Specialist-Patient Placement

Specialist-Patient Placement

Job ID: 43380

Job Category: Nursing Support & Patient Care

Work Type: Full Time

Work Schedule: Days

Department: Centralized Patient Access Center

Facility: BMHCC System Services

Location: Memphis, TN

Overview

Description

Job Summary:

Recommends the most efficient, cost-effective utilization of resources within the continuum of care, prior

to the delivery of services. Evaluates, assesses, plans, and facilitates a plan of care. Obtains/Validates

insurance prior authorizations and pre-certification for inpatient and/or outpatient healthcare services.

Some overtime and call back is required. This position is under the general direction of the leadership of

Centralized Patient Access or Baptist Connected Center-Corporate. Performs other duties as assigned

Job Responsibilities:

• Assesses and evaluates clinical and financial information available and recommends the most

appropriate setting for service delivery, including level of care in order to optimize resource

consumption and reimbursement.

• Precertifies patient care services that require precertification, as identified, in a timely, efficient

manner, in order to optimize reimbursement for the patient, as well as health care providers.

• Communicates recommendations, clinical information, and fiscal information to appropriate

internal and external customers in order to facilitate optimal delivery of services and customer

satisfaction.

• Participates in the planning, data collection, and analysis phases of performance improvement

activities in order to maximize the patient placement/precertification process.

• Completes assigned goals

Experience:

Minimum Required

5 years of business/clinical experience in a healthcare

Preferred/Desired

8 years of business/clinical experience in a healthcare

Education:

Minimum Required

Associates degree or equivalent years of work experience.

Preferred/Desired

Bachelor''s degree or equivalent years of work experience

Special Skills:

Minimum Required

Excellent communication skills. Advanced computer literacy skills

Share this job: share to e-mail