• RN-Case Manager - BMH Women's

    Baptist Memorial (Memphis, TN)


    Overview

     

    

    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: 3281 - RN-Case Manager

     

    Facility: BMH - Women's Hospital

     

    Department: WH Case Management Admin BMH Women's

     

    Category: Nurse RN

     

    Type: Clinical

     

    Work Type: Full Time

     

    Work Schedule: Days

     

    Located in the Memphis metro area

    REQNUMBER: 26788