throughout and between facilities.
Job Duties Provides continuity of care by ensuring smooth transitions between care settings.
Develops relationships with patients and their multidisciplinary team to facilitate and/or navigate through subsequent treatment and follow-up to reflect continuity of care.
Manages high risk, complex patient care with the goal of minimizing readmission.
Works closely with physicians to coordinate patient’s care plan communication; works with multidisciplinary team to maintain and implement up-to-date coordinated patient centered care plan; communicates with all members of the healthcare team as patient advocate.
Prepares, executes, and reinforces post-discharge care plan.
Identifies barriers to care in an effort to elicit changes in processes for patients navigating the continuum of care.
Collaborates with leadership to review processes with the goal of improving the clinical experience for referred patients and the referring physician.
Adapts behavior to the specific patient population, including but not limited to respect for privacy, method of introduction to the patient, adapting explanation of services or procedures to be performed, requesting permissions and communication style.
Performs other related duties as required.
The above statements describe the general nature and level of work only.
They are not an exhaustive list of all required responsibilities, duties, and skills.
Other duties may be added, or this description amended at any time.
Remains knowledgeable on current federal, state and local laws, accreditation standards or regulatory agency requirements that apply to the assigned area of responsibility and ensures compliance with all such laws, regulations and standards.
This employer maintains and complies with its Compliance & Privacy Program and Standards of Conduct, including the immediate reporting of any known or suspected unethical or questionable behaviors or conduct; patient/employee safety, patient privacy, and/or other compliance-related concerns.
The employer is an Equal Opportunity Employer.
All qualified applicants will receive consideration for employment without regard to race, color, religion, sex, sexual orientation, gender identity, national origin, protected veteran status, or disability status.
Physical and Environmental Demands The physical demands described here are representative of those that must be met by an employee to successfully perform the essential functions of this job.
Reasonable accommodations may be made to enable individuals with disabilities to perform the essential functions.
Medium Work - Exerting 20 to 50 pounds of force occasionally, and/or 10 to 25 pounds of force frequently, and/or greater than negligible up to 10 pounds of force constantly to move objects. (Constantly: activity or condition exists 2/3 or more of the time) to move objects.
Physical demand requirements are in excess of those for Sedentary Work.
Even though the weight lifted may be only a negligible amount, a job should be rated Light Work: (1) when it requires walking or standing to a significant degree; or (2) when it requires sitting most of the time but entails pushing and/or pulling of arm or leg controls; and/or (3) when the job requires working at a production rate pace entailing the constant pushing and/or pulling of materials even though the weight of those materials is negligible.
NOTE: The constant stress and strain of maintaining a production rate pace, especially in an industrial setting, can be and is physically demanding of a worker even though the amount of force exerted is negligible.
Duties performed routinely require exposure to blood, body fluid and tissue.
The incumbent works in a patient care area; works in an area where patients enter; works directly with patients; and/or works with specimens that could contain diseases.
There may be an occupational risk for exposure to all communicable diseases.
Because the incumbent works within a healthcare setting, there may be occupational risk for exposure to hazardous medications or hazardous waste within the environment through receipt, transport, storage, preparation, dispensing, administration, cleaning and/or disposal of contaminated waste.
The risk level of exposure may increase depending on the essential job duties of the role.
Are you ready to make a difference?
Apply Today!
Ochsner Health does not consider an individual an applicant until they have formally applied to the open position on this careers website.
Please refer to the job description to determine whether the position you are interested in is remote or on-site.
Individuals who reside in and will work from the following areas are not eligible for remote work position: Colorado, California, Hawaii, Illinois, Maryland, Massachusetts, Minnesota, New Jersey, New York, Vermont, Washington, and Washington D.C.
Ochsner Health endeavors to make our site accessible to all users.
If you would like to contact us regarding the accessibility of our website, or if you need an accommodation to complete the application process, please contact our HR Employee Solution Center at 504-842-4748 (select option 1) or careers@ochsner.org.
This contact information is for accommodation requests only and cannot be used to inquire about the status of applications.
Ochsner is an equal opportunity employer.
All qualified applicants will receive consideration for employment without regard to any legally protected class, including protected veterans and individuals with disabilities.
Ochsner Health is the leading not-for-profit healthcare provider in the Gulf South, delivering expert care at its 46 hospitals and more than 370 health and urgent care centers.
For 12 consecutive years, U.S.
News & World Report has recognized Ochsner as the No.
1 hospital in Louisiana.
Additionally, Ochsner Children’s has been recognized as the No.
1 hospital for kids in Louisiana for three consecutive years.
Ochsner inspires healthier lives and stronger communities through a combination of standard-setting expertise, quality and connection not found anywhere else in the region.
In 2023, Ochsner Health cared for more than 1.5 million people from every state in the nation and 65 countries.
Ochsner’s workforce includes more than 38,000 dedicated team members and over 4,700 employed and affiliated physicians.
To learn more about how Ochsner empowers people to get well and stay well, visit https://www.ochsner.org/. Ochsner Health is proud to be an Employer of Choice.
Ranked one of Newsweek's list of America's Greatest Workplaces for Diversity of 2024 Becker's Healthcare listed Ochsner Health as 150 Top Places to Work in Healthcare Awarded Culture Awards for Purpose and Values and Healthcare Industry by Top Workplace Ranked as a 2023 Top Workplace in the USA!
The Top Workplaces USA award is based entirely on feedback from an employee engagement survey completed by the employees of participating workplaces.
Awarded Top Work Places 2023 for six consecutive years by The Times-Picayune Earned 2022-2023 Great Place to Work Certification™ Ochsner Health named to Newsweek's America's Greatest Workplaces for Parents and Families 2023 Opportunities listed here represent open positions at Ochsner Health and Ochsner Health managed entities.
