Summary Recommends the most efficient, cost effective utilization of resources within the continuum of care, prior to the delivery of services. Evaluates, assesses, plans and facilitates a plan of care. Precertifies inpatient and outpatient services. Some overtime and call back is required. This position is under the general direction of the Director for Medical Review Services/Case Management. Performs other duties as assigned. Responsibilities + Assesses and evaluates clinical and financial information available and recommends the most appropriate setting for service delivery, including level of care in order to optimize resource consumption and reimbursement. + Precertifies patient care services that require precertification, as identified, in a timely, efficient manner, in order to optimize reimbursement for the patient, as well as health care providers. + Communicates recommendations, clinical information, and fiscal information to appropriate internal and external customers in order to facilitate optimal delivery of services and customer satisfaction. + Participates in the planning, data collection, and analysis phases of performance improvement activities in order to maximize the patient placement/precertification process. + Completes assigned goals. Requirements, Preferences and Experience Experience Preferred: Prefer additional two years of quality/utilization management or dischage planning experience. Minimum: LPN with three (3) years of acute care experience; or an individual with 5 years of utilization management/case management experience. Licensure, Registration, Certification Preferred: LPN Special Skills Minimum: Excellent communication skills. Advanced computer literacy skills. 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: 2018 - Specialist-Patient Placement Facility: BMH - Memphis Hospital Department: ME Radiation Oncology Baptist Memphis Category: Nursing Support & Patient Care Type: Non Clinical Work Type: Full Time Work Schedule: Days Location: US:TN:Memphis Located in the Memphis metro area REQNUMBER: 26636