RN Case Manager: Care Transitions & Utilization

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

Job summary

Baptist Memorial Health Care is seeking an experienced registered nurse for case management in Mississippi. The role focuses on coordinating care across the continuum, ensuring safe transitions and appropriate resource use during hospitalization.

Responsibilities include utilization review, discharge planning, and collaboration with payers to reduce denials, while meeting defined goals in a hospital setting.

Qualifications

• RN with at least 1 year of clinical experience.
• Diploma or Associate Degree in Nursing.
• BSN or MSN preferred.
• RN licensure required.
• CCM/ACM certification preferred.

Responsibilities

• Utilization Review.
• Discharge planning.
• Participate in readmission reduction initiatives.
• Payer communication to reduce denials.
• Complete assigned goals.

Skills

Critical thinking

Communication

Organization

Interpersonal skills

Computer skills

Problem solving

Government regulations

Education

Diploma or Associate

Job description

Baptist Memorial Health Care is seeking an experienced registered nurse for case management in Mississippi. The role focuses on coordinating care across the continuum, ensuring safe transitions and appropriate resource use during hospitalization.

Responsibilities include utilization review, discharge planning, and collaboration with payers to reduce denials, while meeting defined goals in a hospital setting.