RN Case Manager – Care Coordination & Transitions Lead

Premier Health; Nine Mile Falls (WA); On-site; USD 72,000 - 95,000; Full time

Job summary

Premier Health is seeking a registered nurse for a full-time Case Manager role at Miami Valley Hospital. You will assess patients, coordinate care, and plan transitions to maximize outcomes and appropriate length of stay.

Requires a BSN and an Ohio RN license, with 3+ years of clinical experience. Certification in a clinical specialty is preferred, with strong team collaboration and care coordination skills.

Qualifications

• BSN required.
• Registered Nurse with an Ohio license.
• Clinical specialty certification preferred.
• Minimum of three years of relevant clinical experience.
• Experience with healthcare reimbursement and case management preferred.
• Knowledge of InterQual ISD-A and Milliman Guidelines preferred.

Responsibilities

• Assess patient needs and coordinate care across the hospital and continuum.
• Facilitate transitions to promote optimal outcomes and resource use.
• Collaborate with interdisciplinary team and liaise with physicians, payors, and families.
• Utilize performance data and care management processes to meet goals.

Skills

Interpersonal skills

Negotiation

Conflict resolution

Assertive communication

Care-team communication

Education

BSN

Ohio RN license

Clinical specialty cert

Tools

InterQual ISD-A

Milliman Guidelines

Documentation systems

Job description

Premier Health is seeking a registered nurse for a full-time Case Manager role at Miami Valley Hospital. You will assess patients, coordinate care, and plan transitions to maximize outcomes and appropriate length of stay.

Requires a BSN and an Ohio RN license, with 3+ years of clinical experience. Certification in a clinical specialty is preferred, with strong team collaboration and care coordination skills.