Care Management Coord RN-Optional

TriHealth; Montgomery (OH); On-site; USD 65,000 - 90,000; Full time

Benefits offered by this job

Comprehensive benefits package

Tuition reimbursement

Shift differentials

Professional growth opportunities

Job summary

TriHealth's Bethesda North Hospital in Montgomery, OH seeks a Care Management Coordinator RN to oversee evidence-based practice at the bedside and coordinate utilization review.

This role offers an optional schedule, weekend/holidays commitment, and a comprehensive benefits package with medical, dental, vision, PTO, retirement, and tuition reimbursement.

Qualifications

• Associate's Degree or Diploma in Nursing.
• Hires into position required to obtain BSN within 5 years of hire.
• BLS/CPR for Healthcare Providers.
• Registered Nurse.
• Excellent communication skills.
• Ability to negotiate and problem solve.
• Effective relationship with healthcare team and external customers.
• Knowledge of computer keyboarding.

Responsibilities

• Assess patients using current practice guidelines and evaluate progress toward goals.
• Complete initial utilization review using Interqual criteria and document actions.
• Coordinate development of a comprehensive care plan with patient/family involvement.
• Ensure CMS and payer requirements are met for continued stay reviews and status.

Skills

Communication skills

RN licensure

Negotation

Problem solving

Team collaboration

Discharge planning

Utilization review

Interqual knowledge

Education

Associate's Degree in Nursing

Tools

Computer keyboarding

Job description

Care Management Coord RN Opportunity at Bethesda North Hospital – Join TriHealth!

Are you a passionate and patient-focused Registered Nurse looking to make a meaningful impact? TriHealth is seeking a Care Mgmt Coord RN to join our team in an Optional role within our Care Management department.

This is a unique opportunity to expand your expertise working in a supportive and collaborative environment.

Why Join TriHealth at Bethesda North?

• Be part of a leading, multidisciplinary health system known for excellence in care
• Collaborate with a dedicated team
• Practice in a multi-disciplinary health system
• Thrive in a patient-centered culture that supports innovation and professional growth

Location: Bethesda North Hospital 10500 Montgomery Rd. Montgomery, OH 45242

Schedule: Optional

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

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. Assesses and coordinates 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 solving
• 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, assess all patients, evaluating progress toward clinical goals and next level of care. Reassess 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 evidence 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.

Job Info

• Job Identification 310981
• Job Category Registered Nurse
• Posting Date 07/19/2026, 02:16 AM
• Locations 10500 Montgomery Rd, Montgomery, OH, 45242, US