Current jobs related to Case Manager-RN - Cincinnati, Ohio - The Christ Hospital Cardiovascular Associates
-
Nurse Case Manager
3 days ago
Cincinnati, Ohio, United States Professional Case Management Full timeJob Title: Registered NurseWe are seeking a highly skilled and compassionate Registered Nurse to join our team at Professional Case Management. As a key member of our healthcare team, you will be responsible for providing high-quality patient care and case management services to our clients.Responsibilities:Assess and evaluate the health status of assigned...
-
RN Case Manager
5 days ago
Cincinnati, Ohio, United States Molina Healthcare Full timeJob Title: Field Case Manager RN, LTSSWe are seeking a highly skilled Registered Nurse to join our team as a Field Case Manager RN, LTSS. As a key member of our healthcare services team, you will play a critical role in ensuring the delivery of high-quality, patient-centered care to our members.Job Summary:The Field Case Manager RN, LTSS will be responsible...
-
Field Case Manager RN, LTSS Specialist
2 weeks ago
Cincinnati, Ohio, United States Molina Healthcare Full timeJob SummaryMolina Healthcare Services (HCS) is seeking a skilled Registered Nurse to join our team as a Case Manager. In this role, you will work with members, providers, and multidisciplinary team members to assess, facilitate, plan, and coordinate an integrated delivery of care across the continuum, including behavioral health and long-term care, for...
-
Nurse Case Manager Supervisor
3 weeks ago
Cincinnati, Ohio, United States UC Health Full timeAbout the Role:The UC Health organization is seeking a highly skilled and experienced Registered Nurse (RN) to serve as a Case Management Supervisor. This is a full-time position that will be responsible for ensuring quality standards and providing guidance to ensure patient-centered case management services are being provided to patients on a daily...
-
Hospice RN Case Manager
2 weeks ago
Cincinnati, Ohio, United States Affinity Care of Ohio Full timeJob SummaryWe are seeking a highly skilled and compassionate Hospice RN Case Manager to join our team at Affinity Care of Ohio. As a key member of our interdisciplinary team, you will play a vital role in providing high-quality patient care and support to individuals and families in their homes and communities.Key ResponsibilitiesConduct comprehensive...
-
Telephonic Nurse Case Manager Specialist
1 week ago
Cincinnati, Ohio, United States Elevance Health Full timeJob SummaryWe are seeking a skilled Telephonic Nurse Case Manager to join our team at Elevance Health. As a Telephonic Nurse Case Manager, you will be responsible for providing high-quality care management services to our members with complex and chronic care needs.Key ResponsibilitiesCare Management: Assess, develop, implement, coordinate, monitor, and...
-
Nurse Case Manager II Position
2 days ago
Cincinnati, Ohio, United States Elevance Health Full timeJob SummaryWe are seeking a skilled Telephonic Nurse Case Manager II to join our team at Elevance Health. As a Telephonic Nurse Case Manager II, you will be responsible for providing care management services to members with complex and chronic care needs.Key ResponsibilitiesAssess member needs and develop individualized care plans to address objectives and...
-
Nurse Case Manager
2 weeks ago
Cincinnati, Ohio, United States UC Health Full timeAbout the RoleUC Health is seeking a skilled Registered Nurse (RN) to join our Care Management Services team as a full-time Case Manager. This is an exciting opportunity to work in a dynamic and patient-centered environment, utilizing advanced nursing skills and knowledge to coordinate clinical care for a designated patient population.Key...
-
Nurse Case Manager Supervisor
7 days ago
Cincinnati, Ohio, United States UC Health Full timeAbout the RoleWe are seeking a highly skilled and experienced Registered Nurse to join our Care Management Services team as a Case Management Supervisor. As a key member of our team, you will be responsible for ensuring the delivery of high-quality patient-centered care and providing guidance and support to our case management staff.Key...
-
Housing Case Manager
1 week ago
Cincinnati, Ohio, United States YWCA Greater Cincinnati Full timeJob SummaryThe YWCA Greater Cincinnati is seeking a skilled and compassionate Housing Case Manager to join our Transitional Living Program team. As a key member of our team, you will provide direct services to adult survivors of domestic violence, helping them achieve stability and independence in their lives.Key ResponsibilitiesDevelop and implement...
-
Youth Services Case Manager
4 weeks ago
Cincinnati, Ohio, United States Hamilton County Job & Family Services Full timePosition OverviewYour Impact Starts HereAs a case manager for Hamilton County Job & Family Services, you will embark on a fulfilling journey that opens doors to numerous opportunities. This role is ideal for recent graduates, seasoned human services professionals, or those seeking a career transition. Below are key aspects of this position:In this capacity,...
-
Case Management Team Leader
4 weeks ago
Cincinnati, Ohio, United States Greater Cincinnati Behavior Full timeGreater Cincinnati Behavioral Health Services (GCBHS) is in search of a Case Management Team Leader to join our dedicated case management unit. Be part of our commitment to empower individuals facing mental health challenges and substance use disorders to achieve fulfilling and productive lives. This role is crucial in overseeing a team that provides support...
-
Medical Case Manager
1 week ago
Cincinnati, Ohio, United States Caracole Inc Full timeJob SummaryThis is a challenging and rewarding role for a skilled Medical Case Manager to join our team at Caracole Inc. As a Medical Case Manager, you will provide medical case management services for individuals and families living with HIV/AIDS, adhering to all standards of social work practice. Your primary responsibilities will include interviewing,...
-
Case Manager
3 days ago
Cincinnati, Ohio, United States Volunteers of America Ohio & Indiana Full timeAbout the RoleVolunteers of America Ohio & Indiana is seeking a dedicated and compassionate Case Manager to join its team in Cincinnati. As a key member of our organization, you will play a vital role in helping individuals in need rebuild their lives and reach their full potential.Key ResponsibilitiesDevelop and implement service plans to ensure stable,...
-
Case Administrator
2 weeks ago
Cincinnati, Ohio, United States Ohio Southern District Court Full timeJob SummaryThe Ohio Southern District Court is seeking a highly skilled and detail-oriented individual to fill the position of Case Administrator. As a key member of our team, you will be responsible for maintaining and processing case information, managing the progression of cases, and ensuring compliance with internal controls, procedures, and rules.Key...
-
RN Homecare Field Case Manager
18 hours ago
Cincinnati, Ohio, United States Patriot At Home Full timeJob OpportunityWe are seeking a skilled Registered Nurse to join our Homecare team as a Field Case Manager. This role involves coordinating total patient care, evaluating the effectiveness of nursing service, and performing admission, transfer, recertification, resumption of care, and discharge Oasis for home care patients.ResponsibilitiesCoordinate patient...
-
Case Manager
1 week ago
Cincinnati, Ohio, United States Volunteers of America Ohio & Indiana Full time**About Us**Volunteers of America Ohio & Indiana is a leading non-profit organization dedicated to serving those in need. Our mission is to empower individuals and families to reach their full potential.**Job Summary**We are seeking a highly motivated and compassionate Case Manager to join our team in Cincinnati. As a Case Manager, you will play a critical...
-
Medical Case Manager
2 weeks ago
Cincinnati, Ohio, United States Caracole Inc Full timeJob SummaryThis position provides medical case management services for individuals and families living with HIV/AIDS. As a Medical Case Manager, you will be responsible for providing comprehensive care and support to clients, ensuring they receive the necessary medical treatment and services to manage their condition.Key ResponsibilitiesClient Assessment and...
-
Case Administrator
7 days ago
Cincinnati, Ohio, United States Ohio Southern District Court Full timeCourt Operations Specialist **Job Summary** The Ohio Southern District Court is seeking a highly organized and detail-oriented Court Operations Specialist to join our team. As a key member of our Clerk's Office, you will be responsible for maintaining and processing case information, managing the progression of cases, and providing exceptional customer...
-
Care Coordinator and Case Manager
2 weeks ago
Cincinnati, Ohio, United States UC Health Full timeJob SummaryUC Health is seeking a skilled Care Coordinator and Case Manager to join our team. As a key member of our healthcare team, you will play a vital role in ensuring the effective and efficient coordination and management of care for our patients.Key Responsibilities:Facilitate and manage care coordination across the continuum of care for UC Health...
Case Manager-RN
3 months ago
Job Description
To maintain high-quality, medically necessary, evidence-based care, and efficient treatment of all patients, regardless of payment source, by ensuring the patients receive the right care, at the right time, in the right place.
Case Management Model:
utilize an Integrated Case Management Model.
Under this model the Case Managers will follow patients through the continuum while facilitating the functions of utilization review, care coordination, advocacy and discharge planning.
Responsibilities
Clinical review of 100% acute bedded patients and potential inpatients at The Christ Hospital against medical necessity criteria (Interqual and Milliman) for appropriateness of admission and status.
Monitors cases for appropriateness of continued stay, level of care and services, and quality of care using approved screening criteria.
Communicate with physicians when alternatives to inpatient care are indicated by clinical review. Refers cases as needed for second level of review.Work with external payers completing/securing authorization for all services provided.
Identify/facilitate patient status from observation to discharge or inpatient as patient clinical condition warrants.
Document all reviews and responses of third party payers in Midas/EPIC per UR process
Identifies potential delays in service or treatment and refers to the appropriate individuals within the multidisciplinary patient care teams for action/resolution.
Interfaces with patient registration, financial councilors, Social Work, and patient financial services etc. to collaborate on financial issues.
Assist in denial and appeal process
Develop a discharge plan based on screening and assessment tools utilized by the Case Manager. Education of the discharge plan including health care recommendations to the patient, family, caregiver, and other hospital personnel
Work with external agencies and ancillary providers by completing discharge plans for services provided at an alternate level of care.
Proactively identify potential barriers to discharge, for example: alternative levels of care, financial coverage issues, psycho/social behaviors, and self care challenges.
Identifies potential delays in service or treatment and refers to the appropriate individuals within the multidisciplinary patient care teams for action/resolution.
Determine outcomes of the discharge plan when follow-up care required by utilizing a discharge phone call process in congruence with the staff of the unit assigned.
Facilitates daily huddles and multidisciplinary team rounds to include IS/SI, discharge plan, length of stay, barriers to discharge, and delays.
Collect, analyze, and communicate data that includes but not limited to quality of care, patient safety, patient/staff/physician satisfaction operational efficiency and financial performance.
Collects Core Measure data concurrently.
Track and trends avoidable day information in Midas per process.
Performs other duties as assigned, including for example participation in planning sessions for departmental activities.
Qualifications
KNOWLEDGE AND SKILLS:
Please describe any specialized knowledge or skills, which are REQUIRED to perform the position duties. Do not personalize the job description, credentials, or knowledge and skills based on the current associate. List any special education required for this position.
EDUCATION:
Bachelor's Degree.
Graduate of an accredited school of nursing with current licensure OR actively enrolled in a BSN program with completion within 3 years of hire date and graduate of an accredited school of nursing with current licensure.
YEARS OF EXPERIENCE:
3-5 years of medical/surgical nursing necessary, case management experience preferred
REQUIRED SKILLS AND KNOWLEDGE:
Experience with case management, utilization review, and discharge planning that is related to the clinical or operational functional areas.
- Knowledge and application of a wide variety of advanced case management tools and methods.
- Knowledge of clinical and operations research methodology and design. Proficient in state of the art business trends, benchmarking, and case management tools and techniques.
- Ability to operate PC based software programs or automated database management systems.
- Expertise in meeting regulatory and accreditation requirements.
- Strong presentation, written and oral communication skills, with strong analytical and problem-solving skills as well as time/project management skills.
- Ability to work with a variety of disciplines and levels of staff across departments and the organization is required.
LICENSES & CERTIFICATIONS:
Licensed to practice in the State of Ohio
- Certified Case Management (CCM) or Accredited Case Management (ACM) desired.
About Us
For more than 130 years, The Christ Hospital been the beacon for exceptional healthcare in the Greater Cincinnati community. We're industry pioneers, always pushing the boundaries and reimagining the future of healthcare.
Our culture promotes collaboration, diversity and innovation. Together, as a team, we work tirelessly to enhance healthcare quality, accessibility and safety.
