Summary Manages the transition team of Nurses at Medical Alternatives. Manages the care for a specific population; facilitates the safe transitions 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 the hospitalization, illness, and/or life situation. Performs other duties as assigned. Responsibilities Management of intake department Prepares Intake/teaching nurses schedules to ensure appropriate staffing Implementation of strategies to increase revenues and market share Provides support through assessment and follow-ups with internal and external referral sources Oversee admissions processes Utilization Review Discharge Planning Readmission Reduction Participation Payer Communication and denial reduction Completes assigned goals Requirements, Preferences and Experience Education Preferred: BSN or MSN Minimum: Diploma or Associate Degree in Nursing Experience: Preferred: RN with 3 year of clinical experience with Case management experience in a hospital or payer setting Minimum: RN with at least one year experience Licensure, Registration, Certification Preferred: RN;CCM;ACM Minimum: RN Special Skills: Critical thinking skills, communication, organization, interpersonal and computer skills. Knowledge of payer requirements,, problem solving and governmental regulations About Baptist Memorial Health Care At 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 salaries + Paid vacation/time off + Continuing education opportunities + Generous retirement plan + Health insurance, including dental and vision + Sick leave + Service awards + Free parking + Short-term disability + Life insurance + Health care and dependent care spending accounts + Education assistance/continuing education + Employee referral program Job Summary: Position: 20440 - RN-Case Manager Lead Facility: AC Medical Alternatives - Memphis Department: AC Medical Alternatives BMHSI Metro Category: Nurse RN Type: Clinical Work Type: Full Time Work Schedule: Days Location: US:TN:Memphis Located in the Memphis metro area REQNUMBER: 28347