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RN / Registered Nurse - Case Manager Team Lead - Full Time - Days

Maumee, Ohio

Overview

The Registered Nurse provides nursing care to individuals and groups which require specialized knowledge, judgment, and skill derived from the principles of biological, physical, behavioral, social, spiritual/cultural, and nursing sciences. The Registered Nurse functions within the full scope of nursing practice as noted by the Board of Nursing of their designated state for which they are practicing in addition to compliance with any of the hospitals accrediting bodies.

  • Full Time
  • Level: Mid
  • Travel: No
  • Glassdoor Reviews and Company Rating

Success Profile

Who is the ideal Promedica employee? We're looking for people to join our team who are motivated by making an impact and doing meaningful work.

  • Responsible 10
  • Critical thinker 9
  • Compassionate 9
  • Communicator 9
  • Adaptable 9
  • Multi-tasker 8
Traits are on a scale of 0 to 10

Additional success profiles:

  • Detail oriented,
  • Flexible,
  • Helpful,
  • Patient,
  • Responsible,
  • Sincere,
  • Understanding

Benefits

  • Professional
    Growth

  • Retirement &
    Savings Plan

  • Innovative
    Training Programs

  • Tuition Assistance

  • Career Stability

  • Comprehensive Health
    Coverage

Job Requirements

Thank you for inquiring about a position with Paramount. We are a NCQA accredited managed care plan, which is part of ProMedica’s integrated healthcare system with offices in Maumee, Columbus, Cleveland, and Cincinnati.  Paramount provides health insurance coverage for Medicare, Medicaid, and Commercial members.  For more information about Paramount, please visit our website http://www.paramounthealthcare.com

Our mission is to improve your health and well-being. So we’re committed to your wellness with various initiatives, such as preventive services, online knowledge, health risk assessments, our Steps2Health disease management programs, health fairs, and more.

The Paramount Case Management Team Lead is a working team leader who serves as a clinical resource and is responsible for staff supervision and the day-to-day operations of case management. The team leader acts as an interdepartmental liaison to ensure prompt resolution of case management issues, questions, and concerns. The Case Management Coordinators report directly to this position.

 

  • Serve as departmental resource/educator/decision maker for case management processes using the Utilization/Case Management Program description, nursing education and experience.
  • Ensure that regulatory and accreditation requirements for case management are met.
  • Assist in development and update of policies and procedures for case management activities.
  • Supervise Case Management Coordinators to ensure that all plan personnel policies are consistently administered through systematic quarterly feedback and annual performance appraisals along with documented counseling/disciplinary procedures, when necessary.
  • Monitor potential high-dollar cases and collaborate with the Finance Department on case-specific expected risks.
  • Prepare monthly report for Manager/Director, Utilization/Case Management outlining case management activities, including actual vs. expected performance, potential problem areas and opportunities for improvement.
  • Maintain a reduced case management caseload as a working team leader.
  • Must have ability to travel within the state of Ohio for provider and delegate relationship-building.
  • Perform other duties as directed.

  • Current Ohio registered nurses license required.
  • Certification in case management preferred
  • 2 years of leadership preferred
  • Minimum 2-3 years recent clinical experience and 1 year case management experience with an HMO preferred
  • Excellent communication (oral and written) and organizational skills required. Ability to plan, coordinate and organize multiple priorities & exercise independent judgment.</li>
  • Demonstrated PC skills, including word processing/spreadsheet/database and graphics applications strongly preferred.
  • Ability to move between company work stations and departments; ability to communicate on telephones and operate general office equipment, including computers.
  • Valid driver’s license, reliable vehicle with proof of auto insurance. 
     

 

ProMedica is a mission-based, not-for-profit integrated healthcare organization headquartered in Toledo, Ohio.  For more information, please visit www.promedica.org/about-promedica

Qualified applicants will receive consideration for employment without regard to race, color, national origin, ancestry, religion, sex/gender (including pregnancy), sexual orientation, gender identity or gender expression, age, physical or mental disability, military or protected veteran status, citizenship, familial or marital status, genetics, or any other legally protected category. In compliance with the Americans with Disabilities Act Amendment Act (ADAAA), if you have a disability and would like to request an accommodation in order to apply for a job with ProMedica, please contact employment@promedica.org

Equal Opportunity Employer/Drug-Free Workplace

 

Job ID 56749 Date posted 04/29/2021
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Julie Luffy head-shot and quote

I joined ProMedica in 2014, right after I finished nursing school. I’ve always wanted to become a nurse, I enjoy the feeling of making people feel safe and caring for them. Nursing is about being there for someone when they feel alone and holding their hand when they are scared. It was easy to choose PROMEDICA due to the residency program that I heard wonderful things about. The residency helped guide me into becoming a confident nurse. I started on the orthopedic floor where I have learned so much from my wonderful work family! I’ve done many different things within the hospital setting, such as becoming an EPIC superuser where I even went in Coldwater to help with their go-live. I was part of the skin team, served on a Nursing grand rounds forum. In July I was crossed trained to the Adult ICU, it was something I thought would be a wonderful experience, I’ve meet a great group of people that I enjoyed training and working with when needed. ~Julie Luffy

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