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Discharge Planner RN
2 months ago
Baptist Health, a leading healthcare system in central Alabama, is seeking a skilled RN Case Manager to join our team.
The successful candidate will play a critical role in ensuring the efficient utilization of clinical resources, optimal clinical and continuing care, as well as financial outcomes for our patients.
Key Responsibilities:- Assess patient care needs and develop individualized plans to ensure efficient utilization of clinical resources.
- Collaborate with interdisciplinary teams to facilitate optimal clinical and continuing care, as well as financial outcomes.
- Provide a collaborative process of assessment, planning, facilitation, care coordination, evaluation, and advocacy for options and services to meet an individual's and family's comprehensive human service needs.
- Work with patients, families, and healthcare teams to ensure seamless transitions of care across the continuum.
- Complete admission, continued stay, and discharge reviews in accordance with federal regulations and Baptist Health's Utilization Management Plan.
- Reconcile physician orders, bed billing type, and medical necessity to ensure revenue protection.
- BSN degree in Nursing, with at least 2 years of hospital patient care experience.
- Previous experience in home care, reimbursement, or hospital insurance preferred.
- Active RN license required, Case Manager certification preferred.
- Strong oral, written, and interpersonal skills.
- Ability to work independently with minimal supervision.
- Ability to function in a high-stress environment subject to frequent interruptions and changing priorities.