Job Description

RN Case Manager, Care Management, PRN, First Shift

The Case Manager utilizes advanced nursing skills and knowledge of resource management and fiscal responsibility to coordinate the clinical care for a designated patient population across the continuum of care. The responsibilities include but are not limited to clinical effectiveness, discharge planning, care coordination, and clinical resource management. The Case Manager interacts with Medical, Nursing and Ancillary department staff to facilitate quality based, cost effective patient outcomes and ensure care is provided in the most appropriate setting.

Patient Care & Communication

• Communicates clearly and appropriately with patients and families.
• Understands age-specific needs, growth, and development.
• Provides clear treatment instructions and includes family/guardians in care.
• Identifies physical, behavioral, psychological, cultural, and religious needs and responds appropriately.
• Recognizes and reports signs of abuse or neglect.
• Safely performs treatments, administers medications, and uses equipment.

Care Coordination & Transition Planning

• Collaborates with healthcare teams to develop and manage patient care plans.
• Assesses patients within one business day of admission to identify discharge needs and barriers.
• Plans and coordinates safe, timely discharges.
• Leads and participates in daily care coordination rounds and patient care conferences.
• Identifies and resolves delays in treatment, testing, and discharge processes.
• Ensures patients and families are educated and prepared for next level of care.
• Arranges home care services, equipment, and follow-up treatments as needed.
• Coordinates services with internal teams, external providers, and insurers.
• Conducts post-discharge follow-ups to confirm care success.

Utilization Review

• Reviews admissions, length of stay, and services for medical necessity.
• Performs ongoing chart reviews and ensures proper documentation.
• Confirms appropriate level of care and resource utilization.
• Collaborates with physicians to support care decisions and documentation.
• Escalates cases as needed to leadership for review.

Quality Improvement & Data Management

• Participates in quality improvement and patient outcome initiatives.
• Tracks and analyzes data such as length of stay and readmissions.
• Identifies system barriers and contributes to process improvements.
• Helps develop and refine care coordination tools and standards.

Professional Responsibilities

• Demonstrates strong communication, problem-solving, and conflict-resolution skills.
• Collaborates effectively with diverse teams, patients, and families.
• Stays current on clinical practices, resources, and industry trends.
• Participates in training, meetings, and professional development activities.
• Supports department initiatives and performs additional duties as needed.

• Registered Nurse from an accredited school of Nursing, College or University required.
• Bachelor of Science in Nursing (BSN) preferred.
• Current RN License in Ohio. Certification in Case Management or Certified Professional in Health care Quality (CPHQ) encouraged.
• Three years Home Health, Discharge Planning, and / or Case Management experience.

At UC Health, we're proud to have the best and brightest teams and clinicians collaborating toward our common purpose: to advance healing and reduce suffering.

As the region's adult academic health system, we strive for innovation and provide world-class care for not only our community, but patients from all over the world. Join our team and you'll be able to develop your skills, grow your career, build relationships with your peers and patients, and help us be a source of hope for our friends and neighbors.

UC Health is an EEO employer.