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 EducationPreferred: 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 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: 3301 - RN-Case ManagerFacility: BMH - Huntingdon HospitalDepartment: CC Case Mgmt Administration BMH Carroll CountyCategory: Nurse RNType: ClinicalWork Type: Full TimeWork Schedule: DaysLocation: US:TN:Huntingdon REQNUMBER: 22256