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Overview



Summary

Recommends the most efficient, cost effective utilization of resources within the continuum of care, prior to the delivery of services. Evaluates, assesses, plans and facilitates a plan of care. Precertifies inpatient and outpatient services. Some overtime and call back is required. This position is under the general direction of the Director for Medical Review Services/Case Management. Performs other duties as assigned.

Responsibilities

+ Assesses and evaluates clinical and financial information available and recommends the most appropriate setting for service delivery, including level of care in order to optimize resource consumption and reimbursement.

+ Precertifies patient care services that require precertification, as identified, in a timely, efficient manner, in order to optimize reimbursement for the patient, as well as health care providers.

+ Communicates recommendations, clinical information, and fiscal information to appropriate internal and external customers in order to facilitate optimal delivery of services and customer satisfaction.

+ Participates in the planning, data collection, and analysis phases of performance improvement activities in order to maximize the patient placement/precertification process.

+ Completes assigned goals.

Requirements, Preferences and Experience

Experience

Preferred: Prefer additional two years of quality/utilization management or dischage planning experience.

Minimum: LPN with three (3) years of acute care experience; or an individual with 5 years of utilization management/case management experience.

Licensure, Registration, Certification

Preferred: LPN

Special Skills

Minimum: Excellent communication skills. Advanced computer literacy skills.

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: 5047 - Specialist-Patient Placement LPN

Facility: BMH - North Mississippi Oxford Hospital

Department: NM Scheduling BMH North MS

Category: Nurse LPN

Type: Non Clinical

Work Type: PRN

Work Schedule: Days

Located in the Oxford, MS metro area

REQNUMBER: 27696