RN Care Manager

As an RN Care Manager (Medical Mutual), you will provide evidence-based Care Transitions Interventions to eligible members in Hamilton County using the nationally recognized Coleman Model. Through bedside visits, post-discharge home visits, and follow-up health coaching calls, you’ll reduce avoidable readmissions, strengthen patient self-management, and ensure safer recoveries at home. This is nursing focused on prevention, education, and advocacy with time to think critically and connect meaningfully. What You’ll Do Clinical Care Coordination & Patient Advocacy Conduct bedside hospital visits, post-discharge home visits, and follow-up telephonic coaching Use RN clinical judgment to assess post-discharge risks and intervene early Collaborate with PCPs, hospitals, and care teams to ensure continuity of care Connect members to community-based services and health plan benefits addressing social determinants of health Promote patient confidence, safety, and independence at home Apply the four pillars of transitional care:Medication reconciliation Timely follow-up with primary care providers Use of a personal health record Early identification of red flag symptoms Documentation & Compliance Complete and submit case summaries and physician summaries per program expectations Document all interventions in Client Track in accordance with COA and Medical Mutual standards Maintain HIPAA compliance and confidentiality at all times Complete follow-ups, reporting, and program activities as assigned Qualifications Minimum 1 year of experience in home health, geriatrics, care management, population health, transitional care, or related setting Strong understanding of healthcare delivery systems, sites of care, and interdisciplinary roles Experience with electronic health records and virtual documentation Demonstrated ability to apply evidence-based practices and clinical judgment independently Strong critical thinking, organization, and time management skills High level of comfort working across multiple software systems Knowledge of community resources in Southwestern Ohio preferred Valid driver’s license and reliable transportation for in-home visits Why RNs Choose COA Clinical autonomy without hospital shifts, nights, or weekends Time to educate, assess, and intervene proactively, not reactively 50+ years of trusted service supporting older adults High employee satisfaction in mission alignment and leadership trust Flexibility to manage your caseload and schedule Benefits That Support Your Life and Purpose Flexible, friendly schedule - no holidays or overnights Pension plan with 6% annual company contribution for long-term security Generous paid time off and 12 paid holidays to recharge and stay well Medical, dental, and vision insurance for your health and peace of mind Professional development opportunities in care management and population health Pet insurance and Employee Assistance Program supporting your whole life, not just your job #J-18808-Ljbffr