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.

　　Requirements, Preferences and Experience

　　Education

　　Preferred: BSN or MSN

　　Minimum: Diploma or Associate Degree in Nursing

　　Experience

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

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

　　Licensure, Registration, Certification

　　Preferred: RN;CCM;ACM

　　Minimum: RN

　　Special Skills

　　Preferred: 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.

　　Training

　　Preferred: Certified Case Manager

　　About Baptist Memorial Health Care

　　At 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 program

　　Job Summary:

　　Position: 3286 - RN-Case Manager

　　Facility: AC Medical Alternatives - Memphis

　　Department: AC Medical Alternatives BMHSI Metro

　　Category: Nurse RN

　　Type: Clinical

　　Work Type: Full Time

　　Work Schedule: Days

　　Location: US:TN:Memphis

　　Located in the Memphis metro area REQNUMBER: 19228