Job Description
Case Manager (RN), ADN
Integrated Care Management (ICM)
Full Time 8:30am - 5pm / 80 Hours per Pay
Miami Valley Hospital
The Case Manager is a registered nurse responsible for individualized patient assessment and care coordination, and transition planning to promote maximal outcomes in relation to appropriate length of stay, effective use of resources and established guidelines of care. Additional responsibilities include facilitation of interdisciplinary team collaboration, liaison between the patient, physician, payor, family/significant others in regards to care coordination and transitional care needs. This position requires expertise in acute care nursing, healthcare reimbursement requirements, clinical outcome data analysis, utilization management, transition planning and process, resource allocation, team management and communication skills.
Promotes care coordination and effective utilization of resources through the assessment of patient care needs during the hospitalization and across the health care continuum. Success is measured against achievement of targeted goals and outcomes as generated by defined expectations through care team collaboration.
Education: Associate's degree in Nursing from an accredited school of Nursing
Licensure/Certification/Registration: Valid RN license with the State of Ohio. Certification in area of clinical specialty (case management, neuro, critical care, rehab) is preferred.
Experience: Minimum 1-3 years of relevant clinical experience in area of patient population within the last five years. Experience with clinical documentation management program preferred. Expertise in healthcare reimbursement, discharge planning and case management preferred.
Knowledge/Skills:
- Exemplary interpersonal skills as demonstrated by the ability to develop and maintain rapport with physicians and Integrative Care Team members.
- Negotiation skills, conflict resolution skills and assertive communication skills required.
- Knowledge of InterQual ISD-A and Milliman Guidelines and third party insurance requirements preferred
- Knowledge of Microsoft Office is required
Numbers & Facts
| Location | Dayton, OH |
| Industry | Healthcare Services |
| Company Size | 10,000 employees or more |
| Year Founded | 1995 |
| Website | http://www.premierhealth.com/ |
About Company
About Premier Health Partners
Premier Health Partners (PHP) is a large health system serving southwest Ohio communities by improving the quality, affordability, and accessibility of health care.
PHP Mission and Legacy for Better Health Care
The PHP Mission and Legacy has always been to provide the most comprehensive, affordable and accessible health services and products for the betterment of health care in southwest Ohio. When you know more about our mission, vision, and values, and read about the success stories in our history; you’ll know why we’re the first choice for patients, physicians and employees in southwest Ohio.
PHP Hospitals
Our members include more than 65 member locations throughout southwest Ohio, including four hospitals:
As part of our mission to bring quality health care closer to the people we serve, we’ve expanded our services through comprehensive health centers:
Find out how to donate or volunteer to impact the quality of health care at PHP and our member organizations. PHP has foundations to which you can make donations to improve the health care technology and facilities available to your community. You can also help by volunteering at our hospitals or health centers.
PHP Vendor and Supplier Information
Whether you’re currently a vendor working with PHP or a supplier interested in joining our partnership, you’ll find helpful information in our vendor and supplier section.
Serving the Community
PHP is dedicated to serving the community by making it our priority to bring quality, affordable health care choices closer to you. To make this happen, PHP created Premier Community Health, a non-profit organization dedicated to creating a healthier community through prevention, early detection, and disease management. PHP’s investment in the 23 communities we serve includes building health service centers, bringing health programs to the community, as well as being one of the largest employers in the area. We also are committed to helping the under-served of our community by providing financial aid, free services, and pre ions to people in need. We also believe in being a good neighbor by getting involved in numerous community programs and charities. And, as part of our effort to build healthier communities, we have implemented a system-wide ban on tobacco.
Learn more about how we serve the community.
Awards and Recognition
Read About Our Awards and Recognition.
Premier Health Partners (PHP) is a large health system serving southwest Ohio communities by improving the quality, affordability, and accessibility of health care.
PHP Mission and Legacy for Better Health Care
The PHP Mission and Legacy has always been to provide the most comprehensive, affordable and accessible health services and products for the betterment of health care in southwest Ohio. When you know more about our mission, vision, and values, and read about the success stories in our history; you’ll know why we’re the first choice for patients, physicians and employees in southwest Ohio.
PHP Hospitals
Our members include more than 65 member locations throughout southwest Ohio, including four hospitals:
- Good Samaritan Hospital Dayton
- Miami Valley Hospital
- Atrium Medical Center
- Upper Valley Medical Center
As part of our mission to bring quality health care closer to the people we serve, we’ve expanded our services through comprehensive health centers:
- Good Samaritan North Health Center in Englewood
- Miami Valley South Hospital in Centerville
Find out how to donate or volunteer to impact the quality of health care at PHP and our member organizations. PHP has foundations to which you can make donations to improve the health care technology and facilities available to your community. You can also help by volunteering at our hospitals or health centers.
PHP Vendor and Supplier Information
Whether you’re currently a vendor working with PHP or a supplier interested in joining our partnership, you’ll find helpful information in our vendor and supplier section.
Serving the Community
PHP is dedicated to serving the community by making it our priority to bring quality, affordable health care choices closer to you. To make this happen, PHP created Premier Community Health, a non-profit organization dedicated to creating a healthier community through prevention, early detection, and disease management. PHP’s investment in the 23 communities we serve includes building health service centers, bringing health programs to the community, as well as being one of the largest employers in the area. We also are committed to helping the under-served of our community by providing financial aid, free services, and pre ions to people in need. We also believe in being a good neighbor by getting involved in numerous community programs and charities. And, as part of our effort to build healthier communities, we have implemented a system-wide ban on tobacco.
Learn more about how we serve the community.
Awards and Recognition
Read About Our Awards and Recognition.
Skills
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