RN-Acute Care Case Manager

Baptist; Memphis (TN); On-site; USD 55,000 - 75,000; Full time

Job summary

A healthcare organization in Memphis, Tennessee, seeks an RN to manage care for specific populations and ensure safe patient transitions. Candidates must have at least one year of clinical experience, preferably in case management. A Diploma or Associate Degree in Nursing is required, with a preference for a BSN or MSN. Essential skills include critical thinking, communication, and problem solving. This role involves responsibilities in Utilization Review, discharge planning, and compliance with healthcare regulations.

Qualifications

• RN with at least one (1) year of clinical experience.
• RN with 3 years of clinical experience with Case Management experience in a hospital or payer setting.
• Certified Case Manager preferred.

Responsibilities

• Manages the care for a specific population.
• Facilitates the safe transition of patients throughout the continuum of care.
• Performs Utilization Review and discharge planning.

Skills

Critical thinking skills

Communication

Organization

Interpersonal skills

Computer skills

Problem solving

Education

Diploma or Associate Degree in Nursing

BSN or MSN

Job description

Overview

Manages the care for a specific population; facilitates the safe transition of patients throughout the continuum of care for appropriate utilization of resources, service delivery and compliance with federal and other payer requirements. Provides early assessment of transitional needs identified during their hospitalization, illness, and/or life situation. Performs other duties as assigned.

Responsibilities

• Utilization Review
• Discharge planning
• Readmission Reduction Participation
• Payer Communication and denial reduction
• Completes assigned goals.

Specifications

Experience

Minimum Required

• RN with at least one (1) year of clinical experience

Preferred/Desired

• RN with 3 years of clinical experience with Case Management experience in a hospital or payer setting

Education

Minimum Required

• Diploma or Associate Degree in Nursing

Preferred/Desired

• BSN or MSN

Training

Preferred/Desired

• Certified Case Manager

Special Skills

• .

Minimum Required

• Critical thinking skills, communication, organization, interpersonal and computer skills. Problem solving; and governmental regulations.

Preferred/Desired

• Critical thinking skills, communication, organization, interpersonal and computer skills. Knowledge of payer requirements; problem solving; and governmental regulations.

Licensure

• RN

Minimum Required

• RN

Preferred/Desired

• RN;CCM;ACM