Promotes patient-centered care among the healthcare team by providing coordination, collaboration and clinical expertise to meet patient needs and achieve optimal outcomes. Promotes prudent utilization of all resources. Serves as the patient's advocate by coordinating resources and services necessary to meet the patient's continuing care needs. Reviews and evaluates medical documentation with physicians and other healthcare members to support compliance and external regulatory requirements and to improve outcomes of care. Assists in Performance Improvement activities by identifying, monitoring and reporting quality measures, and participating in quality improvement teams. Communicates and utilizes policies that support patient's fundamental right to considerate care, protects their personal dignity and respects their cultural, psychosocial and spiritual values in an effort to meet patient care needs and preferences. Reports to the Supervisor of Case Management/Director of Quality/Case Management.
DescriptionMinimum RequiredPreferred / Desired
Diploma or Associate Degree in NursingBachelor's in Nursing
2 years of clinical experience3 years of clinical experience with Case Management experience in a hospital or payer setting
.Critical thinking skills, communication, organization, interpersonal and computer skills. Knowledge of payer requirements; problem solving; and governmental regulations.Critical thinking skills, communication, organization, interpersonal and computer skills. Knowledge of payer requirements; problem solving; and governmental regulations.
RNRNACM , CCM , RN
Does this position formally supervise employees?No
If set to YES, then this position has the authority (delegated) to hire, terminate, discipline, promote or effectively recommend such to manager
BOT Position Code #: 3284
Department Name: DC CASE MANAGEMENT-ADMIN
External Company Name: Baptist Memorial Health Care Corporation
External Company URL: http://www.baptistonline.org
Street: 7601 SOUTHCREST PARKWAY