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.
- Specifications
Experience
- 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
- Education
- Diploma or Associate Degree in Nursing
- BSN or MSN
- Training
- Certified Case Manager
- Special Skills
- Critical thinking skills, communication, organization, interpersonal and computer skills. Problem solving; and governmental regulations.
- Critical thinking skills, communication, organization, interpersonal and computer skills. Knowledge of payer requirements; problem solving; and governmental regulations.
- Licensure
- RN
- RN;CCM;ACM
- .
Preferred Qualifications
- Preferred/Desired
About BMH Memphis Hospital
Non-profit health system providing comprehensive patient care services.
Visit company websiteApply for this job in 1 click
Skip the repetitive application forms
Install the Base Career Chrome Extension and autofill job applications across major job boards with your profile.
Trusted by over 500,000 job seekers on Base Career
More from this employer
More jobs at BMH Memphis Hospital
Technologist-Medical
Memphis, USA
Coordinator-Health Unit
Brandon, USA
Technician-Emergency Department
Yazoo City, USA
RN-OB/GYN (PRN II)
Columbus, USA
RN-L & D (FT)
Columbus, USA
Graduate Medical Education Program Supervisor
Memphis, USA
Representative-Admissions
Jackson, USA
LPN-Expanded II
Calhoun City, USA