CASE MANAGER

Premier Health • Dayton, OH

11d • Onsite

About The Position

The Case Manager is a registered nurse responsible for individualized patient assessment, care coordination, and transition planning to promote optimal outcomes related to appropriate length of stay, effective use of resources, and established guidelines of care. The position facilitates interdisciplinary team collaboration and serves as a liaison among patients, physicians, payors, and families or significant others regarding care coordination and transitional care needs.

The role requires expertise in acute care nursing, healthcare reimbursement requirements, clinical outcome data analysis, utilization management, transition planning and processes, resource allocation, team management, and communication. The Case Manager promotes care coordination and effective resource utilization by assessing patient care needs during hospitalization and across the healthcare continuum. Success is measured against targeted goals and outcomes established through care-team collaboration.

This is a part-time position of 48 hours per pay period, working 0830–1700 at Miami Valley Hospital.

Requirements

• Bachelor of Science in Nursing (BSN).
• Registered Nurse with a valid Ohio license.
• Minimum of three years of relevant clinical experience in the patient population area within the last five years.
• Exemplary interpersonal skills, including the ability to develop and maintain rapport with physicians and Integrated Care Team members.
• Negotiation, conflict-resolution, and assertive communication skills.
• Experience gathering information, monitoring indicators, and using feedback mechanisms.
• Basic computer skills.

Nice To Haves

• Certification in an area of clinical specialty.
• Expertise in healthcare reimbursement, transition planning, and case management.
• Experience with a clinical documentation management program.
• Knowledge of the performance improvement process.
• Knowledge of InterQual ISD-A and Milliman Guidelines and third-party insurance requirements.

Responsibilities

• Conduct individualized patient assessments and coordinate care.
• Plan patient transitions to promote optimal outcomes, appropriate length of stay, and effective use of resources.
• Facilitate interdisciplinary team collaboration.
• Liaise among patients, physicians, payors, and families or significant others regarding care coordination and transitional care needs.
• Assess patient care needs during hospitalization and across the healthcare continuum.
• Promote care coordination and effective utilization of resources.
• Contribute to achievement of targeted goals and outcomes through care-team collaboration.

What This Job Offers

• Job Type: Part-time
• Career Level: Mid Level