RN Case Manager - Care Transitions & Utilization Expert

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

Job summary

Baptist Memorial Health Care Corporation is seeking an RN with case management responsibilities to oversee patient care transitions and ensure appropriate utilization of resources. The role emphasizes early assessment, discharge planning, and coordination with payers to reduce unnecessary denials.

The ideal candidate has 1 year of clinical RN experience with preferred emphasis in case management. Diploma/Associate degree required, BSN/MSN preferred, and CCM/ ACM certification may be considered.

Qualifications

• RN with at least 1 year of clinical experience.
• Diploma or Associate Degree in Nursing required.
• BSN/MSN preferred for advancement.

Responsibilities

• Manages care for a specific population and facilitates safe transitions across the continuum of care.
• Supports utilization review, discharge planning, and readmission reduction efforts.
• Maintains payer communications and supports denial reduction strategies.
• Completes assigned goals and adheres to regulatory requirements.

Skills

Critical thinking

Communication

Organization

Interpersonal skills

Computer skills

Problem solving

Regulatory knowledge

Education

Diploma or Associate Degree in Nursing

BSN or MSN (preferred)

Job description

Baptist Memorial Health Care Corporation is seeking an RN with case management responsibilities to oversee patient care transitions and ensure appropriate utilization of resources. The role emphasizes early assessment, discharge planning, and coordination with payers to reduce unnecessary denials.

The ideal candidate has 1 year of clinical RN experience with preferred emphasis in case management. Diploma/Associate degree required, BSN/MSN preferred, and CCM/ ACM certification may be considered.