Acute Care, Administrative Management, Case Management, Certified Case Manager (CCM), Clinical Medicine, Computer Skills, Discharge Plans, Government Regulations, Hospital, Interpersonal Skills, Needs Assessment, Nursing, Problem Solving Skills, Registered Nurse (RN), Resource Utilization, Service Delivery, Utilization Management
RN- Acute Care Case Manager
Job ID: 42325
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
Training
Minimum Required
Preferred/Desired
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
Minimum Required
Preferred/Desired
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Baptist Memorial Health Care Corp