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CASE MANAGER
11/25/2025
The Case Manager is responsible for individualized patient assessment and care coordination, and transition planning to promote maximal outcomes. This includes facilitating interdisciplinary team collaboration and serving as a liaison between the patient, physician, payor, and family regarding care coordination and transitional care needs.
Working Hours
80 hours/week
Company Size
10,001+ employees
Language
English
Visa Sponsorship
No
About The Company
Based in Dayton, Ohio, Premier Health’s mission is We care. We teach. We innovate. We Serve. Home to the nation’s 31st largest hospital, the region’s only adult Level I trauma center and the largest locally based clinical laboratory, Premier Health continues to build upon a more than 130-year legacy of providing clinical excellence and compassionate care to friends and neighbors across Southwest Ohio. The health system offers award-winning care at five hospital sites: Miami Valley Hospital in Dayton with additional inpatient sites at Miami Valley Hospital South in Centerville and Miami Valley Hospital North in Englewood; Atrium Medical Center in Middletown; and Upper Valley Medical Center in Miami County. In addition, Premier Health provides a comprehensive range of care choices at its eight emergency departments, eight Urgent Care locations, and more than 130 outpatient locations and affiliated primary care and specialty physician offices, as well as home health, mental health, and substance abuse services.
About the Role
General Summery Position: Case Manager (RN) Dept: Integrated Care Management Program Shift: Full Time -0830-1700 / 80 Hours per Pay Facility: 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: BSN required.
Licensure: Registered Nurse with valid Ohio license.
Certification: Certification in area of clinical specialty preferred.
Experience: Minimum of three years of relevant clinical experience in area of patient population within last five years. Expertise in healthcare reimbursement, transition planning and case management preferred. Experience with a clinical documentation management program preferred, knowledge of performance improvement process preferred.
Skills/Other: Exemplary interpersonal skills as demonstrated by the ability to develop and maintain rapport with physicians and Integrated 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. Experience in gathering information, monitoring indicators and feedback mechanisms required. Basic computer skills required.
Licensure: Registered Nurse with valid Ohio license.
Certification: Certification in area of clinical specialty preferred.
Experience: Minimum of three years of relevant clinical experience in area of patient population within last five years. Expertise in healthcare reimbursement, transition planning and case management preferred. Experience with a clinical documentation management program preferred, knowledge of performance improvement process preferred.
Skills/Other: Exemplary interpersonal skills as demonstrated by the ability to develop and maintain rapport with physicians and Integrated 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. Experience in gathering information, monitoring indicators and feedback mechanisms required. Basic computer skills required.
Key Skills
Interpersonal SkillsNegotiation SkillsConflict Resolution SkillsAssertive Communication SkillsHealthcare ReimbursementTransition PlanningCase ManagementClinical Documentation ManagementPerformance Improvement ProcessResource AllocationTeam ManagementCommunication SkillsData AnalysisUtilization ManagementPatient AssessmentCare Coordination
Categories
HealthcareManagement & LeadershipSocial Services
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