RN-Case Manager
Baptist•Memphis, TN
14d
About The Position
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.
Requirements
- RN with at least one (1) year of clinical experience
- Diploma or Associate Degree in Nursing
- Critical thinking skills, communication, organization, interpersonal and computer skills.
- Problem solving
- Governmental regulations
- RN
Nice To Haves
- RN with 3 years of clinical experience with Case Management experience in a hospital or payer setting
- BSN or MSN
- Critical thinking skills, communication, organization, interpersonal and computer skills.
- Knowledge of payer requirements
- Problem solving
- Governmental regulations
- RN
- CCM
- ACM
Responsibilities
- Utilization Review
- Discharge planning
- Readmission Reduction
- Participation
- Payer Communication and denial reduction
- Completes assigned goals.
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What This Job Offers
Education Level
Associate degree
Number of Employees
5,001-10,000 employees
