Case Management Rep - Our Lady of Lourdes Women's & Children's Hospital

About Us

About UsOur Lady of Lourdes is a regional acute care medical center focused on the healing ministry of Jesus Christ. Our Lady of Lourdes is a part of the Franciscan Missionaries of Our Lady Health System, which is the largest locally owned, not-for-profit, Catholic health system in Louisiana. As such, our hospital has access to a great many resources across the state and Mississippi - helping us to fulfill our mission.Our hospital employs more than 2,200 people and offers a physician staff of over 600 doctors in a variety of medical and surgical specialties. Lourdes’ services include Centers of Excellence in the areas of Orthopedics, Stroke and a Robotics Surgery Program. The hospital is home to the only burn unit in Southwest Louisiana and a Commission on Cancer accredited oncology program. Our Lady of Lourdes operates Our Lady of Lourdes Heart Hospital, a premier 32-bed cardiac facility and Our Lady of Lourdes Women’s & Children’s Hospital offering the area’s only Pediatric Intensive Care Unit, Level 3 Surgical Neonatal Intensive Care Unit and Women’s Health Care Unit. With additional services including multiple clinics, four imaging locations and a primary care physician network, Lourdes provides easy access to comprehensive care throughout the community.What Makes Us Different?At Our Lady of Lourdes we offer you much more than just a job in the healthcare industry. We offer career opportunities for people who have a calling to share their gifts and talents as part of our healing ministry. As part of the Franciscan Missionaries of Our Lady Health System, we are here to create a spirit of healing - and we invite you to join our team today if you would like to be part of that spirit. In addition to competitive salaries and generous benefits, we offer you something special - the chance to do God's work by helping to serve people in need throughout our community, every day.Job SummaryThe Case Management Rep coordinates the day-to-day operations of Utilization Management by directing all denials and appeals to the appropriate person or team. The CMR will submit reviews in a timely manner for payers and prepares daily assignments for them. Review, index, and/or respond appropriately to payor communication via OnBase. Serves as the liaison between various departments in the hospital, including HIM, Business Office, physicians' offices, and Access Services. Coordinates and tracks data, running reports as needed. DescriptionMinimum RequiredEducationHigh School or equivalent