SummaryManages the care for a specific population; facilitates the safe transition of patients throughout the continuum of care for appropriate utilization of resources, service delivery and compliance with federal and other payer requirements. Provides early assessment of transitional needs identified during their hospitalization, illness, and/or life situation. Performs other duties as assigned.Responsibilities Utilization Review Discharge planning Readmission Reduction Participation Payer Communication and denial reduction Completes assigned goals.Requirements, Preferences and ExperienceEducationPreferred: BSN or MSNMinimum: Diploma or Associate Degree in NursingExperiencePreferred: RN with 3 years of clinical experience with Case Management experience in a hospital or payer settingMinimum: RN with at least one (1) year of clinical experienceLicensure, Registration, CertificationPreferred: RN;CCM;ACMMinimum: RNSpecial SkillsPreferred: Critical thinking skills, communication, organization, interpersonal and computer skills. Knowledge of payer requirements; problem solving; and governmental regulations.Minimum: Critical thinking skills, communication, organization, interpersonal and computer skills. Problem solving; and governmental regulations.TrainingPreferred: Certified Case ManagerAbout Baptist Memorial Health CareAt Baptist, we owe our success to our colleagues, who have both technical expertise and a compassionate attitude. Every day they carry out Christ's three-fold ministry-healing, preaching and teaching. And, we reward their efforts with compensation and benefits packages that are highly competitive in the Mid-South health care community. For two consecutive years, Baptist has won a Best in Benefits award for offering the best benefit plans compared with their peer groups. Winners are chosen based on plan designs, premiums and the results of a Benefits Benchmarking Survey.At Baptist, We Offer: Competitive salaries Paid vacation/time off Continuing education opportunities Generous retirement plan Health insurance, including dental and vision Sick leave Service awards Free parking Short-term disability Life insurance Health care and dependent care spending accounts Education assistance/continuing education Employee referral programJob Summary:Position: 1913 - RN-Case ManagerFacility: BMH - Memphis HospitalDepartment: ME Case Management Admin Baptist MemphisCategory: Nurse RNType: Non ClinicalWork Type: Full TimeWork Schedule: RotatingLocation: US:TN:MemphisLocated in the Memphis metro area REQNUMBER: 19227#J-18808-Ljbffr

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