Summary
Location
Washington Court House
Type
full-time
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About this role
RN Case Management / Utilization Review
Location: Washington Court House , Ohio
Status: Full-Time
Shift: Day shift- Monday through Friday
Position Summary
The RN Case Management/Utilization Review role supports Adena’s integrated Case Management Program, combining utilization review, discharge planning, and resource management. This position ensures patients receive care in the most appropriate setting based on clinical assessment, medical necessity, and efficient use of resources. The role collaborates with the interdisciplinary team to improve quality outcomes, manage length of stay, and reduce unnecessary costs.
Required Qualifications
Current Ohio RN license
Bachelor’s Degree in Nursing (BSN)
3–5 years acute hospital nursing experience
Case Management Certification (CCMC) required within 3 years of hire
Preferred Qualifications
3–5 years acute hospital case management experience
Utilization review experience
Knowledge of payer and regulatory guidelines
Outstanding Benefits Package:
Low-Deductible Health Plans – Quality coverage with affordable costs.
Pet Insurance – Because your furry family members deserve care too.
Public Service Loan Forgiveness (PSLF) Eligibility – Helping you work toward a debt-free future.
Work with purpose – help patients and families during their most vulnerable times
Collaborative team – be part of a multidisciplinary group that values your voice
Supportive culture – compassion, respect, and dignity drive everything we do
Ready to bring hope, healing, and support to those who need it most?
Apply today and become a trusted resource in your community.
Other facts
About Adena Health
At Adena, we know the health of our communities depends on the strength of our teams. That’s why we seek the area’s best talent to share in our vision: To be our region’s most trusted partner for healthcare. We are connected by our compassion, integrity, and excellence in caring for those closest to us, our friends, family and neighbors. This is what sets us apart, and what makes working for Adena a rewarding career choice.
Adena offers highly competitive compensation and a wide range of employee benefits. We think of our co-workers as family and celebrate their dedication throughout the year with recognition and special events such as Caregiver Appreciation Days. When you join us, you join more than 4,100 of Ohio's finest physicians, caregivers and volunteers.
Adena Health System is an independent, not-for-profit and locally controlled health care organization serving the needs of people in nine counties throughout south central and southern Ohio. Adena provides specialty services typically found in larger markets: cancer, heart, orthopedics, pediatrics, women’s health and more. Based in Chillicothe, OH, Adena Health System, driven by a mission of being called to serve our communities, includes four hospitals, six regional clinics and multiple primary care, specialty clinics and urgent care locations.
What you'll do
- The RN Case Management/Utilization Review role supports Adena’s integrated Case Management Program, ensuring patients receive care in the most appropriate setting. This position collaborates with the interdisciplinary team to improve quality outcomes and manage resources effectively.
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