RN-Case Manager Lead
3 weeks ago
As a RN-Case Manager Lead at Baptist Memorial Healthcare Corporation, 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 include:
- Early assessment of transitional needs identified during hospitalization, illness, and/or life situation
- Utilization Review and precertification
- Discharge planning
- Readmission Reduction Participation
- Payer Communication and denial reduction
You will also be responsible for completing assigned goals and providing direction and guidance to others regarding practice, serving as a resource, preceptor, and mentor. Leadership skills demonstrated in decision making and problem solving are essential for this role.
Requirements and Preferences:
- Education: BSN or MSN
- Experience: RN with 5 years of clinical experience and Case Management experience in a hospital or payer setting
- Licensure, Registration, Certification: RN;CCM;ACM
- Special Skills: Critical thinking skills, communication, organization, interpersonal and computer skills, knowledge of payer requirements, problem solving, and governmental regulations
About Baptist Memorial Healthcare Corporation:
We are a healthcare organization that values our colleagues and rewards their efforts with competitive compensation and benefits packages. We offer a range of benefits, including paid vacation/time off, continuing education opportunities, generous retirement plan, health insurance, and more.
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