RN-Case Manager Lead: Population Care Coordinator
7 days ago
About the Role
As a RN-Case Manager Lead at Baptist Memorial Health Care, you will play a vital role in managing the care for a specific population. Your primary responsibility will be to facilitate the safe transition of patients throughout the continuum of care, ensuring appropriate utilization of resources, service delivery, and compliance with federal and other payer requirements.
Key Responsibilities
Bolstering your skills as a critical thinker, you will:
- Perform Utilization Review and Precertification to guarantee seamless patient care
- Lead Discharge Planning initiatives to optimize resource allocation
- Promote Readmission Reduction Participation to enhance patient outcomes
- Facilitate Payer Communication and Denial Reduction to ensure timely reimbursements
- Collaborate with Cross-Functional Teams to drive successful patient transitions
Requirements and Qualifications
To succeed in this position, you should possess:
- A Strong Educational Background with a preferred BSN or MSN degree, or a minimum diploma or associate's degree in nursing
- Substantial Clinical Experience as a RN, preferably with 5 years of case management experience in a hospital or payer setting
- Ongoing Professional Development with certifications such as CCM, ACM, or RN
About Our Benefits
We offer a comprehensive compensation package that includes:
- $75,000 - $90,000 Per Year, depending on experience
- Paid Vacation/Time Off to recharge and refocus
- Continuing Education Opportunities to expand your skillset
- Generous Retirement Plan to secure your future
- Health Insurance with dental and vision coverage
- Sick Leave to manage personal well-being
- Service Awards to recognize dedication
- Free Parking for added convenience
- Short-term Disability for added security
- Life Insurance for peace of mind
- Healthcare and Dependent Care Spending Accounts to save for expenses
- Education Assistance/Continuing Education to boost your career
- Employee Referral Program to reward networking efforts
About Us
Baptist Memorial Health Care is a leading healthcare provider committed to delivering high-quality care. We pride ourselves on our values-driven approach and strive to create a supportive work environment that fosters growth and collaboration. Join our team and become part of a dynamic organization dedicated to making a difference in the lives of our patients and community.
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