40 Hours per week
Day Shift
Is responsible to ensure case management clients receive appropriate services at all stages of care in all areas and adheres to CMSA standards of practice. Assesses, plans, implements, coordinates, monitors, and evaluates options and services to meet clients’ psychological and physical needs. Performs duties in a patient centered manner and involves patients/families in plan of care. Evaluation of service efficiency and excellence, and client education. Actively participates and facilitates tracking of cost, resource management and quality improvement parameters. Coordinates assessment, screening, third party payor authorization, and discharge activities providing linkages to health and wellness resources across the health care continuum. Uses clinical expertise and problem solving skills to achieve optimal clinical and resource outcomes within effective time frames. Promotes interdisciplinary collaboration with a team approach and champions service excellence. Promotes open and timely communication. Educates BHM clients and appropriate health care providers as to covered benefits and alternative options across the care continuum. Makes indicated client referrals. Supports physicians in medical case management. Coordinates other medically related services efforts as required
Graduate from an accredited School of Nursing required, Bachelor of Science in Nursing preferred. Current licensure as a Registered Nurse by the Kentucky Board of Nursing or compact state license. Certification in area of expertise preferred. EXPERIENCE: Minimum of three years clinical experience required. Case Management experience preferred. Utilization and Quality Management experience preferred. Proven skills in assessing, planning, and managing patient care required. Basic knowledge of national utilization standards and case management standards of practice needed. Knowledge Base of various computed software and use of computers preferred. Basic knowledge of statistics required. Excellent communication skills demonstrated, verbal and written, mandatory. Excellent Customer Service and problem-solving skills.
Founded in 1924 in Louisville, Kentucky, Baptist Health is a full-spectrum health system dedicated to improving the health of the communities it serves. The Baptist Health family consists of nine hospitals, employed and independent physicians, and more than 400 points of care, including outpatient facilities, physician practices and services, urgent care clinics, outpatient diagnostic and surgery centers, home care, fitness centers, and occupational medicine and physical therapy clinics.
Baptist Health’s eight owned hospitals include more than 2,300 licensed beds in Corbin, Elizabethtown, La Grange, Lexington, Louisville, Paducah, Richmond and New Albany, Indiana. Baptist Health also operates the 410-bed Baptist Health Deaconess Madisonville in Madisonville, Kentucky in a joint venture with Deaconess Health System based in Evansville, Indiana. Baptist Health employs more than 23,000 people in Kentucky and surrounding states.
Baptist Health is the first health system in the U.S. to have all of its hospitals recognized by the American Nursing Credentialing Center with either a Magnet® or Pathway to Excellence® designation for nursing excellence.
Baptist Health’s employed provider network, Baptist Health Medical Group, has nearly 1,500 providers, including more than 750 physicians and more than 740 advanced practice clinicians. Baptist Health’s physician network also includes more than 2,000 independent physicians.
Learn more at BaptistHealth.com.
