CASE MANAGER - North Campus

System Support; Dayton (OH); Presencial; USD 65 000 - 90 000; Tempo integral

Resumo da oferta

Miami Valley Hospital North is seeking a Case Manager (RN) to assess patients, coordinate care, and plan transitions to maximize outcomes and appropriate length of stay. The role requires collaboration with an Integrated Care Management Program and coordination with physicians, payors, and families.

The ideal candidate holds a BSN, Ohio RN license, and 3+ years of relevant clinical experience, with preferred certifications in case management or critical care.

Qualificações

• BSN required from an accredited nursing program.
• Ohio RN license; specialty certification preferred.
• Minimum of 3 years recent clinical experience in the patient population.
• Experience with clinical documentation management and discharge planning preferred.
• Familiarity with InterQual ISD-A and Milliman Guidelines is preferred.
• Proficient in Microsoft Office.

Responsabilidades

• Provide individualized patient assessment and care coordination.
• Coordinate transitions across hospitalization and continuum of care.
• Collaborate with interdisciplinary teams and communicate with payors, families, and physicians.
• Utilize resources and guidelines to optimize length of stay and outcomes.

Conhecimentos

Interpersonal skills

Negotiation

Conflict resolution

Assertive communication

Care coordination

Interdisciplinary collaboration

Formação académica

BSN degree

Ferramentas

Microsoft Office

Descrição da oferta de emprego

Position: Case Manager (RN)

Dept: Integrated Care Management Program

Shift: Full Time 8:30am -5pm / 80 Hours per Pay & every 4th weekend requirement

Facility: Miami Valley Hospital North

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:

Graduate from an accredited school of nursing; BSN Required.

Licensure/Certification/Registration:

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

Experience:

Minimum of three 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