Overview As a member of Prime Healthcare, Coshocton Regional Medical Center is proud to be part of a system recognized as one of America's Greatest Workplaces for 2024 by Newsweek and Plant-A Insights Group! This prestigious honor is based on over 1.5 million comprehensive company reviews from more than 250,000 employees, highlighting our commitment to creating a positive and supportive work environment. Thank you to all our amazing employees for making this possible! Now hiring an RN Manager of Case Management! Coshocton Regional Medical Center is a 56-bed, not-for-profit hospital serving East Central Ohio, providing 24-hour emergency services and acute care services, including a network of hospital-based physician clinics. Coshocton Regional is an Accredited Chest Pain and Heart Failure Center and has earned The Joint Commission's Gold Seal of Approval® by demonstrating compliance with national standards for health care quality and safety. For more information, please visitwww.coshoctonhospital.org. Company is an equal employment opportunity employer. Company prohibits discrimination against any applicant or employee based on race, color, sex, sexual orientation, gender identity, religion, national origin, age (subject to applicable law), disability, military status, genetic information or any other basis protected by applicable federa l, state, or local laws. The Company also prohibits harassment of applicants or employees based on any of these protected categories. Know Your Rights: https://www.eeoc.gov/sites/default/files/2022-10/EEOC\_KnowYourRights\_screen\_reader\_10\_20.pdf Responsibilities The working Manager of Case Management is responsible for the development of staff and systems to effectively operate a comprehensive Case Management Program. Provides leadership and supervision to case managers, social workers, case management coordinators/discharge planners, utilization review coordinators and utilization review technicians. Assesses needs and plans, communicates and designs services that are appropriate to the hospital mission and patient/family needs. Integrates and coordinates services using continuous quality improvement tools. 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. 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. Qualifications 1. Active RN license in the State of Ohio required 2. BSN preferred 3. Minimum 5 years’ experience in a Case Management position preferred 4. Must have analytical ability for problem identification and assessment and evaluation of data/statistics obtained from an on-going review process. 5. Experience and knowledge in basic to intermediate computer skills. 6. Current BCLS (AHA) certificate preferred. 7. Knowledge of Milliman Criteria and InterQual Criteria preferred. #LI-WM1 Connect With Us! (https://careers-primehealthcare.icims.com/jobs/191313/rn-manager-of-case-management/job?mode=apply&apply=yes&in\_iframe=1&hashed=-336024306) FacilityCoshocton Regional Medical Center LocationUS-OH-Coshocton ID2025-191313 CategoryManager Position TypeFull Time ShiftDays Job TypeExempt