RN-Case Manager

Baptist Memorial Health Care; Memphis (TN); On-site; USD 48,000 - 95,000; Full time

Job summary

A leading healthcare organization seeks an RN-Case Manager to manage patient care transitions effectively. The role involves utilizing clinical experience to ensure compliance with care standards and regulations, while enhancing patient outcomes across the healthcare continuum.

Benefits

Sign-on bonus of $2,500

Qualifications

• Minimum 1 year clinical experience required.
• Preferred 3 years experience with Case Management in hospital or payer setting.
• Licensed RN with a Diploma, Associate, BSN, or MSN.

Responsibilities

• Manage care for specific population and facilitate safe patient transitions.
• Conduct utilization reviews and discharge planning.
• Participate in readmission reduction and payer communications.

Skills

Critical thinking

Communication

Organization

Interpersonal skills

Problem solving

Education

Diploma or Associate Degree in Nursing

BSN or MSN

Certified Case Manager

Job description

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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.

Overview

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

Seniority level

• Seniority level

  Entry level

Employment type

• Employment type

  Other

Job function

• Job function

  Health Care Provider

• Industries

  Hospitals and Health Care

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