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Prime Healthcare Services

Registered Nurse Case Manager

Company : Prime Healthcare Services

Location : Chester, WV, 26034

Job Type : Full Time

Date Posted : 27 December 2025

Overview

Department: Ohio Valley Home Health

Shift: Full time - 8hr, Day shift

Join an award-winning team of dedicated professionals committed to our core values of quality, compassion and community! Ohio Valley Home Health is affiliated with East Liverpool City Hospital, one of the nation’s “100 Top Hospitals” and “A” rated for patient safety. We offer incredible opportunities to expand your horizons and be part of a community dedicated to making a difference.

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.

Qualifications

Education and Work Experience

  • Starting April 1 2015. Minimum 5 years work experience post-graduation of an accredited school of nursing and a current state Registered Nurse license.
  • Grandfathered prior to April 1, 2015. Minimum 5 years post graduate of an accredited school Of Social Work for Licensed Clinical Social Worker. However, RN Case Manager preferred.
  • Five years acute care nursing experience preferred. At least one year experience in case management, discharge planning or nursing management, preferred.
  • Current BCLS (AHA) certificate upon hire and maintain current.
  • Knowledge of Milliman Criteria and InterQual Criteria preferred.
  • Experience and knowledge in basic to intermediate computer skills.
  • Behavioral Violence Prevention Training within 3 months of hires and maintain current.
  • #LI-CD4

    Employment Status

    Full Time

    Shift

    Days

    Equal Employment Opportunity

    Company is an equal employment opportunity employer. Company prohibits discrimination against any applicant or employee based on race, color, sex, sexual orientation, gender identity, religion, national origin, age (subject to applicable law), disability, military status, genetic information or any other basis protected by applicable federal, state, or local laws. The Company also prohibits harassment of applicants or employees based on any of these protected categories. Know Your Rights: https://www.eeoc.gov/sites/default/files/2022-10/EEOC_KnowYourRights_screen_reader_10_20.pdf

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    Frequently asked questions

    In Chester, WV, a Registered Nurse Case Manager collaborates closely with local hospitals, clinics, and home health agencies to ensure smooth care transitions. This role involves coordinating treatments and resources efficiently to meet the community’s healthcare needs, promoting seamless patient outcomes within the Ohio Valley healthcare network.

    Besides a current RN license, certifications like BCLS (Basic Cardiac Life Support) and knowledge of Milliman or InterQual criteria enhance a nurse case manager’s profile at Prime Healthcare Services. Behavioral violence prevention training is also essential to meet compliance and safety standards in this region.

    Registered Nurse Case Managers often advance into senior case management, nursing leadership, or healthcare quality roles. Gaining expertise in care coordination, clinical review, and resource management can open opportunities in administrative and policy-making positions within home health or hospital systems.

    Chester’s healthcare sector shows steady demand for registered nurse case managers, driven by aging populations and home health growth. While competition exists, candidates with acute care experience and case management certifications have an advantage securing roles at providers like Prime Healthcare Services.

    Nurse case managers in Chester might face resource limitations and smaller care teams than metropolitan areas, requiring adaptability. However, this often results in closer patient relationships and a community-focused approach, differing from the faster-paced, high-volume environments in larger cities.

    Prime Healthcare Services stands out with its commitment to quality, compassion, and community-centered care. Nurses here benefit from affiliation with nationally recognized hospitals, fostering professional growth through advanced clinical protocols and leadership opportunities in case management.

    Yes, Prime Healthcare Services provides ongoing education including behavioral violence prevention training and updates on clinical criteria like Milliman, supporting nurse case managers in delivering high-quality, evidence-based care while meeting state and federal compliance.

    Registered Nurse Case Managers in Chester typically earn between $65,000 and $80,000 annually, reflecting regional cost of living and healthcare market standards. Prime Healthcare Services offers competitive compensation aligned with experience, certification, and role complexity.

    Daily responsibilities include comprehensive patient assessments, coordinating care plans, reviewing medical records for service intensity, and collaborating with multidisciplinary teams to ensure cost-effective and quality outcomes throughout the patient care continuum.

    Strong clinical judgment, proficiency with criteria like Milliman and InterQual, effective communication, and leadership in healthcare integration are vital. Familiarity with electronic health records and behavioral violence prevention enhances performance in this demanding case management nursing role.

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