RN-Case Manager - JS Case Management Administration MBMC

SummaryManages 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.ResponsibilitiesUtilization ReviewDischarge planningReadmission Reduction ParticipationPayer Communication and denial reductionCompletes assigned goals.Requirements, Preferences and ExperienceEducationPreferred: BSN or MSNMinimum: Diploma or Associate Degree in NursingExperiencePreferred: RN with 3 years of clinical experience with Case Management experience in a hospital or payer settingMinimum: RN with at least one (1) year of clinical experienceLicensure, Registration, CertificationPreferred: RN;CCM;ACMMinimum: RNSpecial SkillsPreferred: 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.TrainingPreferred: Certified Case ManagerAbout Baptist Memorial Health CareAt 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 salariesPaid vacation/time offContinuing education opportunitiesGenerous retirement planHealth insurance, including dental and visionSick leaveService awardsFree parkingShort-term disabilityLife insuranceHealth care and dependent care spending accountsEducation assistance/continuing educationEmployee referral programJob Summary:Position: 11344 - RN-Case ManagerFacility: MBMC - HospitalDepartment: JS Case Management Administration MBMCCategory: Nurse RNType: ClinicalWork Type: Full TimeWork Schedule: Weekend DaysLocation: US:MS:JacksonLocated in the Jackson, MS metro area REQNUMBER: 25021