RN-Acute Care Case Manager

RN-Acute Care Case Manager in Memphis, Tennessee, United States

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RN-Acute Care Case Manager

Job ID: 39473

Job Category: Nurse RN

Work Type: Full Time

Work Schedule: Days

Department: Case Management Administration

Facility: BMH Memphis Hospital

Location: Memphis, TN

Overview

Job Summary

Manages 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.

Specifications

Experience

Minimum Required

• RN with at least one (1) year of clinical experience

Preferred/Desired

• RN with 3 years of clinical experience with Case Management experience in a hospital or payer setting

Education

Minimum Required

• Diploma or Associate Degree in Nursing

Preferred/Desired

• BSN or MSN

Training

Minimum Required

Preferred/Desired

• Certified Case Manager

Special Skills

• .

Minimum Required

• Critical thinking skills, communication, organization, interpersonal and computer skills. Problem solving; and governmental regulations.

Preferred/Desired

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

Licensure

• RN

Minimum Required

• RN

Preferred/Desired

• RN;CCM;ACM

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Equal Opportunity

Baptist is an equal employment opportunity employer and prohibits discrimination based on an individual''s race, color, religion, national origin, pregnancy, sex, age, handicap, disability (physical, visual or mental), creed, marital and veteran status, genetic information or any other category protected by federal or state law, with respect to all aspects of the employment process, including recruitment, selection, placement, promotion, wages, benefits and other terms and conditions of employment.

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