Care Management Coord RN-Optional at TriHealth

Cincinnati, Ohio, United States -

Full Time

Start Date

Immediate

Expiry Date

17 Oct, 26

Salary

0.0

Posted On

19 Jul, 26

Experience

2 year(s) or above

Remote Job

Yes

Telecommute

Yes

Sponsor Visa

Skills

Utilization Management, Discharge Planning, Patient Assessment, Interqual Criteria, Case Management, Clinical Nursing, Communication, Negotiation, Problem Solving, Collaboration

Industry

Hospitals and Health Care

Description

CARE MANAGEMENT COORD RN OPPORTUNITY AT BETHESDA NORTH HOSPITAL – JOIN TRIHEALTH! Are you a passionate and patient-focused Registered Nurse looking to make a meaningful impact? TriHealth is seeking a Care Mgmt Coord RN to join our team in an Optional role within our Care Management department. This is a unique opportunity to expand your expertise working in a supportive and collaborative environment. WHY JOIN TRIHEALTH AT BETHESDA NORTH? * Be part of a leading, multidisciplinary health system known for excellence in care * Collaborate with a dedicated team * Practice in a multi-disciplinary health system * Thrive in a patient-centered culture that supports innovation and professional growth Location: Bethesda North Hospital 10500 Montgomery Rd. Montgomery, OH 45242 Schedule: Optional Incentives & Benefits: We offer competitive shift differentials, opportunities for professional growth, and a comprehensive benefits package that may include medical, dental, vision, paid time off, retirement savings plans, and tuition reimbursement. *PRN positions not eligible for TriHealth benefits https://careers.trihealth.com/what-we-offer/benefits [https://careers.trihealth.com/what-we-offer/benefits] Job Overview: The Care Management Coordinator is responsible for overseeing the processes and documentation that occur as evidence based practice is applied at the bedside. Directs and or completes all functions of the government and commercial utilization management process. Assesses and coordinates implementation of the discharge plan. Collaborates with the multidisciplinary team to assure effective, efficient, appropriate care in order to optimize the health status and assure a smooth transition between levels of care for patients served. Performs utilization review for patients served. Requires weekend, holiday, and off site commitment, with the exception of Hospice of Cincinnati. Job Requirements: Associate's Degree or Diploma in Nursing Hires into position (internal and external) required to obtain BSN within 5 years of hire BLS/CPR (Basic Life Support for Healthcare Providers) Registered Nurse Excellent communication skills Ability to negotiate Problem solve Establish effective working relationship with members of the healthcare team and external customers Knowledge & experience in computer key boarding Professional organization membership preferred 3-4 years experience Clinical in Nursing Job Responsibilities: Using current practice guidelines, assesses all patients, evaluating progress toward clinical goals and next level of care. Reassesses as clinical condition changes. Complete initial utilization review using Interqual criteria. Take follow up action to resolve the situation when criteria are not met by implementing and documenting according to the Utilization Review plan. Coordinate the development of a comprehensive plan of care through patient/family involvement in an interdisciplinary team process. Ensure the patient's health care goals are met related to evidenced based quality care. Ensure that all commercial and government payment requirements are met for continued stay reviews, and other conditions of participation. Ensure that CMS requirements are met for patient status. Other Job-Related Information: The TriHealth Nursing Vision, Mission, and Philosophy speaks to professional development, collaboration, and our nursing culture. To achieve excellence in nursing care, TriHealth encourages: pursuit of improved knowledge through continuing education classes, formal education leading to advanced degrees, and the attainment of specialty certification; nurse membership in local, regional, and national nursing organizations related to the appropriate nurse specialty; involvement in activities that better the health of our community; nursing research activities and use of evidence-based practice, and all nurses to foster, support, and personally model collaborative relationships amongst nurses, physicians, and other caregivers for the betterment of patient care. Working Conditions: Climbing - Rarely Concentrating - Consistently Continous Learning - Consistently Hearing: Conversation - Consistently Hearing: Other Sounds - Consistently Interpersonal Communication - Consistently Kneeling - Occasionally Lifting

Responsibilities

Oversees evidence-based practice at the bedside and manages government and commercial utilization review processes. Coordinates comprehensive discharge plans and collaborates with multidisciplinary teams to ensure smooth patient transitions between levels of care.