RN-Case Manager

Baptist Memorial Health Care; Southaven (MS); On-site; USD 55,000 - 75,000; Full time

Job summary

Baptist Memorial Health Care in Mississippi seeks an RN to manage care for a defined patient population, facilitate safe transitions across the continuum, and ensure appropriate resource use, service delivery, and compliance with federal and payer requirements.

You will perform early assessments of transitional needs identified during hospitalization and life situations, and you may be assigned other duties as needed.

Qualifications

• RN with at least 1 year of clinical experience.
• Diploma or Associate Degree in Nursing required.
• Certified Case Manager (CCM) certification required.

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

Regulations

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.

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.

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

• .

Preferred/Desired

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

Licensure

Minimum Required

• RN

Preferred/Desired

• RN;CCM;ACM