Acute Care Case Manager, RN | Discharge & Utilization

Baptist Memorial Health Care Corporation; Memphis (TN); On-site; USD 65,000 - 85,000; Full time

Job summary

Baptist Memorial Health Care Corporation is seeking an RN Case Manager to oversee care coordination for a defined patient population within a hospital setting. Responsibilities include utilization review, discharge planning, and active participation in reducing readmissions and payer denials.

The role emphasizes critical thinking, strong communication, and adherence to regulatory requirements, with preferred experience in case management in hospital or payer environments.

Qualifications

• RN with at least one year of clinical experience.
• Certification in case management is preferred.
• Familiarity with payer requirements and regulations.

Responsibilities

• Utilization Review
• Discharge planning
• Readmission reduction participation
• Payer communication and denial reduction
• Completes assigned goals

Skills

Critical thinking

Communication

Organization

Interpersonal skills

Computer skills

Problem solving

Regulatory knowledge

Education

Diploma or Associate Degree in Nursing

BSN or MSN

Job description

Baptist Memorial Health Care Corporation is seeking an RN Case Manager to oversee care coordination for a defined patient population within a hospital setting. Responsibilities include utilization review, discharge planning, and active participation in reducing readmissions and payer denials.

The role emphasizes critical thinking, strong communication, and adherence to regulatory requirements, with preferred experience in case management in hospital or payer environments.