RN-Acute Case Manager

Baptist Memorial Health Care Corporation; Memphis (TN); On-site; USD 60,000 - 75,000; Full time

Job summary

Baptist Memorial Health Care Corporation in Memphis, TN seeks an experienced Registered Nurse for Case Management Administration. You will oversee care for a specific patient population, facilitate safe transitions, coordinate resources, and ensure compliance with payer requirements.

Responsibilities include utilization review, discharge planning, and collaboration with payers to reduce denials. You should have nursing licensure, 1 year minimum, BSN preferred, CCM certification desirable.

Qualifications

• RN with at least one year of clinical experience.
• BSN or MSN preferred.
• Certified Case Manager (CCM) training/designation preferred.

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

Government regulations

Education

Diploma or Associate Degree in Nursing

BSN or MSN (preferred)

Job description

• Department Case Management Administration

Job Description

Job Summary

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.

Job Summary

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

Minimum Required

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