RN-Acute Care Case Manager

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. Overview 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. Experience - Minimum Required RN with at least one (1) year of clinical experience Experience - Preferred/Desired RN with 3 years of clinical experience with Case Management experience in a hospital or payer setting Education - Minimum Required Diploma or Associate Degree in Nursing Education - Preferred/Desired BSN or MSN Training - Minimum Required Certified Case Manager Special Skills . Special Skills - Minimum Required Critical thinking skills, communication, organization, interpersonal and computer skills. Problem solving; and governmental regulations. Special Skills - Preferred/Desired Critical thinking skills, communication, organization, interpersonal and computer skills. Knowledge of payer requirements; problem solving; and governmental regulations. Licensure RN Licensure - Minimum Required RN Licensure - Preferred/Desired RN;CCM;ACM #J-18808-Ljbffr Baptist Memorial Health Care Corporation