RN - 19502709

Southwest General Hospital Center Southwest General Health Center•Middleburg Heights, OH

About The Position

We are seeking a dedicated and experienced Registered Nurse with a strong background in Case Management or Utilization Management. The role requires conducting 30 or more reviews daily and facilitating care management and utilization management processes to support efficient patient care. The nurse collaborates with healthcare teams to assess and evaluate patient needs and uses critical thinking and communication skills to enhance patient outcomes. This is a full-time position requiring 40 hours per week, consisting of five 8-hour shifts from 8:00 AM to 4:30 PM, with every third weekend. The position is available in the Columbus, Ohio region.

Requirements

  • Graduation from an accredited School of Nursing.
  • A minimum of five years of recent experience in clinical nursing or a related nursing field, including Utilization Review or Case Management.
  • Prior experience in Care Management or Case Management.
  • Proficiency using Cerner, InterQual, and MCG screening criteria.
  • Strong computer skills.
  • Current licensure by the Ohio State Board of Nursing.

Nice To Haves

  • Bachelor of Science in Nursing (BSN).
  • Certification as an Accredited Case Manager (ACM) or Certified Case Manager (CCM).

Responsibilities

  • Conduct 30 or more reviews daily using screening criteria such as Cerner, InterQual, and MCG.
  • Facilitate care management and utilization management processes to ensure efficient patient care.
  • Collaborate with healthcare teams to assess and evaluate patient needs.
  • Use critical thinking and communication skills to enhance patient outcomes.
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