Job Location : Oxford,MS, USA
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: 5047 - Specialist-Patient Placement LPN
Facility: BMH - North Mississippi Oxford Hospital
Department: NM Scheduling BMH North MS
Category: Nurse LPN
Type: Non Clinical
Work Type: PRN
Work Schedule: Days
Location: US:MS:Oxford
Located in the Oxford, MS metro area