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Case Manager RN
1 month ago
Job Summary:
The Case Manager Registered Nurse is responsible for the overall development and management of the Cooperative Care Program. This role requires a strong clinical background and excellent communication skills to effectively manage patient care and ensure quality outcomes.
Key Responsibilities:
- Develop and implement cost-effective strategies to improve patient outcomes.
- Maintain knowledge of current and future trends in the healthcare environment, including payer policies and requirements.
- Collaborate with physicians, corporate leadership, and other stakeholders to ensure effective relationships and communication.
- Attend designated medical staff meetings to stay informed and provide updates.
- Ensure accuracy and integrity of all data gathered and analyzed in the department.
- Serve as a hospital liaison to third-party payers and facilitate compliance with regulatory agency standards.
- Identify opportunities for quality and utilization improvement in conjunction with physician advisor and medical director.
- Assist with budget preparation and compliance, including capital, expense, and FTE budgets.
- Participate in recruitment and retention efforts, including interviewing and hiring new staff.
- Provide leadership and support to ensure excellence within the department.
- Develop and implement staff and patient education programs related to CCP functions.
- Exhibit creativity and diplomacy in interactions with internal and external customers.
Requirements:
Education and Experience:
Active Kentucky RN license required. Minimum of five years clinical experience and five years of case management experience. CCM certification required. Previous management experience preferred.
Baptist Health is an Equal Employment Opportunity employer.
