RN-Case Manager
4 weeks ago
As a RN-Case Manager at Baptist Memorial Health Care, you will play a vital role in managing the care for a specific population, ensuring the safe transition of patients throughout the continuum of care. Your primary focus will be on facilitating the appropriate utilization of resources, service delivery, and compliance with federal and other payer requirements.
Key Responsibilities:
- Early assessment of transitional needs identified during hospitalization, illness, and/or life situation
- Utilization Review
- Discharge planning
- Readmission Reduction Participation
- Payer Communication and denial reduction
Requirements:
- BSN or MSN preferred
- RN with at least one (1) year of clinical experience
- Licensure, Registration, Certification: RN;CCM;ACM preferred
Preferred Skills:
- Critical thinking skills
- Communication, organization, interpersonal, and computer skills
- Knowledge of payer requirements, problem-solving, and governmental regulations
About Baptist Memorial Health Care:
We offer a competitive compensation and benefits package, including paid vacation/time off, continuing education opportunities, and a generous retirement plan. Our goal is to provide a work environment that supports the well-being of our employees and allows them to grow professionally and personally.
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