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EmployerBaptist Memorial Health Care
Location Oxford, MS USA
PostedJuly 21, 2021

Job Details

RN-Case Manager
Job Responsibilities

Utilization Review

Discharge planning

Readmission Reduction Participation

Payer Communication and denial reduction

Completes assigned goals.

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.

Education

Description

Minimum Required

Preferred/Desired

Diploma or Associate Degree in Nursing

BSN or MSN

Experience

Description

Minimum Required

Preferred/Desired

RN with 2 years of clinical experience

RN with 3 years of clinical experience with Case Management experience in a hospital or payer setting

Licensure

Description

Minimum Required

Preferred/Desired

RN

RN

RN;CCM;ACM

BOT Position Code #: 3290

Day Shift: Yes

Department Name: NM Case Mgmt Adminis

External Company Name: Baptist Memorial Health Care Corporation

External Company URL: http://www.baptistonline.org

Street: 1100 Belk Blvd

Overview and Responsibilities:

Job Responsibilities

Utilization Review
Discharge planning
Readmission Reduction Participation
Payer Communication and denial reduction
Completes assigned goals.

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.

Qualifications:

Education

Description
Minimum Required
Preferred/Desired

Diploma or Associate Degree in Nursing

BSN or MSN

Experience

Description
Minimum Required
Preferred/Desired

RN with 2 years of clinical experience

RN with 3 years of clinical experience with Case Management experience in a hospital or payer setting

Licensure

Description
Minimum Required
Preferred/Desired

RN

RN

RN;CCM;ACM

Job #NLX188341434