RN-Case Manager
Role Overview
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.
Full Job Posting
Responsibilities
- Utilization Review
- Discharge planning
- Readmission Reduction Participation
- Payer Communication and denial reduction
- Completes assigned goals.
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
Minimum Required
Diploma or Associate Degree in Nursing
Preferred/Desired
BSN or MSN
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
Preferred/Desired
RN;CCM;ACM
Requirements
- .
About Baptist Memorial Hospital-Memphis
Parent group profile
Baptist Memorial Health Care
Non-profit health system providing comprehensive patient care services.
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