Specialist-Patient Placement - ME Radiation Oncology Baptist Memphis

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