RN-Case Manager

4 weeks ago


Jackson, Mississippi, United States Baptist Memorial Full time

Job Summary:

The RN-Case Manager will be responsible for managing the care of a specific population, ensuring the safe transition of patients throughout the continuum of care. This includes facilitating the appropriate utilization of resources, service delivery, and compliance with federal and other payer requirements.

Responsibilities:

  • Utilization Review
  • Discharge planning
  • Readmission Reduction Participation
  • Payer Communication and denial reduction

Requirements:

  • Education: BSN or MSN (preferred), Diploma or Associate Degree in Nursing (minimum)
  • Experience: RN with 3 years of clinical experience and Case Management experience in a hospital or payer setting (preferred), RN with at least one year of clinical experience (minimum)
  • Licensure, Registration, Certification: RN;CCM;ACM (preferred), RN (minimum)

Special Skills:

  • Critical thinking skills
  • Communication, organization, interpersonal and computer skills
  • Knowledge of payer requirements, problem solving, and governmental regulations

About Baptist Memorial Health Care:

Baptist Memorial Health Care is a leading healthcare provider in the Mid-South region. We offer a competitive compensation and benefits package, including paid vacation/time off, continuing education opportunities, and a generous retirement plan.


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