CASE MANAGER-ADN

Premier Health; Dayton (OH); On-site; USD 65,000 - 90,000; Full time

Job summary

Premier Health's Miami Valley Hospital in Dayton seeks a Case Manager (RN) with ADN to lead patient assessment, care coordination and transition planning. The role emphasizes effective collaboration with the care team to optimize outcomes and appropriate resource use across the hospital stay and post-discharge continuum.

The ideal candidate holds an RN license in Ohio with an ADN, and has 1–3 years of relevant clinical experience, including discharge planning and case management.

Qualifications

• Associate's degree in Nursing (ADN) is required.
• Valid RN license with the State of Ohio is required.
• 1–3 years of relevant clinical experience in patient care or case management.
• Knowledge of InterQual ISD-A and Milliman Guidelines is preferred.

Responsibilities

• Conduct individualized patient assessment and care coordination.
• Coordinate transition planning to promote efficient length of stay and resource use.
• Facilitate interdisciplinary team collaboration and liaison with patient, family, physicians, and payors.

Skills

Interpersonal skills

Negotiation

Conflict resolution

Assertive communication

MS Office

Insurance guidelines

Education

Associate's degree in Nursing (ADN)

Job description

Case Manager (RN), ADN

Integrated Care Management (ICM)

Full Time 8:30am - 5pm / 80 Hours per Pay

Miami Valley Hospital

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.

Education:

Associate's degree in Nursing from an accredited school of Nursing

Licensure/Certification/Registration:

Valid RN license with the State of Ohio. Certification in area of clinical specialty (case management, neuro, critical care, rehab) is preferred.

Experience:

Minimum 1-3 years of relevant clinical experience in area of patient population within the last five years. Experience with clinical documentation management program preferred. Expertise in healthcare reimbursement, discharge planning and case management preferred.

Knowledge/Skills:

• Exemplary interpersonal skills as demonstrated by the ability to develop and maintain rapport with physicians and Integrative 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
• Knowledge of Microsoft Office is required