CASE MANAGER SUPPORT

System Support; Troy (OH); On-site; USD 70,000 - 90,000; Part time

Job summary

Upper Valley Medical Center is seeking a PRN Care Manager in the Integrated Care Management Program. This role collaborates with the care team to assess and coordinate care, ensuring cost-effective, quality outcomes across the care continuum.

The position demands nursing expertise with a BSN, an Ohio RN license, and 3–5 years of acute care experience. Strong communication and analytical skills are essential to support discharge planning and patient education.

Qualifications

• Nursing degree from an accredited School of Nursing; BSN required.
• Current Ohio RN license is required.
• 3–5 years of acute care experience with utilization/case management knowledge preferred.
• Strong interpersonal skills to educate and comfort patients and families; effective with hospital staff.
• Basic computer skills; Word and Access experience preferred.

Responsibilities

• Coordinate care management activities, including discharge planning, documentation, utilization management, and referrals to services.
• Interact with patients, families, and healthcare providers to ensure quality, cost-effective care across the continuum.
• Mentor and support other care team members in care management practices.

Skills

Nursing theory

BSN

RN license

Acute care

Interpersonal skills

Analytical skills

Computer skills

Education

BSN degree

Tools

Word

Microsoft Access

Job description

General Summary/Responsibilities:

STATUS: PRN / Support

Department: INTEGRATED CARE MGT PROGRAM

Facility: Upper Valley Medical Center

Under the general supervision of the Manager of Integrated Care Management, the Care Manager works collaboratively with the Care Management Team to interact with patients/families and healthcare providers to insure that cost effective, quality care is provided throughout the continuum of healthcare. He/She assesses, implements, coordinates, monitors, evaluates and communicates options/services needed to meet the individual’s healthcare needs, thus promoting quality & cost effective outcomes. The Care Manager provides a timely review of the patient’s medical record for care management activities, including but not limited to: discharge/transition planning, clinical documentation, utilization management issues (recidivism/length of stay, care delays and avoidable days), admission/continued stay reviews, addressing status issues, providing severity/intensity of illness criteria for CMS and third party payers, and make referrals to Social Services, Home Care Liaison, and Patient Education). He/she participates in risk management and quality measures: recidivism, core measures, missing H&Ps, post-operative note, etc. The Care Manager is in direct contact with patient/family/providers, participates in daily "huddles" on unit for purpose of care coordination and identification of possible barriers to discharge, and actively supports patient and physician satisfaction goals. The Care Manager also mentors and acts as a resource to other health care providers in care management techniques and quality issues. Patients may range in age from newborn to an elderly patient population based on specific assignments.

• Professional knowledge of nursing theory and practice at a level normally acquired through completion of a nursing degree at an accredited School of Nursing. Additional nursing continuing education preferred. BSN required.
• Current Ohio State license as a Registered Nurse required.
• Three to five years of recent acute care experience in combination with/or with knowledge of utilization and case management principles.
• Interpersonal skills necessary in order to instruct and comfort patients and their families, and maintain effective contacts with a variety of hospital personnel. Recognizes and reinforces positive efforts of all co-workers.
• Analytical skills necessary for problem solving and conflict resolution.
• Ability to learn basic computer skills. Word and Access experience preferred.