Case Manager RN - ELOHHH Ohio Valley HH in East Liverpool, OH at Prime Healthcare

Date Posted: 7/22/2020

Job Snapshot

Job Description

Overview The Registered Nurse (RN) Case Manager is responsible for the delivery of safe patient care utilizing the nursing process of assessment, planning, implementation and evaluation. Provides direct patient care within the scope of practice. The RN Case Manager also directs and guides patient/family teaching and activities of other nursing personnel while maintaining standards of care. The RN Case Manager is directly responsible and accountable for the care given to his/her assigned patients. He / She communicates with physician about changes in the patient’s clinical condition including cardiac monitoring, results of diagnostic studies and symptomatology. Is able to respond quickly and accurately to changes in condition and/or response to treatment.

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. Education and Work Experience
  1. Starting April 1 2015. Minimum 5 years work experience post-graduation of an accredited school of nursing and a current state Registered Nurse license.
  2. Grandfathered prior to April 1, 2015. Minimum 5 years post graduate of an accredited school Of Social Work for Licensed Clinical Social Worker. However, RN Case Manager preferred.
  3. Five years acute care nursing experience preferred. At least one year experience in case management, discharge planning or nursing management, preferred.
  4. Current BCLS (AHA) certificate upon hire and maintain current.
  5. Knowledge of Milliman Criteria and InterQual Criteria preferred.
  6. Experience and knowledge in basic to intermediate computer skills.
  7. Behavioral Violence Prevention Training within 3 months of hires and maintain current.


We are an Equal Opportunity/ Affirmative Action Employer and do not discriminate against applicants due to veteran status, disability, race, gender, gender identity, sexual orientation or other protected characteristics. If you need special accommodation for the application process, please contact Human Resources. EEO is the Law: https://www.eeoc.gov/sites/default/files/migrated_files/employers/poster_screen_reader_optimized.pdf

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