Job detail

RN-Acute Care Case Manager

Baptist

#Compliance #RN #Clinical Experience #Patient Care #Discharge Planning #Case Manager #Continuum of Care #Hospital Setting #Resource Utilization #Utilization Review #Federal Requirements #CCM

Full Time On Site 0-2 yrsPosted 3 months ago

Location

Memphis, Tennessee

Quick overview

The Case Manager manages care for a specific patient population, facilitating safe transitions across the continuum of care for appropriate resource utilization and compliance with payer requirements. This involves early assessment of transitional needs identified during hospitalization, illness, or life situations.

Requirements summary

Minimum requirements include being an RN with at least one year of clinical experience, along with strong critical thinking, communication, organization, interpersonal, and computer skills. Preferred qualifications include three years of clinical experience with Case Management in a hospital or payer setting, and a BSN or MSN.

associate degreebachelor degreepostgraduate degreeInterpersonal SkillsCommunicationProblem SolvingOrganizationComputer SkillsCritical ThinkingDischarge PlanningUtilization ReviewPayer CommunicationGovernmental Regulations

Job description

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