Healthcare Utilization Manager

3 weeks ago


Akron, Ohio, United States Summa Western Reserve Hospital Full time

**Job Summary**

We are seeking a highly skilled RN Case Manager to join our team at Summa Health Systems. As a key member of our healthcare team, you will be responsible for facilitating the development, implementation, and coordination of patient care plans.

In this role, you will work closely with patients, families, physicians, and interdisciplinary teams to ensure seamless transitions between different levels of care. Your expertise in clinical management and utilization review will enable you to optimize healthcare resources and promote effective care coordination.

To be successful in this position, you must have a strong understanding of disease processes, treatment protocols, and pharmacological management. Excellent communication and interpersonal skills are essential for building strong relationships with healthcare professionals, patients, and families.

**Key Responsibilities:**

  • Develop and implement individualized patient care plans in collaboration with interdisciplinary teams
  • Coordinate and facilitate transitions between different levels of care
  • Monitor and evaluate patient progress to ensure optimal clinical outcomes
  • Utilize evidence-based practices to inform care decisions
  • Collaborate with patients, families, and healthcare providers to address patient needs and concerns

**Requirements:**

  • Bachelor's degree in Nursing from an accredited institution
  • Current licensure as a Registered Nurse in the State of Ohio
  • Minimum two years of experience in clinical, utilization management, home care, discharge planning, managed care, and/or case management

**What We Offer:**

  • A competitive salary range of $33.66-$50.49 per hour
  • A dynamic and supportive work environment

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