RN Case Manager: Care Transitions & Utilization Specialist

Baptist; Memphis (TN); On-site; USD 60,000 - 75,000; Full time

Job summary

Baptist in Memphis, TN, seeks a dedicated RN for case management to oversee patient transitions throughout care. The role emphasizes utilization review, discharge planning, and communication with payers. Required qualifications include an RN with at least one year of clinical experience, along with preferred credentials such as a BSN or Certified Case Manager. Join a vital team in enhancing patient care and ensuring compliance with regulations.

Qualifications

• RN with at least one (1) year of clinical experience.
• Experience with Case Management in a hospital or payer setting preferred.
• Knowledge of payer requirements and governmental regulations.

Responsibilities

• Manage care for specific patient populations and facilitate transitions.
• Conduct Utilization Review and discharge planning.
• Participate in readmission reduction initiatives.

Skills

Critical thinking skills

Communication

Organization

Interpersonal skills

Computer skills

Education

Diploma or Associate Degree in Nursing

BSN or MSN

Job description

Baptist in Memphis, TN, seeks a dedicated RN for case management to oversee patient transitions throughout care. The role emphasizes utilization review, discharge planning, and communication with payers. Required qualifications include an RN with at least one year of clinical experience, along with preferred credentials such as a BSN or Certified Case Manager. Join a vital team in enhancing patient care and ensuring compliance with regulations.