Nurse Case Manager - Internal (Medical Review Nurse - PN 20014026)

apartment State of Ohio location_onColumbus, OH, US

$34.96 / HOUR

What You'll Do

Are you a compassionate and detail-oriented nurse looking to make meaningful impact in the lives of children with special care needs? This role offers a dynamic blend of clinical decision-making, case management, community engagement, and administrative support—ideal for nurses who thrive in both independent and collaborative environments. Duties Include:

Clinical And Case Management

Independently assess medical applications and determine eligibility for CMH services.
Authorize or deny diagnostic, treatment, and service coordination based on medical data and program guidelines.
Interpret medical plans for treatment and develop appropriate care strategies.
Monitor ongoing service needs and effectiveness, ensuring compliance with HIPAA and CMH policies.
Coordinate complex treatment plants with other state and federal programs.
Evaluate diagnoses and determine appropriate services, including medical equipment, orthotics, prosthetics, and orthodontia.
Manage case data and service authorizations.

Community Engagement & Education

Maintain contact with families, providers, and community partners through phone, written communication and site visits across Ohio.
Provide technical assistance and orientation to providers on CMH policies, procedures and billing.
Plan and participate in educational workshops, seminars, and nursing care conferences.
Resolve service delivery issues and respond to sensitive inquiries professionally and confidentially.
Collaborate with nurse case managers and other stakeholders to ensure timely and effective case processing

Administrative And Liaison Support

Maintain accurate and confidential client records in accordance with national, state and CMH guidelines.
Perform administrative tasks such as answering phone, managing documents and operating office equipment.
Serve as a liaison to government agencies, private sector partners and other state programs

UNUSUAL WORKING CONDITIONS: May require travel

Position Qualifications

Current and valid license to practice professional nursing as Registered Nurse (i.e., R.N.) in Ohio as issued by Board of Nursing pursuant to Section 4723.03 of Revised Code and all of the following bulleted criteria:
- 24 mos. exp. in pediatric nursing, which included care of children with special health care needs (i.e., CSHCN) &/or case management of children with multiple health care needs
- completion of undergraduate core program in nursing to include 1 course in community health nursing or public health nursing & 1 course in research methodologies or equivalent.
- 1 course or 3 mos. exp. in operation of personal computer.

Current and valid license to practice professional nursing as Registered Nurse (i.e., R.N.) in Ohio as issued by Board of Nursing pursuant to Section 4723.03 of Revised Code and all of the following bulleted criteria:
- 24 mos. exp. in pediatric nursing, which included care of children with special health care needs (i.e., CSHCN) &/or case management of children with multiple health care needs.
- 24 mos. exp. in nursing, which included 3 mos. trg. or 3 mos. exp, in community health or public health nursing & 3 mos. trg. or 3 mos. exp. in data collection & analysis.
- 1 course or 3 mos. exp. in operation of personal computer.

Equivalent of Minimum Class Qualifications for Employment noted above may be substituted for the experience required, but not for the mandated licensure.

Additional Qualifications

Applications of those who meet the minimum qualifications will be further evaluated against the following criteria:

Graduate or advanced degree in nursing
Experience in pediatric nursing and case management of children/ young adults with special health care needs
Experience providing technical assistance/consultation services to a local health department or other provider of child /young adults health services (e.g., hospitals, pediatric clinics, physician's offices, other health care related professionals)
Experience in public/community and/or home health nursing
Experience reviewing and authorizing medical plans of treatment/requests for services (e.g., may include durable medical equipment/orthotics/prosthetics/orthodontic services/therapies)
Certified Nurse Case Manager/ Discharge Planner or Certified Pediatric Nurse
Experience in analyzing health related data to prepare reports (e.g., quality assurance/technical reports, medical reports)
Experience providing education or training to various groups (e.g., medical groups, nursing staff, parents, young adults)
Experience with computer software (e.g., Microsoft Office: Word, PowerPoint)

All eligible applications shall be reviewed considering the following criteria: qualifications, experience, education, active disciplinary record, and work record

Job Skills: Nursing

Technical Skills: Health Administration, Medical Records, Nursing, Public Health, Public Relations

Professional Skills: Analyzations, Attention to Detail, Collaboration, Consultation, Verbal Communication, Written Communications

Educational Transcript Requirements

Official educational transcripts are required for all post-high school educational accomplishments, coursework or degrees claimed on the application. Applicants will be required to submit an official transcript prior to receiving a formal offer of employment. Failure to provide transcripts within five (5) working days of being requested will cause the applicant to be eliminated from further consideration.

Please note that a transcript is considered "official" only if it is an original copy from the educational institution and includes an institutional watermark, ink stamp or embossed stamp. Transcripts printed from the institution's website will not be accepted. ODH reserves the right to assess the academic credibility of an educational entity's award of a putative degree.

Organization

Health

Agency Contact Name and Information

Gayla. A will contact you if selected for interview.

Unposting Date

Dec 22, 2025, 11:59:00 PM

Work Location

Health Department Building

Primary Location

United States of America-OHIO-Franklin County-Columbus

Compensation

$34.96

Schedule

Full-time

Work Hours

Monday - Friday; 8am - 5pm

Classified Indicator

Classified

Union

1199

Primary Job Skill

Nursing

Technical Skills

Health Administration, Nursing, Public Health, Public Relations, Medical records

Professional Skills

Analyzation, Attention to Detail, Collaboration, Consultation, Verbal Communication, Written Communication

Agency Overview

Nurse Case Manager- Internal (Medical Review Nurse)

About Us

Our mission at the Ohio Department of Health (ODH) is advancing the health and well-being of all Ohioans. Our agency is committed to building a modern, vibrant public health system that creates the conditions where all Ohioans flourish.

The Bureau of Maternal, Child, and Family Health (BMCFH)/ Complex Medical Help (CMH) is organized to support families by improving birth outcomes and the health status of women, infants, children, and youth, including children and youth with complex health care needs. Using data and proven practice, the bureau’s programs support the delivery of direct services, linkages and referrals, population-based supports, program evaluation, education, monitoring and quality oversight, and policy and systems development.

Share this job

Related Jobs

Full-time

Nurse 1 (Registered Nurse) 20018241 E

apartment State of Ohio location_onLondon, OH

$88,000 / YEAR

What You'll Do Administers medication (e.g., oral intramuscular and intravenous) and monitors patient medication compliance Performs treatments and performs or assists with nurse’s sick call Assists with doctor’s sick call Performs or assist with nursing management of chronic care clinics Responds to emergencies providing emergency care and cardiopulmonary resuscitation Performs subjective and objective assessment of patients Collects vital signs and timely documents all findings Collects urine and/or other bodily fluid specimens Prepares patients for release or transfer to other facilities (e.g., intrasystem or out to court) by reviewing patient care, transfer summaries or release summaries Ensures discharge medication orders are completed and timely forwarded to pharmacy services Participates in work-related training and institution training exercises. Provides assistance to other healthcare staff Investigates and documents problem areas or areas of concern Reviews shift report from preceding shift(s) Assist physicians with medical procedures Assumes duties of other nurses during absences; Counsels/provides education to patients regarding healthcare maintenance and prevention of disease; Participates in quality assurance activities Provides training and work direction to new nurses, agency nurses, licensed practical nurses, and/or hospital aides Serves as a resource person for other healthcare and security staff regarding healthcare matters Provides orientation and training for new healthcare personnel at the direction of the Nursing Supervisor Serves as the lead clinical authority on site in the absence of the HCA, QIC, medical director and/or advanced level provider staff Participates in group programming Participates in health and wellness initiatives Performs administrative duties as indicated Attends meetings Schedules multidisciplinary team meetings Assumes the duties of shift charge as assigned by the HCA making shift work assignments and adjustments as necessary Performs or assist with inventory and ordering of medical supplies Assists ancillary staff as needed to ensure patient care needs are met Starting pay is approximately $88,000 based on location/shift assignments. Ohio has joined the Nurse Licensure Compact (NLC), which went into effect January 1, 2023. The NLC allows an RN to hold one multistate license (MSL) in their primary state of residence while practicing virtually or over state lines in 37 other compact states across the country. DRC is a “qualifying employer” for purposes of the federal Public Service Student Loan Forgiveness program. Requires current licensure as registered professional nurse in state of Ohio as issued by Board of Nursing per Section 4723.03 of Ohio Revised Code. Job Skills: Nursing, Urgent and Emergency Care, Basic Medical Procedures, Medical Charting, Direct Support/Direct Care, Problem Solving, Critical Thinking, Decision Making, Teamwork, Cultural Awareness Organization Rehabilitation & Correction - London Correctional Institution Agency Contact Name and Information Personnel Director- 740/206-5038/DRC.LOCIRecruit@drc.ohio.gov Unposting Date Nov 30, 2025, 11:59:00 PM Work Location London Correctional Institute Primary Location United States of America-OHIO-Madison County-London Compensation $88.000 Schedule Full-time Classified Indicator Classified Union 1199 Primary Job Skill Nursing Technical Skills Basic Medical Procedures, Medical Charting, Urgent and Emergency Care, Direct Support/Direct Care, Nursing Professional Skills Critical Thinking, Cultural Awareness, Decision Making, Problem Solving, Teamwork Agency Overview Who We Are… Guided by a single mission “To reduce recidivism among those we touch,” the Ohio Department of Rehabilitation and Correction believes that everyone is capable of positive change. Our staff embrace these core values and serves as role models for pro-social behavior conveying an attitude of dignity and respect in the treatment of others. What We Do… The Ohio Department of Rehabilitation and Correction has been tasked with front line crime reduction through rehabilitative treatment and programming efforts provided in a safe, secure and humane correctional environment and effective community supervision. Our goal is to protect the public through helping individuals turn away from crime and become productive, contributing members of our communities, ensuring a safer Ohio for all Ohioans now and in the future. To learn more about our agency, please visit our website at www.drc.ohio.gov Are You Ready? We are thrilled to see that you are interested in beginning your career with the Ohio Department of Rehabilitation and Correction! Without a doubt, this will be the most rewarding and meaningful work you’ll ever find with a work family that is second to none!

Full-time

Nurse 1 (Registered Nurse)

apartment State of Ohio location_onLondon, OH

$88,000 / YEAR

What You'll Do Administers medication (e.g., oral intramuscular and intravenous) and monitors patient medication compliance Performs treatments and performs or assists with nurse’s sick call Assists with doctor’s sick call Performs or assist with nursing management of chronic care clinics Responds to emergencies providing emergency care and cardiopulmonary resuscitation Performs subjective and objective assessment of patients Collects vital signs and timely documents all findings Collects urine and/or other bodily fluid specimens Prepares patients for release or transfer to other facilities (e.g., intrasystem or out to court) by reviewing patient care, transfer summaries or release summaries Ensures discharge medication orders are completed and timely forwarded to pharmacy services Participates in work-related training and institution training exercises. Provides assistance to other healthcare staff Investigates and documents problem areas or areas of concern Reviews shift report from preceding shift(s) Assist physicians with medical procedures Assumes duties of other nurses during absences; Counsels/provides education to patients regarding healthcare maintenance and prevention of disease; Participates in quality assurance activities Provides training and work direction to new nurses, agency nurses, licensed practical nurses, and/or hospital aides Serves as a resource person for other healthcare and security staff regarding healthcare matters Provides orientation and training for new healthcare personnel at the direction of the Nursing Supervisor Serves as the lead clinical authority on site in the absence of the HCA, QIC, medical director and/or advanced level provider staff Participates in group programming Participates in health and wellness initiatives Performs administrative duties as indicated Attends meetings Schedules multidisciplinary team meetings Assumes the duties of shift charge as assigned by the HCA making shift work assignments and adjustments as necessary Performs or assist with inventory and ordering of medical supplies Assists ancillary staff as needed to ensure patient care needs are met Starting pay is approximately $88,000 based on location/shift assignments. Ohio has joined the Nurse Licensure Compact (NLC), which went into effect January 1, 2023. The NLC allows an RN to hold one multistate license (MSL) in their primary state of residence while practicing virtually or over state lines in 37 other compact states across the country. DRC is a “qualifying employer” for purposes of the federal Public Service Student Loan Forgiveness program. Requires current licensure as registered professional nurse in state of Ohio as issued by Board of Nursing per Section 4723.03 of Ohio Revised Code. Job Skills: Nursing, Urgent and Emergency Care, Basic Medical Procedures, Medical Charting, Direct Support/Direct Care, Problem Solving, Critical Thinking, Decision Making, Teamwork, Cultural Awareness Organization Rehabilitation & Correction - Madison Correctional Institution Agency Contact Name and Information Personnel Director-740/206-5143/ DRC.MACIRecruit@drc.ohio.gov Unposting Date Ongoing Work Location Madison Correctional Institute Primary Location United States of America-OHIO-Madison County-London Compensation $88,000 Schedule Full-time Classified Indicator Classified Union 1199 Primary Job Skill Nursing Technical Skills Basic Medical Procedures, Medical Charting, Urgent and Emergency Care, Direct Support/Direct Care, Nursing Professional Skills Critical Thinking, Cultural Awareness, Decision Making, Problem Solving, Teamwork Agency Overview Who We Are… Guided by a single mission “To reduce recidivism among those we touch,” the Ohio Department of Rehabilitation and Correction believes that everyone is capable of positive change. Our staff embrace these core values and serves as role models for pro-social behavior conveying an attitude of dignity and respect in the treatment of others. What We Do… The Ohio Department of Rehabilitation and Correction has been tasked with front line crime reduction through rehabilitative treatment and programming efforts provided in a safe, secure and humane correctional environment and effective community supervision. Our goal is to protect the public through helping individuals turn away from crime and become productive, contributing members of our communities, ensuring a safer Ohio for all Ohioans now and in the future. To learn more about our agency, please visit our website at www.drc.ohio.gov Are You Ready? We are thrilled to see that you are interested in beginning your career with the Ohio Department of Rehabilitation and Correction! Without a doubt, this will be the most rewarding and meaningful work you’ll ever find with a work family that is second to none!

Med-Surg

Part-time

RN, Med Surg - Part time, Day

apartment OhioHealth location_onCircleville, OH

We are more than a health system. We are a belief system. We believe wellness and sickness are both part of a lifelong partnership, and that everyone could use an expert guide. We work hard, care deeply and reach further to help people uncover their own power to be healthy. We inspire hope. We learn, grow, and achieve more – in our careers and in our communities. Job Description Summary: This position provides general nursing care to patients and families along the health illness continuum in diverse health care settings while collaborating with the health care team. He/She is accountable for the practice of nursing as defined by the Ohio Board of Nursing. Responsibilities And Duties: Assessment/Diagnosis - Performs initial, ongoing, and functional health status assessment as applicable to the population and or individual (30%). Outcomes Identification/Planning - Based on nursing diagnoses and collaborative problems, documents planned nursing interventions to achieve outcomes appropriate to patient needs (30%). Implementation/Evaluation - Evaluates and documents response to nursing interventions and achievement of outcomes at appropriately determined intervals; as part of a multidisciplinary team, revises plan of care based on evaluative data (20%). Leadership - Actively participates in process improvement activities to achieve targeted measures of clinical quality, customer satisfaction, and financial performance (10%). Operations (10%). As a High Reliability Organization (HRO), responsibilities require focus on safety, quality and efficiency in performing job duties. The job profile provides an overview of responsibilities and duties and is not intended to be an exhaustive list and is subject to change at any time. Minimum Qualifications: Associate's Degree (Required)BLS - Basic Life Support - American Heart Association, RN - Registered Nurse - Ohio Board of Nursing Additional Job Description: RN - Registered Nurse BLS - Basic Life Support CPR - Cardiopulmonary Resuscitation Field of Study: Nursing Years of Experience 0 Work Shift: Day Scheduled Weekly Hours : 24 Department Med Surg Unit 1 Join us! ... if your passion is to work in a caring environment ... if you believe that learning is a life-long process ... if you strive for excellence and want to be among the best in the healthcare industry Equal Employment Opportunity OhioHealth is an equal opportunity employer and fully supports and maintains compliance with all state, federal, and local regulations. OhioHealth does not discriminate against associates or applicants because of race, color, genetic information, religion, sex, sexual orientation, gender identity or expression, age, ancestry, national origin, veteran status, military status, pregnancy, disability, marital status, familial status, or other characteristics protected by law. Equal employment is extended to all person in all aspects of the associate-employer relationship including recruitment, hiring, training, promotion, transfer, compensation, discipline, reduction in staff, termination, assignment of benefits, and any other term or condition of employment

Med-Surg

Full-time

Staff Nurse - Med Surg

apartment OhioHealth location_onCircleville, OH

We are more than a health system. We are a belief system. We believe wellness and sickness are both part of a lifelong partnership, and that everyone could use an expert guide. We work hard, care deeply and reach further to help people uncover their own power to be healthy. We inspire hope. We learn, grow, and achieve more – in our careers and in our communities. Job Description Summary: Provides general nursing care to patients and families throughout the continuum of care in diverse, acute health care settings. (Department has scheduled staff to operate 24/7/365). The RN accountable for the practice of nursing as defined by the Ohio Board of Nursing. The RN delegates nursing tasks to licensed practical nurses (LPNs) and unlicensed assistive personnel (UAPs) using the criteria written in the Ohio Nurse Practice Act. According to department policies and nursing care standards, provides professional nursing care services to patients. Responsible for assessing, planning, implementing, and evaluating nursing care provided to assigned patients. Responsibilities And Duties: Assessment/Diagnosis - Performs initial, ongoing, and functional health status assessment as applicable to the population and or individual (30%). Outcomes Identification/Planning - Based on nursing diagnoses and collaborative problems, documents planned nursing interventions to achieve outcomes appropriate to patient needs (30%). Implementation/Evaluation - Evaluates and documents response to nursing interventions and achievement of outcomes at appropriately determined intervals; as part of a multidisciplinary team, revises plan of care based on evaluative data (20%). Leadership - Actively participates in process improvement activities to achieve targeted measures of clinical quality, customer satisfaction, and financial performance (10%). Operations (10%). As a High Reliability Organization (HRO), responsibilities require focus on safety, quality and efficiency in performing job duties. The job profile provides an overview of responsibilities and duties and is not intended to be an exhaustive list and is subject to change at any time. Minimum Qualifications: BLS - Basic Life Support - American Heart Association, RN - Registered Nurse - Ohio Board of Nursing Additional Job Description: MINIMUM QUALIFICATIONS Current Registered Nurse license from the State of Ohio and/or current Registered Nurse license in good standing with a multi-state compact state. BLS certification BSN required at 5 years of employment Work Shift: Night Scheduled Weekly Hours : 36 Department Med Surg Unit 1 Join us! ... if your passion is to work in a caring environment ... if you believe that learning is a life-long process ... if you strive for excellence and want to be among the best in the healthcare industry Equal Employment Opportunity OhioHealth is an equal opportunity employer and fully supports and maintains compliance with all state, federal, and local regulations. OhioHealth does not discriminate against associates or applicants because of race, color, genetic information, religion, sex, sexual orientation, gender identity or expression, age, ancestry, national origin, veteran status, military status, pregnancy, disability, marital status, familial status, or other characteristics protected by law. Equal employment is extended to all person in all aspects of the associate-employer relationship including recruitment, hiring, training, promotion, transfer, compensation, discipline, reduction in staff, termination, assignment of benefits, and any other term or condition of employment

Wound Care

Full-time

Registered Nurse (RN)

apartment Healogics, LLC. location_onLondon, OH

$39.88 - $50.26 / HOUR

The rewards at Healogics are immense, starting with the important work we do to change patients’ lives. We also understand that meaningful work is hard work, and we are committed to supporting and compensating our employees for the tremendous service they provide. Think you are a great fit? Learn more about this role here: Healogics is the largest provider of advanced wound care services in the United States, treating more than 300,000 chronic wound patients annually across over 600 sites. With an aging society, obesity and diabetes on the rise, and an uptick in surgical procedures, the number of patients with non-healing wounds that would benefit from expert care is dramatically increasing. As a result, the company is working to provide our differentiated, quality outcomes to as many patients that would benefit through our out-patient clinic partnerships Under the direction of the Wound Care Center Clinical Nurse Manager/Clinical Coordinator, the Registered Nurse (RN) primarily provides patient care and handles intake and discharge processes for the Wound Care Center patients as scheduled. The position may also serve as a Case Manager to a group of assigned Wound Care Center patients, as assigned and depending on the Wound Care Center setup. All Healogics employees must perform their job responsibilities according to all Healogics policies, Hospital policies, as well as to accrediting organizations, federal and state regulation, and to the Centers for Medicare and Medicaid Services (CMS) guidelines, as applicable. Essential Functions/Responsibilities: Provides patient care to Wound Care Center patients and handles patient intake and discharge processes as assigned and according to the hospital and nursing standards Assist in vein clinic as assigned after Healogics Vein Clinic training completed May also serve as Case Manager to a group of patients as assigned. This entails: Performing the initial nursing assessment, communicating findings with the assigned physician, assessing the wound stage and measurements, documenting care plans, evaluating the patient’ status in regards to desired outcomes, and identifying patient care situations that require intervention Participating in quality improvement initiatives, providing education to the patient or caregiver, and serving as a patient advocate in the delivery and coordination of the patient care Performs hyperbaric oxygen therapy (HBO) related duties as assigned, upon completion of the Healogics hyperbaric training May perform hyperbaric safety director duties after completing the required Healogics hyperbaric safety director training Collaborates as needed with other healthcare providers, Wound Care Center Providers, the Program Director and the Medical Director regarding clinic and patient needs May function as a Documentation Assistant (scribe) in accordance with Healogics policy Performs other duties as required. Required Education, Experience and Credentials: Degree in Nursing (ADN) Current RN license in the state of practice – to be maintained throughout the duration of employment in the position Bachelor of Science in Nursing (BSN) preferred Medical Surgical, Home Health or Wound Care Certification preferred Wound care experience preferred Required Knowledge, Skills and Abilities: Demonstrated competency in BLS (Basic Life Support) Demonstrated organization, prioritization and time-management skills Basic knowledge of regulatory/accrediting requirements for healthcare organizations. Strong interpersonal, listening, as well as oral and written communication skills, to include presentation skills and ability to translate complex technical terms in laymen’s terms Customer service skills and follow-up skills Strong analytical skills and problem-solving skills Teaching skills Ability to work in a fast-paced environment and to work on multiple tasks at the same time Ability to work with others and in a team environment Ability to stay calm in all situations Proficient in Microsoft Office (Word, Excel, Outlook and PowerPoint) Working knowledge of computerized nursing systems Physical Demands: Being in a stationary position for extended periods of time (4 hours or more) Repetitive motions Moving about Pushing/pulling Reading Bending/stooping Communicating Reaching/grasping/touching with hands Detecting sounds by ear Writing Close, distance and peripheral vision Traveling distances (car, airplane, etc.) Color perception Lifting/moving items up to 20 pounds Viewing computer screen for extended periods of time (4 hours or more) Lifting/moving items up to 75 pounds with equipment assistance Keying frequently on a computer for 4 hours or more Work Environment: Normal office environment Exposure to mechanical equipment Patient care environment Electrical current Proximity to moving objects Exposure to Hazards (blood borne pathogens, body fluids, toxic chemicals, flammable explosive gases, etc) The hourly rate for this position generally ranges between $39.88-$50.26 Per Hour This range is an estimate, based on potential employee qualifications: education, experience, geography as well as operational needs and other considerations permitted by law. If you are a current employee, to submit a job application, you need to apply as an internal candidate in Workday via the “Jobs Hub”.