Registered Nurse; RN - Care Manager - St. Joseph Warren Hospital

RN - Case Manager - St. Joseph's Warren Hospital - Youngstown - FT

Monday - Friday 7:30 - 4:00pm. CM's will be expected to work 1 weekend day (Saturday or Sunday) every 4-5 weeks. CM will work 4 weekdays a week on the week that you will be working a single weekend day.

• Identifies and prioritizes patients in need of care management services, using a holistic approach inclusive of biopsychosocial, functional, cultural, spiritual, and financial factors. Plans with the patient, caregivers and members of the healthcare team to maximize health care responses, quality and cost-effective outcomes. Monitors and revises the plan as indicated when patient condition changes.
• Completes all necessary documentation. Maintains, clear, concise, and timely documentation in the patient record to reflect the needs of the patients. Handovers are expected to be utilized at points of level of care change, staff change, as well as care transitions.
• Documentation will reflect plan of care to address post hospital care needs and resources and evidence of patient, family or caregiver involvement in planning. Ensuring patient’s and caregiver’s treatment goals and preferences are incorporated into the transition of care planning and communicated to the multidisciplinary team.
• Follow standardized practices and processes related to Advance Care Planning, Length of Stay management and readmission prevention.
• Supports denial prevention related to medical necessity through addressing/remove barriers to progression of care and participating in Interdisciplinary Discharge Rounds.
• Supports and promotes assertive, proactive care for patients, assisting in removing barriers related to achieving timely testing and treatment. Ensures resources are utilized appropriately and offering alternatives to acute care to the care team.
• Stays abreast of community resources available to facilitate safe patient transitions of care and remains current on clinical advancements related to primary patient population.

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

• Bachelor of Science in Nursing (preferred for BSMH, required for RSFH)

• BLS Basic Life Support – American Heart Association (required)
• RN License in the state in which they are working or covered by compact (required)
• Accredited Case Manager Certification (ACM) from American Case Management Association or Certified Case Manager (CCM) from Commission for Case Manager Certification or American Nurses Credentialing Center (ANCC) Nursing Case Management board certification (preferred)

• 1 year of experience in clinical setting (required)
• 3 years of experience in an acute care clinical setting (preferred)
• Ambulatory or post‑acute, care coordination experience (preferred)

Hard/Tech/Clinical

Skills:

• Care management
• Discharge planning
• Patient Advocacy
• Flexible
• Care Planning
• Care Coordination
• Analyzing data or information
• Reimbursement methodologies
• Staffing workflow and bed allocation
• Clinical knowledge
• Tracking
• Working knowledge of local and state resources
• Knowledge of government and non‑government payor practices, regulations, standards and reimbursement

Soft/Interpersonal

Skills:

• Knowledge Sharing
• Attention to detail
• Critical thinking
• Communication with family members
• Conflict resolution
• Proactive
• Problem Solving
• Active listening
• Relationship building
• Effective problem solving
• Teamwork
• Facilitation

As a Mercy Health associate, you're part of a Mission that matters. We support your well‑being—personally and professionally. Our benefits are built to grow with you and meet your unique needs, every step of the way.

• 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…