RN Case Manager: Care Coordination & Transition Expert

Premier Health; Ohmer Park (OH); On-site; USD 80,000 - 90,000; Full time

Job summary

Premier Health's Miami Valley Hospital is seeking a Case Manager (RN) to lead individualized care coordination and transition planning. You will work with the Integrative Care Team to optimize outcomes, manage resources, and coordinate with physicians, payors, and families.

The role requires acute care nursing expertise and knowledge of reimbursement, with 1–3 years of relevant experience. Ohio RN licensure and preferred certifications are required.

Qualifications

• RN with Ohio license; case management experience preferred.
• 1–3 years clinical experience in the last five years.
• Experience with discharge planning and clinical documentation systems preferred.

Responsibilities

• Coordinate patient care and transitions to optimize length of stay.
• Collaborate with care teams and liaise with physicians, payors, and families.
• Apply reimbursement requirements and guidelines to support planning.

Skills

Interpersonal skills

Negotiation skills

Conflict resolution

Assertive communication

InterQual ISD-A knowledge

Milliman Guidelines knowledge

Education

Associate's degree in Nursing

RN license - State of Ohio

Tools

InterQual ISD-A

Milliman Guidelines

Job description

Premier Health's Miami Valley Hospital is seeking a Case Manager (RN) to lead individualized care coordination and transition planning. You will work with the Integrative Care Team to optimize outcomes, manage resources, and coordinate with physicians, payors, and families.

The role requires acute care nursing expertise and knowledge of reimbursement, with 1–3 years of relevant experience. Ohio RN licensure and preferred certifications are required.