RN Case Manager: Acute Care Care Coordinator

Licking Memorial Hospital; Newark (OH); On-site; USD 65,000 - 90,000; Full time

Job summary

The Case Manager at Licking Memorial Hospital in Newark, Ohio is responsible for individualized management of hospital and healthcare services to provide high quality, cost-effective patient care. The role serves acutely ill and high-risk patients from newborns to geriatrics, developing collaborative, outcome-oriented plans of care and advocating for patients while guiding resource utilization.

Responsibilities include determining level of care on admission, conducting assessments, organizing

Qualifications

• Graduate of an accredited school of nursing and licensed in Ohio.
• Minimum 2 years of clinical experience in an acute care setting.
• Critical care or emergency department experience preferred.
• Knowledge of evidence-based practice and disease management protocols.
• Utilization review or discharge planning experience preferred.

Responsibilities

• Determines appropriate level of care on admission using hospital approved medical necessity criteria.
• Performs patient and caregiver assessments to identify pertinent problems/needs.
• Organizes assessment data into an individual plan of care with anticipated outcomes.
• Determines continued stay status.
• Participates in multidisciplinary rounds.
• Participates in patient education.
• Tracks and manages potential avoidable hospital days.
• Provides clinical information to external providers and managed care organizations.
• Assists in appeals and denials management.

Skills

Communication skills

Care coordination

Assessment skills

Multidisciplinary collaboration

Education

Registered Nurse license - Ohio

Job description

The Case Manager at Licking Memorial Hospital in Newark, Ohio is responsible for individualized management of hospital and healthcare services to provide high quality, cost-effective patient care. The role serves acutely ill and high-risk patients from newborns to geriatrics, developing collaborative, outcome-oriented plans of care and advocating for patients while guiding resource utilization.

Responsibilities include determining level of care on admission, conducting assessments, organizing