Case Management PRN

1200 MH-Memphis Hospitals; Memphis (TN); On-site; USD 65,000 - 90,000; Full time

Job summary

1200 MH-Memphis Hospitals is seeking a Case Manager III to coordinate care for an assigned patient group within a hospital setting in Memphis. You will promote inter-disciplinary communication with patients, families, physicians, and the health‑care management team to deliver quality, cost‑effective outcomes.

Required: Bachelor’s Degree in Nursing and TN RN license; 2 years clinical experience and 3–5 years in case management; ACMA accreditation preferred.

Qualifications

• Bachelor’s Degree in Nursing is required.
• Master’s Degree in Nursing is preferred.
• Case Management 3–5 years of experience required.
• Clinical healthcare (acute or hospital) 2 years required.
• Registered Nurse license in TN required.
• Accredited Case Manager (ACMA) certification preferred.

Responsibilities

• Collaborate with the Case Management team to support quality patient care.
• Coordinate discharge planning, authorizations, and post‑discharge activities.
• Identify patients eligible for case management using screening and assessment.
• Educate patients and families; communicate with stakeholders.
• Document and monitor assigned cases; manage resources and length of stay.

Skills

Case management techniques

Communication skills

Plan and prioritization

Critical thinking

Interdisciplinary collaboration

Education

Bachelor’s Degree in Nursing

Master’s Degree in Nursing (Preferred)

Tools

EMR systems

Microsoft Office/Computers

Job description

Overview

The Case Manager III is responsible for coordination of care and service delivery for an assigned group of patients and promoting inter‑dependent communication and collaboration with the patient, caregiver, physician, and other members of the health‑care management team. The Case Manager will assess, implement, coordinate, monitor and evaluate available services and resources to promote quality, cost‑effective outcomes appropriate to patients’ needs and resources. Serves as resource to lead, guide, train and counsel other Case Managers. Models appropriate behavior as exemplified in MLH Mission, Vision and Values.

What you will do

• Performs and participates as part of the Case Management team to support a collaborative effort to facilitate quality patient care.
• This role integrates and coordinates various aspects of service delivery, care facilitation, payer authorizations, service access, discharge and post‑discharge activities, and utilization review.
• Identifies patients that meet criteria for case management services using an appropriate screening and assessment process.
• Communicates necessary information to stakeholders and educates patients and families.
• Plans effectively to meet patient needs, manage authorizations and length of stay, and promote efficient utilization of resources (fiscal, human, environmental, equipment and services).
• Maintains reliable systems to document, track, and monitor assigned cases.
• Performs other job functions as assigned or requested.

Education / Formal Training Requirements

• Preferred – Master’s Degree Nursing
• Required – Bachelor’s Degree Nursing

Work Experience Requirements

• Required – Case Management 3–5 years
• Required – Clinical healthcare (acute or hospital) 2 years

Licenses and Certifications Requirements

• Required – Registered Nurse Tennessee – Tennessee Board of Nursing
• Required – Accredited Case Manager – American Case Management Association
• Preferred – Registered Nurse Arkansas – Arkansas State Board of Nursing
• Preferred – Case Manager – The Commission for Case Manager Certification
• Preferred – Registered Nurse Mississippi – Mississippi Board of Nursing

Knowledge, Skills and Abilities

• Advanced knowledge of case management techniques.
• Knowledge and understanding of complex patient care issues and the ability to intervene in these situations.
• Demonstrated oral and written communication skills.
• General computer skills required, advanced computer skills preferred.
• Demonstrated excellent facilitation skills.
• Exhibits a high level of proficiency in all required Case Management competencies.
• Demonstrated ability to develop and maintain working relationships with physicians and collaborate with health professionals at all levels to achieve established goals.
• Ability to plan and schedule tasks and maintain control of own workflow.
• Ability to use initiative in decision‑making; independent judgment and critical thinking skills.
• Ability to independently determine and develop approach to solutions.

Supervision Provided by this Position

Serves as resource to guide, train and counsel other Case Managers; may lead work team.

Physical Demands

• Climbing, pushing, standing, hearing, walking, reaching, grasping, kneeling, stooping and repetitive motion.
• Must have good balance and coordination.
• Exerting up to 25 lbs. of force occasionally and/or up to 10 lbs. of force frequently.
• Close visual acuity required for activities such as preparing and analyzing data and figures, transcribing, viewing a computer terminal, or extensive reading.
• Frequent non‑invasive patient contact.