What are the responsibilities and job description for the RN-Case Manager Lead position at Baptist Memorial Health Care?
Summary
Manages the transition team of Nurses at Medical Alternatives. Manages the care for a specific population; facilitates the safe transitions 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 the hospitalization, illness, and/or life situation. Performs other duties as assigned.
Responsibilities
Management of intake department
Prepares Intake/teaching nurses schedules to ensure appropriate staffing
Implementation of strategies to increase revenues and market share
Provides support through assessment and follow-ups with internal and external referral sources
Oversee admissions processes
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 year of clinical experience with Case management experience in a hospital or payer setting
Minimum: RN with at least one year experience
Licensure, Registration, Certification
Preferred: RN;CCM;ACM
Minimum: RN
Special Skills: Critical thinking skills, communication, organization, interpersonal and computer skills. Knowledge of payer requirements,, problem solving and governmental regulations
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:
Job Summary:
Position: 20440 - RN-Case Manager Lead
Facility: AC Medical Alternatives - Memphis
Department: AC Medical Alternatives BMHSI Metro
Category: Nurse RN
Type: Clinical
Work Type: Full Time
Work Schedule: Days
Location: US:TN:Memphis
Located in the Memphis metro area
Manages the transition team of Nurses at Medical Alternatives. Manages the care for a specific population; facilitates the safe transitions 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 the hospitalization, illness, and/or life situation. Performs other duties as assigned.
Responsibilities
Management of intake department
Prepares Intake/teaching nurses schedules to ensure appropriate staffing
Implementation of strategies to increase revenues and market share
Provides support through assessment and follow-ups with internal and external referral sources
Oversee admissions processes
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 year of clinical experience with Case management experience in a hospital or payer setting
Minimum: RN with at least one year experience
Licensure, Registration, Certification
Preferred: RN;CCM;ACM
Minimum: RN
Special Skills: Critical thinking skills, communication, organization, interpersonal and computer skills. Knowledge of payer requirements,, problem solving and governmental regulations
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: 20440 - RN-Case Manager Lead
Facility: AC Medical Alternatives - Memphis
Department: AC Medical Alternatives BMHSI Metro
Category: Nurse RN
Type: Clinical
Work Type: Full Time
Work Schedule: Days
Location: US:TN:Memphis
Located in the Memphis metro area
