Registered Nurse Case Manager: Care Coordination

Premier Health; Dayton (OH); On-site; USD 70,000 - 90,000; Full time

Job summary

Premier Health, Miami Valley Hospital in Dayton, OH, seeks an experienced Case Manager (RN). You will perform individualized patient assessment, care coordination, and transition planning to optimize length of stay and resource use.

You will liaise with physicians, payors, families, and care teams, use InterQual ISD-A and Milliman guidelines, and contribute to performance improvement. BSN and Ohio RN license required; 3+ years of clinical case management experience preferred.

Qualifications

• BSN required and Ohio RN license.
• 3+ years of relevant clinical case management experience.
• Familiarity with InterQual ISD-A and Milliman guidelines preferred.

Responsibilities

• Assess patient care needs and coordinate comprehensive discharge planning during hospitalization and through the health care continuum.
• Facilitate interdisciplinary team collaboration and liaise with physicians, payors, families, and care team members.
• Apply clinical expertise in utilization management, transition planning, and resource allocation to achieve target outcomes.

Skills

Interpersonal skills

Negotiation

Conflict resolution

Assertive communication

Clinical data analysis

Education

BSN

Ohio RN license

Specialty certification (preferred)

Tools

InterQual ISD-A

Milliman Guidelines

Job description

Premier Health, Miami Valley Hospital in Dayton, OH, seeks an experienced Case Manager (RN). You will perform individualized patient assessment, care coordination, and transition planning to optimize length of stay and resource use.

You will liaise with physicians, payors, families, and care teams, use InterQual ISD-A and Milliman guidelines, and contribute to performance improvement. BSN and Ohio RN license required; 3+ years of clinical case management experience preferred.