Registered Nurse (RN) - Manager of Case Management - Maryview Medical Center in Cornholme

Registered Nurse (RN) – Manager of Case Management

Maryview Medical Center – Bon Secours Mercy Health

Bon Secours Mercy Health is dedicated to continually improving health care quality, safety and cost effectiveness. Our hospitals, care sites and clinicians are recognized for clinical and operational excellence.

$10,000 sign‑on bonus!

Are you passionate about improving the patient’s experience through high quality, convenient, and connected care delivery?

Welcome to Maryview Medical Center, the way it should be. At Bon Secours Maryview Medical Center, we strive to create a better, easier experience for patients who are transitioning out of inpatient hospital care.

We are seeking a highly motivated and skilled professional who shares a passion for excellence in case management and can lead a team to the same level of professionalism.

Why you should join our team

• Teamwork: Maryview Case Managers believe in working together for the benefit of patients.
• Patient‑centered care: Case managers honor the care provided during inpatient stay by focusing on successful hospital transitions.
• Leadership: Supportive executive leadership fosters growth and mentorship for new and upcoming leaders.
• Relocation assistance eligible – discuss with recruiter.

Job Summary

The Manager, Case Management is responsible for day‑to‑day oversight, coordinating, organizing and managing functions and resources for the Case Management Department. The role collaborates with Case Management Leadership and colleagues to achieve standardization of assigned functions and responsibilities. It combines clinical and financial components to achieve the best possible outcomes for patients and the organization.

Essential Functions

• Provide leadership and oversee day‑to‑day operations for the Case Management team and coordinate with Care Management leadership to standardize practices related to Advance Care Planning, length of stay (LOS) management, readmission prevention, predictive readmission tools, denial prevention and patient satisfaction.
• Advocate and educate regarding right care at the right time and place. Provide education to staff, physicians, nursing and other care team members on care progression, level of care (LOC) and transition management. Support national standards for care management scope of service: Education, Care Coordination, Compliance, Transition Management and Resource Utilization.
• Utilize systems to support proactive care management across the continuum, aligning with population health and community health efforts to create a patient‑centered care management model.
• Collaborate with ambulatory and post‑acute providers to ensure seamless transitions of care.
• Partner with physician leaders to optimize the Utilization Management Committee, providing actionable data on utilization opportunities identified through quantitative data analytic platforms.
• Direct daily operations to achieve effective personnel utilization consistent with patient and ministry needs. Assist in developing annual departmental goals, strategic plans and initiatives, and foster integration across nursing, quality, hospitalist, physician advisory and other leadership to optimize high‑quality, cost‑efficient care.
• Participate in developing and managing the annual budget, identify and achieve cost reductions, and work with organization colleagues to standardize operations and reduce cost in collaboration with staff and stakeholders.

Qualifications

This document is not an exhaustive list of responsibilities, skills, duties, requirements or working conditions. Employees may be required to perform other job‑related duties as required by their supervisor, subject to reasonable accommodation.

Education

• Bachelor of Science Nursing or Social Work (required)
• Master’s in Nursing, Social Work or Healthcare Administration (preferred for BSMH; required for RSFH)

Licensure / Certification

• Registered Nurse license in the state of Ohio
• Certifications such as Certified Case Manager (CCM) or equivalent preferred

Experience

• 3 years of recent acute hospital case management experience (required)

Training

None

Hard/Technical/Clinical Skills

• Care management
• Discharge planning
• Patient advocacy
• Flexible
• Care planning
• Care coordination
• Data analysis
• Reimbursement methodologies
• Staffing workflow and bed allocation
• Clinical knowledge
• Tracking
• Knowledge of local and state resources
• Knowledge of government and non‑government payor practices, regulations, standards and reimbursement

Soft/Interpersonal Skills

• Leadership
• Mentorship
• Training employees
• Knowledge sharing
• Attention to detail
• Critical thinking
• Communication with family members
• Conflict resolution
• Proactive

Benefits

• Competitive pay, incentives, referral bonuses and 403(b) with employer contributions (when eligible)
• Medical, dental, vision, prescription coverage, HSA/FSA options, life insurance, mental health resources and discounts
• Paid time off, parental and FMLA leave, short‑ and long‑term disability, backup care for children and elders
• Tuition assistance, professional development and continuing education support

Benefits may vary based on the market and employment status.

Equal Opportunity Employment

All applicants will receive consideration for employment without regard to race, color, national origin, religion, sex, sexual orientation, gender identity, age, genetic information, protected veteran status, or disability. Bon Secours Mercy Health embraces affirmative action and is an Equal Opportunity Employer. If you require a reasonable accommodation in the employment selection process, please contact the Talent Acquisition Team at recruitment@mercy.com.