CASE MANAGER

System Support; Dayton (OH); On-site; USD 65,000 - 85,000; Full time

Job summary

System Support in Dayton, Ohio, is seeking a Case Manager who is a registered nurse responsible for patient assessment and care coordination, ensuring optimal outcomes during hospital stays.

This full-time position requires a BSN, a valid Ohio nursing license, and a minimum of three years of relevant clinical experience. The role involves facilitating interdisciplinary collaboration and requires exemplary interpersonal, negotiation, and communication skills.

Qualifications

• Minimum of three years of relevant clinical experience in the area of patient population within the last five years.
• Expertise in healthcare reimbursement, transition planning, and case management preferred.
• Experience in gathering information, monitoring indicators, and feedback mechanisms required.

Responsibilities

• Responsible for individualized patient assessment and care coordination.
• Promotes maximal outcomes in relation to length of stay and resource utilization.
• Facilitates interdisciplinary team collaboration and liaises with patients and families.

Skills

Interpersonal skills

Negotiation skills

Conflict resolution skills

Communication skills

Education

BSN

Registered Nurse with valid Ohio license

Job description

Overview

The Case Manager is a registered nurse responsible for individualized patient assessment and care coordination, and transition planning to promote maximal outcomes in relation to appropriate length of stay, effective use of resources and established guidelines of care. Additional responsibilities include facilitation of interdisciplinary team collaboration, liaison between the patient, physician, payor, family/significant others in regards to care coordination and transitional care needs. This position requires expertise in acute care nursing, healthcare reimbursement requirements, clinical outcome data analysis, utilization management, transition planning and process, resource allocation, team management and communication skills. Promotes care coordination and effective utilization of resources through the assessment of patient care needs during the hospitalization and across the health care continuum. Success is measured against achievement of targeted goals and outcomes as generated by defined expectations through care team collaboration.

Details

• Status: Full-time: 40 Hours per week (80 hours per pay period)
• Shift: 0830-1700
• Facility: Miami Valley Hospital

Qualifications

• Education: BSN required.
• Licensure: Registered Nurse with valid Ohio license.
• Certification: Certification in area of clinical specialty preferred.
• Experience: Minimum of three years of relevant clinical experience in area of patient population within last five years. Expertise in healthcare reimbursement, transition planning and case management preferred. Experience with a clinical documentation management program preferred, knowledge of performance improvement process preferred.
• Skills/Other: Exemplary interpersonal skills as demonstrated by the ability to develop and maintain rapport with physicians and Integrated Care Team members. Negotiation skills, conflict resolution skills and assertive communication skills required. Knowledge of InterQual ISD-A and Milliman Guidelines and third party insurance requirements preferred. Experience in gathering information, monitoring indicators and feedback mechanisms required. Basic computer skills required.