RN-Case Manager

Baptist Memorial Health Care Corporation; Memphis (TN); On-site; USD 65,000 - 90,000; Full time

Job summary

Baptist Memorial Health Care Corporation is seeking an RN to manage care for a specific patient population, coordinating transitions, ensuring appropriate utilization of resources, and complying with payer requirements. The role includes early assessment of transitional needs during hospitalization and related duties.

The position focuses on utilization review, discharge planning, and collaboration with payers to reduce denials and optimize throughput within the hospital system.

Qualifications

• Minimum: Diploma or Associate Degree in Nursing.
• Preferred: BSN or MSN.

Responsibilities

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

Job description

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

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