- Leadership skills and ability to foster an environment of teamwork, professionalism, customer satisfaction, high performance, and mutual respect of others.
- Effective verbal and written communication skills and ability to present information clearly and professionally to varying levels of individuals throughout the member care process.
- Computer skills and dexterity for data entry and retrieval of member information and ability to multitask.
- Knowledge of local community resources.
- Understanding of financial statements to analyze trends and make recommendations and working knowledge of managing a budget.
- Ability to evaluate member care data to ensure that the care is provided in accordance with clinical guidelines and organizational standards.
- Conflict resolution and problem-solving skills.
- Coordinates care management for members who have inpatient and emergency services, as well as chronic and complex health conditions.
- Coordinates and helps members navigate OHP clinical benefits.
- Helps improve CMS Medicare Star Ratings for clinical metrics.
- Utilizes all available financial and performance management information to align internal and external care management resources with organizational goals.
- Serves as the internal OHP clinical contact and resolution provider in member service matters.
- Serves as patient clinical experience educator for internal and external care management resources to ensure delivery of outstanding member service.
- Facilitates and contributes to leadership meetings within and outside of the Medical Affairs department.
- Provides oversight of internal and external care management resources onboarding and performance evaluations.
- Adapts behavior to the specific member, including but not limited to: respect for privacy, method of introduction to the member, adapting explanation of services or procedures to be performed, requesting permissions and communication style.
- Performs other related duties as required.
-
Spiritual Care Supervisor
4 days ago
Ochsner Clinic Foundation New Orleans, United States Full timeWe'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 f ...
-
After Care Supervisor
3 weeks ago
Ecole Bilingue De La Nouvelle New Orleans, United StatesJob Description · Job DescriptionECOLE BILINGUE DE LA NOUVELLE-ORLÉANS, founded in 1998, provides a private, friendly and language-enriched environment for every student. We are Louisiana's first and only private French school accredited by the French government and the State of ...
-
Spiritual Care Supervisor
1 day ago
Ochsner Health New Orleans, United States Full timeWe'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 f ...
-
Home Care Supervisor
3 weeks ago
Catholic Charities Archdiocese of New Orleans New Orleans, United StatesJob Description · Job DescriptionJob Summary: · Under the direct supervision of the Center Manager, serves as Home Care Team Leader responsible for the implementation of home care services for program participants, including completing home safety reviews, coordinating basic dura ...
-
Supervisor Digital Health Virtual Care
6 days ago
Ochsner Health New Orleans, United States Full timeWe'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 f ...
-
Food & Beverage Outlets Supervisor
3 weeks ago
Park Hyatt Aviara New Orleans, United States**Food & Beverage Outlets Supervisor** · Hyatt Regency Hyatt Regency New Orleans LA - New Orleans Bars/Restaurants/Outlets Entry Level Manager Full-time 14.00 Hourly US Dollar (USD) pay basis Req ID: NEW010268 Share Food & Beverage Outlets Supervisor via Email **Summary** · Joi ...
-
Travel Nurse
1 week ago
Triage New Orleans, United StatesTriage is seeking an experienced Stepdown Unit Registered Nurse for an exciting Travel Nursing job in New Orleans, LA. Shift: Inquire Start Date: 07/08/2024 Duration: 13 weeks Pay: $ / Week Travel Stepdown/PCU RN | New Orleans, LA · Travel Nursing: Progressive Care Unit New Orle ...
-
Travel Nurse
1 week ago
Triage New Orleans, United StatesTriage is seeking an experienced Intensive Care Unit Registered Nurse for an exciting Travel Nursing job in New Orleans, LA. Shift: Inquire Start Date: 06/24/2024 Duration: 12 weeks Pay: $ / Week Travel ICU RN | New Orleans, LA · Travel Nursing: Intensive Care Unit New Orleans · ...
-
Travel Nurse
1 week ago
Triage New Orleans, United StatesTriage is seeking an experienced Intensive Care Unit Registered Nurse for an exciting Travel Nursing job in New Orleans, LA. Shift: Inquire Start Date: 07/02/2024 Duration: 13 weeks Pay: $ / Week Travel ICU RN | New Orleans, LA · Travel Nursing: Intensive Care Unit New Orleans · ...
-
Massage Therapist
1 week ago
Marriott International, Inc New Orleans, United States Part timeAdditional Information Pay: $7.25/hour, Weekend Availability, Part Time · Job Number · Job Category Spa · Location The Ritz-Carlton New Orleans, 921 Canal Street, New Orleans, Louisiana, United States VIEW ON MAP · Schedule Part-Time · Located Remotely? N · Relocation? N · Posit ...
-
Animal Care Trainee, Primate Research Center
3 weeks ago
InsideHigherEd New Orleans, United States Administrative Jobs ,Animal Care Trainee, Primate Research CenterTulane National Primate Research Center Veterinary MedicineLocation: Covington, LA · SummaryThe Animal Care Trainee will be working at the Tulane National Primate Research Center located in Covington, Louisiana. · The Animal Care Train ...
-
RN Staff Nurse- Behavioral Health
2 weeks ago
Children's Hospital New Orleans New Orleans, United States Full timeJOB DESCRIPTION LCMC Health · We are a New Orleans-based, non-profit health system on a mission: to provide the best possible care for every person and parish in Louisiana and beyond, and to put a little more heart and soul into healthcare along the way. And that means we do t ...
-
Rad/ CT Tech
6 days ago
eTeam Inc Crescent City, United StatesSkills: · Licensure/Certification: AART License - Required BLS-HCP - Required CA Fluoroscopy License - Required · Experience: · Must have a minimum of two years experience as a Registered Radiology Tech with demonstrated competency in two or more modalities. Must be competent i ...
-
New Orleans East Hospital New Orleans, United States Full timeJOB DESCRIPTION Your job is more than a job. · If you've got a great heart and passion for nursing, you belong here. Building a sense of connection is vital to your growth and progression as a nurse and it's embedded in every little thing we do at LCMC Health. · If you sweat th ...
-
eTeam Inc Crescent City, United StatesJob Title: RN Med Surg · Location: Crescent City, CA · Pay Rate:$ 3,000-$ 3,200 weekly · Duration: 13 Weeks · Shift : Night Shift( 12 x 3) · Required:BLS + ACLS from AHA · NIHSS Certification · 2 years Med Surg Experience · Active California RN License · Job Description: · One y ...
-
Animal Care Technician II
3 weeks ago
Tulane University New Orleans, United States StaffSummary · The Department of Comparative Medicine (DCM) supports the research activities of Tulane University faculty, staff, and students by fostering a comprehensive program of quality animal care. The Animal Care Technician II is an intermediate level position that builds skil ...
-
Nurse Practitioner
2 weeks ago
Dependable Staffing Agency Crescent City, United StatesCompany: Dependable Staffing Agency · Location: Crescent City, California (PBSP) · Employment Type: Contract 6+ Months · About Us · Dependable Staffing Agency specializes in providing highly qualified healthcare professionals to meet the staffing needs of various healthcare facil ...
-
RN Endoscopy FT
2 weeks ago
Touro Infirmary New Orleans, United States Full timeJOB DESCRIPTION Your job is more than a job. · No one makes it happen like you. As an endoscopy nurse you're all over patient care before, during, and after the procedure like "gravy on rice." You educate your patients about the procedure because you've developed a specialized k ...
-
Registered Nurse
3 days ago
LCMC Health New Orleans, LA, United States Full time*Your job is more than a job* While weekends and holidays are all yours, because you're part of a very specialized calling, you understand that cath lab nursing requires emergent on-call. That means when duty calls, you answer. When it comes to matters of the heart, you live and ...
-
RN Infusion
3 days ago
Touro Infirmary New Orleans, United States Full timeJOB DESCRIPTION Your job is more than a job. · RN for Infusion department. Experience in administering chemotherapy and immunotherapy. · If you've got a great heart and passion for nursing, you belong here. Building a sense of connection is vital to your growth and progression ...
Clinical Care Supervisor - New Orleans, United States - Ochsner Health Plan Inc
Description
Job Description
Education
Required -Bachelor's degree in nursing or other healthcare discipline
Master's degree in Social Work (MSW).
Preferred – Master's degree in Nursing (MSN)
Licensed Certified Social Worker (LCSW).
Work Experience
Required - 3 years of utilization and/or case management experience with a registered nurse license
Master of Social Work (MSW).
Preferred - 3 years of supervisor or leadership experience in a managed care, health plan, or hospital environment.
Certifications
Required – Current registered nurse license in the state of practice
Current Master of Social Work (MSW) license.
Knowledge Skills and Abilities
Job Duties
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.
Normal routine involves no exposure to blood, body fluid or tissue, but exposure or potential for exposure may occur.
The incumbent works with patients who have known or suspected communicable diseases and may enter isolation rooms. The incumbent has 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.
Employee Core Benefits Package Includes: Medical coverage Dental coverage Vision coverage Life insurance & Accidental Death and Dismemberment (AD&D) Short-term and long-term disability Retirement plan Paid-time off (vacation/sick/personal days) / paid holidays Paid parental leave *Benefits are subject to change at any time
Clinical Care Supervisor professionals in New Orleans
-
Nitin Tandan
Non-invasive Cardiologist
-
Sabrina Heavey
Law School Student
-
Elizabeth Tarabour
Registered Dietitian