Registered Nurse (RN) - Care Manager - St. Elizabeth Youngstown Hospital

Mercy Health • Youngstown, OH

23h • Onsite

About The Position

The RN Care Manager at St. Elizabeth Youngstown Hospital coordinates patient care to support safe, seamless, and timely transitions across the continuum. Using a collaborative process and quantitative and qualitative methods, the role identifies, assesses, plans, implements, and evaluates services and options that meet patients’ health and health-related needs, including social determinants that affect overall well-being. The position screens for and assesses people needing active case management and promotes access to appropriate resources at the right time and place.

The RN Care Manager works with patients, caregivers, and the healthcare team to develop and monitor individualized care plans, document patient needs and planning, support transitions of care, and promote appropriate resource use. The role also supports advance care planning, length-of-stay management, readmission prevention, medical-necessity denial prevention, and timely testing and treatment.

Requirements

• BLS Basic Life Support certification from the American Heart Association.
• An RN license in the state of employment or a license covered by a compact.
• At least 1 year of experience in a clinical setting.
• Skills in care management, discharge planning, patient advocacy, care planning, care coordination, data analysis, tracking, and clinical knowledge.
• Working knowledge of local and state resources and of government and non-government payer practices, regulations, standards, and reimbursement.
• Interpersonal skills including attention to detail, critical thinking, communication with family members, conflict resolution, problem solving, active listening, relationship building, teamwork, facilitation, knowledge sharing, and proactivity.

Nice To Haves

• Bachelor of Science in Nursing (preferred for BSMH; required for RSFH).
• Accredited Case Manager (ACM) certification from the American Case Management Association, Certified Case Manager (CCM) certification from the Commission for Case Manager Certification, or ANCC Nursing Case Management board certification.
• 3 years of experience in an acute care clinical setting.
• Ambulatory or post-acute care coordination experience.

Responsibilities

• Identify and prioritize patients needing care management using a holistic approach that considers biopsychosocial, functional, cultural, spiritual, and financial factors.
• Plan with patients, caregivers, and healthcare team members to maximize health care responses and achieve quality, cost-effective outcomes.
• Monitor and revise care plans when a patient's condition changes.
• Complete necessary documentation and maintain clear, concise, and timely records reflecting patient needs.
• Use handovers during changes in level of care, staff changes, and care transitions.
• Document post-hospital care needs and resources, as well as patient, family, or caregiver involvement in planning.
• Incorporate patients’ and caregivers’ treatment goals and preferences into transition-of-care planning and communicate them to the multidisciplinary team.
• Follow standardized practices for advance care planning, length-of-stay management, and readmission prevention.
• Support medical-necessity denial prevention by addressing or removing barriers to care progression and participating in interdisciplinary discharge rounds.
• Promote proactive care and help remove barriers to timely testing and treatment.
• Ensure appropriate resource utilization and offer alternatives to acute care to the care team.

Benefits

• Competitive pay, incentives, referral bonuses, and 403(b) with employer contributions when eligible.
• Medical, dental, vision, and prescription coverage; HSA/FSA options; life insurance; mental health resources; and discounts.
• Paid time off, parental and FMLA leave, short- and long-term disability, and backup care for children and elders.
• Tuition assistance, professional development, and continuing education support.

What This Job Offers

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