RN Clinical Coordinator & Case Manager: Care Transitions

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

Job summary

Licking Memorial Health Systems seeks an RN to fill a dual Clinical Coordinator and Case Manager role, dedicating roughly 50% of time to clinical coordination and 50% to direct patient case management. The position supports care management processes while maintaining an active caseload to ensure quality, patient-centered care across the continuum.

The role requires strong clinical judgment, leadership, excellent communication, and the ability to balance operations with direct patient care in a

Qualifications

• Current RN licensure in Ohio
• 2 years active Acute Case Management Experience
• Obtain Case Management Certification within one year of employment
• Current CPR card and maintain.

Responsibilities

• Serve as the primary clinical administrator for Case Management/Utilization Review applications such as MCG-Milliman Care Guidelines, R1-Physician Advisor, Payer Portal Administrator
• Coordinate all aspects of new hire orientation including Development of Orientation Calendar, Assignment of Preceptors, Hardware/Software Needs and Accesses
• Develop/Ensure Annual Case Management Competencies (MCG: Interrater Reliability; MCG LMS Coursework; DNV/JC Case Management Competencies)
• Collaborate with Health System Clinical Coordinators (Preceptor Training)
• Develop and Maintain Case Management Education Calendar (EPIC upgrades/changes)
• Develop/Maintain CM Database with CM education/resources
• Maintain knowledge of CM functions/workflows (Utilization Review, Denials/Appeals, Discharge Planning, Medicare Compliance, Mental Health/Substance Use, Readmission Reduction)
• Perform all duties as assigned in Case Management Role

Skills

Clinical coordination

Case management

Regulatory compliance

Leadership

Communication

Tools

EPIC

Payer Portal

Job description

Licking Memorial Health Systems seeks an RN to fill a dual Clinical Coordinator and Case Manager role, dedicating roughly 50% of time to clinical coordination and 50% to direct patient case management. The position supports care management processes while maintaining an active caseload to ensure quality, patient-centered care across the continuum.

The role requires strong clinical judgment, leadership, excellent communication, and the ability to balance operations with direct patient care in a