RN Case Manager: Care Transitions & Discharge Expert

Baptist Memorial Health Care Corporation; Southaven (MS); On-site; USD 65,000 - 80,000; Full time

Job summary

Baptist Memorial Health Care Corporation in Mississippi seeks an RN Case Manager to oversee patient care transitions, conduct utilization reviews, and collaborate with care teams to optimize resource use and align with payer requirements.

The role focuses on discharge planning, readmission reduction, and effective payer communications, relying on strong clinical judgment and regulatory knowledge.

Qualifications

• RN with at least one year of clinical experience.
• BSN or MSN preferred for advancement.
• Certified Case Manager training encouraged.

Responsibilities

• Perform Utilization Review activities.
• Coordinate discharge planning and transition of care.
• Participate in Readmission Reduction initiatives.
• Communicate with payers to reduce denials and improve approvals.
• Complete assigned goals and document outcomes.

Skills

Critical thinking

Communication

Organization

Interpersonal skills

Computer skills

Problem solving

Regulatory knowledge

Education

Diploma or Associate Degree in Nursing

BSN or MSN (preferred)

Tools

N/A

Job description

Baptist Memorial Health Care Corporation in Mississippi seeks an RN Case Manager to oversee patient care transitions, conduct utilization reviews, and collaborate with care teams to optimize resource use and align with payer requirements.

The role focuses on discharge planning, readmission reduction, and effective payer communications, relying on strong clinical judgment and regulatory knowledge.