RN-Acute Care Case Manager

Baptist Memorial Health Care; Memphis (TN); On-site; USD 60,000 - 80,000; Full time

Job summary

A healthcare organization in Memphis, TN, is seeking a Registered Nurse to manage care for specific patient populations. Responsibilities include utilization review, discharge planning, and communicating with payers to reduce denials. The role requires at least one year of clinical experience and preferably a BSN. Ideal candidates will have strong critical thinking and communication skills, as well as relevant certifications in case management.

Qualifications

• RN with at least one (1) year of clinical experience.
• BSN or MSN preferred.
• 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

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

Preferred/Desired

Minimum Required

• 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