Case Manager/Utilization Review

East Liverpool City Hospital is looking for a Case Manager/Utilization Review to join our growing team! We have a collaborative culture focused on positive outcomes, opportunities for professional growth, and so much more. Our staff selection is based on positive attitude, dedication to patient/family-centered care and superior skills! We offer:

• Competitive Compensation
• Generous benefits plan: Medical (single coverage with no premium!), Dental, Vision, 401K
• Substantial PTO
• Continuing Educational Opportunities
• …And much more!

Responsibilities:

• 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.
• Works on behalf of the advocate, promoting cost containment and demonstrates leadership to integrate the health care providers to achieve a perceived seamless delivery of care.
• 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.

Required Qualifications:

• BSW or other Bachelor degree in a related field. At least one year experience in case management, discharge planning, or nursing management;
• CCM or obtained within 6 months of hire.
• Experience and knowledge in basic to intermediate computer skills.
• Behavioral Violence Prevention Training within 3 months of hire and maintain current.

Preferred Qualifications:

• Minimum 5 years of acute care experience preferred.
• At least one-year experience in case management, discharge planning or management, preferred.
• Current BCLS (AHA) certificate preferred.
• Knowledge of Milliman Criteria and InterQual Criteria preferred.

Job Type: Full-time

Benefits:

• 401(k)
• 401(k) matching
• Dental insurance
• Health insurance
• Life insurance
• Paid time off
• Vision insurance

Physical setting:

• Hospital
• Inpatient

Schedule:

• 8 hour shift
• Day shift

Work Location: In person