Baptist Health System - San Antonio TX is seeking a Registered Nurse (RN) Case Manager, Clinical Support Specialist for a nursing job in Nacogdoches, Texas.
This position may qualify for a sign-on bonus
Positon Summary
The RN Case Manager is responsible for a) Follow up on patient accounts when authorization for stay is required , Fax numbers to Send clinical reviews b) Follow up on each account during the stay and on discharge for authorization - document in the electronic system, c) Escalate any potential disputes or denial of accounts to Director of Case Management or designee d) Trends disputed claims by at least payor and physician e) assist in obtaining authorization for patient discharged to Skilled Facilities or other post-acute care that require authorization f) other duties as assigned. Assisting with coordinating clinically complex patients care across a continuum; ensuring and facilitating the achievement of quality clinical and cost outcomes; negotiating, procuring and coordinating appropriate services and resources needed by the patient; and at key points, intervening to address and resolve issues/concerns. This individual is responsible for coordinating the clinical plan of care to conform to the evidence-based practice and regulatory requirements. This position integrates care coordination unitization management, and discharge planning.
Baptist Health System - San Antonio Job ID #2503013367-0. Posted job title: Registered Nurse Case Manager Full Time Days
...DirectEmployers to promote this job for Amazon. Clicking "Apply Now" or "Read more" on Lensa... ...merch, make-on-demand, customer returns, Prime Now, and general fulfillment. You will be... ..., for our super-fast (2-hour or less) delivery service. Duties & Responsibilities...
...Certification is now paid! If you have worked in customer services and... ...with working outside of the home. The Arise Platform has... ...a Fintech Customer Support Representative: Receive inbound calls... ...through virtual channels (email, chat, video calls). No degree...
...This hybrid role will involve providing strategic leadership for all finance and operations functions while partnering with the Co-CEOs and Board of Directors. Ideal candidates will have extensive experience in nonprofit management, strategic financial oversight, and...
...Exciting Opportunity for Ambitious Freight Brokers! Are you an active and driven Freight Broker eager to take your career to new heights? Look no further! Join our dynamic team at (HFS) and unlock your full potential in the booming logistics industry. Why Choose...