TriHealth · 5 hours ago
Care Management Coordinator
TriHealth is a healthcare provider dedicated to improving the health of the communities it serves. The Care Management Coordinator is responsible for overseeing processes and documentation related to evidence-based practice, coordinating discharge plans, and collaborating with multidisciplinary teams to ensure effective patient care.
Health CareService IndustryWellness
Responsibilities
Using current practice guidelines, assesses all patients, evaluating progress toward clinical goals and next level of care. Reassesses as clinical condition changes
Complete initial utilization review using Interqual criteria. Take follow up action to resolve the situation when criteria are not met by implementing and documenting according to the Utilization Review plan
Coordinate the development of a comprehensive plan of care through patient/family involvement in an interdisciplinary team process. Ensure the patient's health care goals are met related to evidenced based quality care
Ensure that all commercial and government payment requirements are met for continued stay reviews, and other conditions of participation. Ensure that CMS requirements are met for patient status
Qualification
Required
Associate's Degree or Diploma in Nursing
Hires into position (internal and external) required to obtain BSN within 5 years of hire
BLS/CPR (Basic Life Support for Healthcare Providers)
Registered Nurse
Excellent communication skills
Ability to negotiate
Problem solve
Establish effective working relationship with members of the healthcare team and external customers
Knowledge & experience in computer key boarding
3-4 years experience Clinical in Nursing
Preferred
Professional organization membership
Company
TriHealth
TriHealth is a unified health system based in Cincinnati, Ohio, United States.
H1B Sponsorship
TriHealth has a track record of offering H1B sponsorships. Please note that this does not
guarantee sponsorship for this specific role. Below presents additional info for your
reference. (Data Powered by US Department of Labor)
Distribution of Different Job Fields Receiving Sponsorship
Represents job field similar to this job
Trends of Total Sponsorships
2025 (4)
2024 (4)
2023 (10)
2022 (11)
2021 (9)
2020 (7)
Funding
Current Stage
Late StageLeadership Team
Recent News
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