RN Case Manager: Care Transitions & Discharge Expert

Baptist Memorial Health Care Corporation; Southaven (MS); On-site; USD 60,000 - 80,000; Full time

Job summary

Baptist is seeking an RN to manage care for a specific population, ensuring safe transitions and appropriate utilization of resources across the continuum of care. You will perform early assessments during hospitalization and support compliance with payer requirements.

Ideal candidates have 1 year of clinical experience; 3 years in case management in hospital or payer settings is preferred, with BSN/MSN preferred and CCM certification as a plus.

Qualifications

• RN with at least 1 year of clinical experience.
• RN with 3 years of clinical experience in case management preferred in hospital or payer setting.
• Diploma or Associate Degree in Nursing is required.
• BSN or MSN preferred.
• Certified Case Manager (CCM) preferred.

Responsibilities

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

Skills

RN

Case Management

Education

Diploma or ADN

BSN or MSN

Tools

CCM

Job description

• Department Case Management Administration

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.

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