Care Management Coord RN

TriHealth; Oxford (OH); On-site; USD 45,000 - 65,000; Part time

Benefits offered by this job

Medical insurance

Dental insurance

Vision insurance

Paid time off

Retirement plan

Tuition reimbursement

Job summary

TriHealth seeks a Care Management Coordinator RN for McCullough-Hyde Memorial Hospital in Oxford, OH. This part-time day position supports inpatient orthopedic care and requires collaboration with a multidisciplinary team to optimize discharge planning and utilization management.

The role demands an Associate's Degree or Nursing Diploma with BSN within five years, BLS/CPR certification, and 3–4 years of clinical nursing experience.

Qualifications

• Associate's Degree or Diploma in Nursing; BSN within 5 years of hire.
• BLS/CPR certification required; RN license preferred.

Responsibilities

• Assess patients using current guidelines and evaluate progress toward clinical goals.
• Complete initial utilization review using InterQual criteria.
• Coordinate a comprehensive plan of care with patient, family, and interdisciplinary team.
• Ensure CMS and other payment requirements are met for continued stay reviews.

Skills

Communication skills

Negotiation

Problem solving

Teamwork

Keyboarding

Nursing knowledge

Education

Associate's Degree in Nursing

BSN within 5 years

Tools

BLS/CPR Certification

Job description

Job Description

We are looking for a Care Mgmt Coord RN at McCullough-Hyde/TriHealth Facility in Oxford, OH Make a difference every day as a Care Mgmt Coord RN. Join a compassionate, servant led team committed to excellence in inpatient orthopedic patient care service while working in a supportive, close-knit, and team-oriented environment.

We’re committed to creating an exceptional place to work and receive care—one built on strong values, teamwork, and respect. Here, you’ll be supported by a compassionate community, grow your clinical skills, and contribute to high‑quality patient care in a trusted health system. Join us and be part of a team that leads with purpose, supports your development, and stays true to the values that define who we are at our core.

Location: McCullough Hyde Memorial Hospital 110 N. Poplar St. Oxford, OH 45056

Schedule: Part Time Day

Incentives & Benefits

We offer competitive shift differentials, opportunities for professional growth, and a comprehensive benefits package that may include medical, dental, vision, paid time off, retirement savings plans, and tuition reimbursement.

• PRN positions not eligible for TriHealth benefits

https://careers.trihealth.com/what-we-offer/benefits

Job Overview

The Care Management Coordinator is responsible for overseeing the processes and documentation that occur as evidence based practice is applied at the bedside. Directs and or completes all functions of the government and commercial utilization management process. Assess and coordinate implementation of the discharge plan. Collaborates with the multidisciplinary team to assure effective, efficient, appropriate care in order to optimize the health status and assure a smooth transition between levels of care for patients served. Performs utilization review for patients served. Requires weekend, holiday, and off site commitment, with the exception of Hospice of Cincinnati.

Job Requirements

Associate's Degree or Diploma in Nursing Hires into position (internal and external) required to obtain BSN within 5 years of hire BLS/CPR (Basic Life Support for Healthcare Providers) Registered Nurse Excellent communication skills Ability to negotiate Problem solve Establish effective working relationship with members of the healthcare team and external customers Knowledge & experience in computer key boarding Professional organization membership preferred 3-4 years experience Clinical in Nursing

Job Responsibilities

Using current practice guidelines, assesses all patients, evaluating progress toward clinical goals and next level of care. Reassesses as clinical condition changes. Complete initial utilization review using Interqual criteria. Take follow up action to resolve the situation when criteria are not met by implementing and documenting according to the Utilization Review plan. Coordinate the development of a comprehensive plan of care through patient/family involvement in an interdisciplinary team process. Ensure the patient's health care goals are met related to evidenced based quality care. Ensure that all commercial and government payment requirements are met for continued stay reviews, and other conditions of participation. Ensure that CMS requirements are met for patient status.

Other Job-Related Information

The TriHealth Nursing Vision, Mission, and Philosophy speaks to professional development, collaboration, and our nursing culture. To achieve excellence in nursing care, TriHealth encourages: pursuit of improved knowledge through continuing education classes, formal education leading to advanced degrees, and the attainment of specialty certification; nurse membership in local, regional, and national nursing organizations related to the appropriate nurse specialty; involvement in activities that better the health of our community; nursing research activities and use of evidence-based practice, and all nurses to foster, support, and personally model collaborative relationships amongst nurses, physicians, and other caregivers for the betterment of patient care.

Working Conditions

Climbing - Rarely Concentrating - Consistently Continous Learning - Consistently Hearing: Conversation - Consistently Hearing: Other Sounds - Consistently Interpersonal Communication - Consistently Kneeling - Occasionally Lifting <10 Lbs - Frequently Lifting 50+ Lbs - Occasionally Lifting <50 Lbs - Frequently Pulling - Frequently Pushing - Frequently Reaching - Occasionally Reading - Consistently Sitting - Frequently Standing - Frequently Stooping - Occasionally Talking - Consistently Thinking/Reasoning - Consistently Use of Hands - Consistently Color Vision - Consistently Visual Acuity: Far - Consistently Visual Acuity: Near - Consistently Walking - Frequently

TriHealth SERVE Standards and ALWAYS Behaviors

At TriHealth, We Believe There Is No Responsibility More Important Than To SERVE Our Patients, Our Communities, And Our Fellow Team Members. To Achieve Our Vision And Mission, ALL TriHealth Team Members Are Expected To Demonstrate And Live The Following

• Serve: ALWAYS…
  
  
  • Welcome everyone by making eye contact, greeting with a smile, and saying "hello"\
  
  
  • Acknowledge when patients/guests are lost and escort them to their destination or find someone who can assist
  
  
  • Refrain from using cell phones for personal reasons in public spaces or patient care areas
  
  
  
  


• Excel: ALWAYS…
  
  
  • Recognize and take personal responsibility to address and recover from service breakdowns when a customer's expectations have not been met
  
  
  • Offer patients and guests priority when waiting (lines, elevators)
  
  
  • Work on improving quality, safety, and service
  
  
  
  


• Respect: ALWAYS…
  
  
  • Respect cultural and spiritual differences and honor individual preferences.
  
  
  • Respect everyone’s opinion and contribution, regardless of title/role.
  
  
  • Speak positively about my team members and other departments in front of patients and guests.
  
  
  
  


• Value: ALWAYS…
  
  
  • Value the time of others by striving to be on time, prepared and actively participating.
  
  
  • Pick up trash, ensuring the physical environment is clean and safe.
  
  
  • Be a good steward of our resources, using supplies and equipment efficiently and effectively, and will look for ways to avoid waste.
  
  
  
  


• Engage: ALWAYS…
  
  
  • Acknowledge wins and frequently thank team members and others for contributions.
  
  
  • Show courtesy and compassion with customers, team members and the community