Registered Nurse (RN) - Case Management - St. Vincent Medical Center - PRN

Mercy Health St. Vincent Medical Center seeks a Registered Nurse for Case Management on a PRN basis. In this role, you will manage patient transitions of care through the hospital and into appropriate post-acute settings. You will work to secure third-party payer approval for services provided and ensure appropriate documentation to support patient status, level of care, and DRG assignment.

Clinical Setting

Mercy Health St. Vincent Medical Center is a regional tertiary care facility serving a 150-mile radius of Northwest Ohio and Southeast Michigan. The medical center is verified as a Level I Adult and Level II Pediatric Trauma Center, designated as a STEMI Center, and verified as a Comprehensive Stroke Center by the Joint Commission. The facility has partnered with Nationwide Children's Hospital of Columbus to operate Nationwide Children's Hospital of Toledo on campus.

Responsibilities

• Manage patient transitions of care from hospital to post-acute settings
• Analyze clinical, financial, and social situations to identify problems and alternative courses of action
• Secure third-party payer approval for services provided
• Ensure appropriate documentation to support patient status, level of care, and DRG assignment
• Guide and direct the healthcare team to assure optimal patient outcomes
• Communicate clearly and concisely with physicians, patients, families, and interdisciplinary team members
• Demonstrate creative problem-solving and critical thinking in case management decisions
• Maintain working knowledge of DRG assignment

Required Qualifications

• Current RN license in the state of Ohio
• Minimum of 3 years of clinical experience
• Current CPR certification

Preferred Qualifications

• Bachelor of Science in Nursing (BSN); if not held at hire, must be obtained within 3 years
• Clinical specialty or case management certification
• Case management experience
• Case management certification; if not held at hire, must be obtained within 3 years of hire date
• ACLS certification
• Other relevant certifications

Skills and Abilities

• Ability to analyze clinical, financial, and social situations
• Willingness to be flexible, resourceful, and creative in problem-solving
• Ability to act independently and offer suggestions for improving performance and operations
• Clinical expertise in a specialty area
• Ability to organize and present information clearly and concisely
• Demonstrated interpersonal skills for effective communication with the interdisciplinary team
• Excellent customer service skills
• Working knowledge of DRG assignment

Schedule

• PRN (as needed) position
• 80 hours per pay period
• Weekend, holiday, and on-call rotation required per department policy

Compensation and Benefits

• Competitive pay with sign-on incentives
• Higher pay scales and rewarding differentials for weekend work
• Preceptor pay available
• 403(b) with employer contributions (when eligible)
• Medical, dental, vision, and prescription coverage
• HSA/FSA options
• Life insurance and mental health resources
• Paid time off, parental leave, and FMLA leave
• Short- and long-term disability
• Backup care for children and elders
• Tuition assistance and professional development support
• Continuing education support
• Accredited residency programs and specialty fellowships available

Note: Benefits may vary based on market and employment status.