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RN-Case Manager - ME Case Management Admin Baptist Memphis

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  • Job
    Full-time
    Junior & Mid Level
  • Healthcare
  • Memphis

Requirements

  • Preferred: BSN or MSN
  • Minimum: Diploma or Associate Degree in Nursing
  • Preferred: RN with 3 years of clinical experience with Case Management experience in a hospital or payer setting
  • Minimum: RN with at least one (1) year of clinical experience
  • Preferred: RN;CCM;ACM
  • Minimum: RN
  • Preferred: Critical thinking skills, communication, organization, interpersonal and computer skills. Knowledge of payer requirements; problem solving; and governmental regulations.
  • Minimum: Critical thinking skills, communication, organization, interpersonal and computer skills. Problem solving; and governmental regulations.
  • Preferred: Certified Case Manager

Responsibilities

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

FAQs

What is the role of an RN Case Manager at Baptist Memphis?

The RN Case Manager manages care for a specific population, facilitating safe transitions for patients throughout the continuum of care while ensuring appropriate utilization of resources and compliance with federal and payer requirements.

What qualifications are required for this position?

A minimum of a diploma or an associate degree in nursing is required, while a BSN or MSN is preferred.

How much clinical experience is required for applicants?

A minimum of one year of clinical experience is required, with three years of case management experience preferred.

What licenses or certifications are necessary for this job?

A valid RN license is required, with certifications such as CCM or ACM preferred.

What are some key skills needed for this position?

Critical thinking, communication, organization, interpersonal skills, problem-solving, and knowledge of governmental regulations are essential for this role.

Does Baptist Memphis offer any benefits to employees?

Yes, Baptist Memphis offers a variety of benefits, including competitive salaries, paid time off, continuing education opportunities, health insurance, a generous retirement plan, and more.

What type of work schedule can a Case Manager expect?

The RN Case Manager position typically follows a full-time work schedule during the day.

Is training or certification as a case manager preferred for this position?

Yes, being a Certified Case Manager is preferred for the RN Case Manager position.

What are some of the responsibilities of an RN Case Manager?

Responsibilities include performing utilization reviews, discharge planning, participating in readmission reduction initiatives, communicating with payers to reduce denials, and completing assigned goals.

Where is this position located?

The position is located at Baptist Memorial Health Care in Memphis, Tennessee.

Science & Healthcare
Industry
10,001+
Employees

Mission & Purpose

Baptist Memorial Health Care is one of the country’s largest not-for-profit health care systems and the largest provider of Medicaid in the region. Baptist offers a full continuum of care to communities throughout the Mid-South and consistently ranks among the top integrated health care networks in the nation. The health care system comprises 22 affiliate hospitals in West Tennessee, North and Central Mississippi and East Arkansas; more than 5,400 affiliated physicians; Baptist Medical Group, a multispecialty physician group with more than 900 providers; home, hospice and psychiatric care; minor medical centers and clinics; a network of surgery, rehabilitation and other outpatient centers; and an education system highlighted by Baptist Health Sciences University (formerly Baptist College of Health Sciences). Baptist employs more than 19,000 people, and in fiscal year 2020 contributed more than $352 million in community benefit and uncompensated care to the communities it serves