RN Case Manager

Prime HealthcareEast Liverpool, OH
Onsite

About The Position

Join an award-winning team of dedicated professionals committed to our core values of quality, compassion and community! Ohio Valley Home Health is affiliated with East Liverpool City Hospital, one of the nation’s “100 Top Hospitals” and “A” rated for patient safety. We offer incredible opportunities to expand your horizons and be part of a community dedicated to making a difference.

Requirements

  • Minimum 5 years' work experience post-graduation of an accredited school of nursing and a current state Registered Nurse license
  • Experience and knowledge in basic to intermediate computer skills.

Nice To Haves

  • Previous Home Health experience preferred.
  • Current BCLS certificate, preferred
  • Five years of acute care nursing experience. preferred
  • CCM or obtained within 1year
  • Knowledge of Milliman Criteria and InterQual Criteria preferred.

Responsibilities

  • Responsible for the quality and resource management of all patients that are admitted to the facility from the point of their admission and across the continuum of the health care management.
  • Works on behalf of the advocate, promoting cost containment and demonstrates leadership to integrate the health care providers to achieve a perceived seamless delivery of care.
  • The methodology is designed to facilitate and insure the achievement of quality, clinical and cost effective outcomes and to perform a holistic and comprehensive admission and concurrent review of the medical record for the medical necessity, intensity of service and severity of illness.
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