RN Case Manager: Care Transitions & Utilization Expert

Baptist Memorial Health Care Corporation; Memphis (TN); On-site; USD 65,000 - 90,000; Full time

Job summary

Baptist Memorial Health Care Corporation is seeking an RN to manage care for a specific patient population, coordinating transitions, ensuring appropriate utilization of resources, and complying with payer requirements. The role includes early assessment of transitional needs during hospitalization and related duties.

The position focuses on utilization review, discharge planning, and collaboration with payers to reduce denials and optimize throughput within the hospital system.

Qualifications

• Minimum: Diploma or Associate Degree in Nursing.
• Preferred: BSN or MSN.

Responsibilities

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

Job description

Baptist Memorial Health Care Corporation is seeking an RN to manage care for a specific patient population, coordinating transitions, ensuring appropriate utilization of resources, and complying with payer requirements. The role includes early assessment of transitional needs during hospitalization and related duties.

The position focuses on utilization review, discharge planning, and collaboration with payers to reduce denials and optimize throughput within the hospital system.