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Prime Healthcare Services

Registered Nurse Case Manager

Company : Prime Healthcare Services

Location : East Liverpool, OH, 43920

Job Type : Full Time

Date Posted : 27 December 2025

Overview

Department: Ohio Valley Home Health

Shift: Full Time - 8 hr, Days

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

    Locally, certifications like BCLS (AHA) and familiarity with Milliman or InterQual criteria are highly valued for Registered Nurse Case Managers. These credentials boost your profile by demonstrating clinical competence and adherence to healthcare standards common within Ohio Valley Home Health's network.

    East Liverpool shows steady demand for nurse case managers, driven by its healthcare facilities like Prime Healthcare Services. While larger metro areas may offer more openings, the community-focused environment here means less competition but stable long-term career opportunities.

    Case management demands advanced coordination skills, cost containment knowledge, and holistic patient oversight beyond bedside care. Unlike general nursing, it emphasizes integrating services across healthcare providers to ensure seamless, clinically effective, and financially responsible patient outcomes.

    With experience, RN Case Managers often transition into leadership, discharge planning, or healthcare administration roles. Continuous skills enhancement, such as mastering criteria like InterQual, can open pathways to senior case management or specialized clinical coordination positions.

    Day shifts in this home health setting require balancing patient admissions, concurrent reviews, and interdisciplinary communication. Managing time efficiently while advocating for cost-effective care, often under shifting healthcare policies, is a distinctive challenge for these roles.

    Prime Healthcare fosters professional growth through access to top-rated hospital affiliations, ongoing training, and a culture emphasizing quality and compassion. Case Managers benefit from a structured environment that values leadership in patient care and resource management.

    Yes, the company prioritizes maintaining certifications such as BCLS and offers behavioral violence prevention training. These programs ensure that nurse case managers uphold patient safety and clinical excellence standards aligned with regional healthcare regulations.

    Registered Nurse Case Managers in East Liverpool typically earn between $65,000 and $80,000 annually, depending on experience and certifications. This range aligns with local healthcare market trends and reflects the specialized skills required for case management nursing roles.

    They conduct thorough medical record reviews, assess service intensity, and coordinate interdisciplinary teams to align clinical goals with cost-effective strategies. This proactive approach minimizes care gaps and supports optimal patient outcomes throughout the healthcare continuum.

    A Registered Nurse Case often integrates acute care experience with case management duties, focusing on real-time admission and ongoing patient review. This hybrid expertise ensures both clinical acuity and resource management are optimized within healthcare delivery.

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