RN Case Manager

ARMC Healthcare System; Ashtabula (OH); On-site; USD 70,000 - 100,000; Full time

Benefits offered by this job

Competitive salary package

Excellent benefits from Day 1

Tuition reimbursement

Paid Time Off

Retirement plan with company match

Job summary

Ashtabula Regional Medical Center in Ashtabula, OH seeks a Care Management nurse to support physicians and the interdisciplinary team in improving outcomes while managing care costs. You will coordinate utilization management, care facilitation and discharge planning to ensure timely information to payors and efficient resource use.

Responsibilities include collaboration with hospitalists, discharge planning, physician communication, documentation support, and participation in pre-certification

Qualifications

• Nursing degree or higher required; BSN preferred.
• Experience with data entry into a managed care system and interfacing with physicians.
• Current Ohio nursing license; CCM certification preferred.

Responsibilities

• Collaborate with Hospitalists and disciplines to impact length of stay and case mix.
• Manage discharge planning upon admission for safe transitions.
• Coordinate communication with physicians.
• Support accurate clinical documentation.
• Identify process improvements and evaluate outcomes of care.
• Facilitate pre-certification and payor authorization; address denials and appeals.
• Ensure compliance with regulatory requirements.

Skills

Data entry

Interfacing with physicians

Team collaboration

Education

Nursing degree (BSN preferred)

Tools

Managed care information system

Job description

Ashtabula Regional Medical Center · Care Management

Nursing

Full Time , 1st , 40

Posted 08/28/2026

GENERAL SUMMARY

Under the direction of the Director of Care Management, this position supports the physician and interdisciplinary team in facilitating patient care, with the underlying objective of enhancing the quality of clinical outcomes and patient satisfaction while managing the cost of care and providing timely and accurate information to payors. The role integrates and coordinates utilization management, care facilitation and discharge planning functions. This position is accountable for designed patient caseload and plans effectively in order to meet patients' needs, manage the length of stay, and promotes efficient utilization of resources. Specific functions within this role include:

Collaborate with Hospitalists and other disciplines coordinating care to impact length of stay and case mix.

Manage discharge planning upon admission to develop a safe and appropriate transition to the next level of care.

Coordinating communication with physicians.

Understands clinical documentation efforts and supports accurate documentation.

Understands and identifies process improvement methodologies and evaluating outcomes of care.

Facilitation of pre-certification and payor authorization processes including denials and appeals.

Demonstrates compliance with regulatory requirements.

MINIMUM QUALIFICATION

Education, Knowledge, Skills and Abilities

Degree in nursing required, BSN preferred. Required professional skills include data entry into and retrieval from a managed care information system, and ability to effectively interface with physicians.

Required Length and Type of Experience

Minimum of one year experience in a managed care setting preferred,and a minimum of three to five years medical nursing, surgical nursing and/or nursing in the acute care setting.

Required Licensure or Certification

Current State of Ohio nursing license. Certification in Case Management (CCM) preferred.

Required Physical and Environmental Demands

Work and move among all acute care nursing units. Manual dexterity to operate personal computers and standard office machines.Flexible work hoursrequired throughout the year. General office working conditions

• Competitive salary package
• Extensive benefit package including medical, dental, vision, and life insurance (Benefits on Day 1!)
• Accident & critical illness insurance
• Tuition Reimbursement
• Short-Term & Long-Term Disability Insurance
• Paid Maternity Leave
• Employee Assistance Program
• Paid Time Off
• Employee Wellness Plan that pays you for being healthy
• 403(b) and Roth Retirement Plan with company matching
• We are a qualifying employer for the Public Service Loan Forgiveness (PSLF) Program which allows you to receive forgiveness of the remaining balance of your Direct Loans after you have made 120 qualifying monthly payments while working full-time for a qualifying employer