Registered Nurse - Case Manager - Youngstown Ohio

$60,522 - $129,615 / year

We’re building a world of health around every individual — shaping a more connected, convenient and compassionate health experience. At CVS Health®, you’ll be surrounded by passionate colleagues who care deeply, innovate with purpose, hold ourselves accountable and prioritize safety and quality in everything we do. Join us and be part of something bigger – helping to simplify health care one person, one family and one community at a time. Company: Oak Street Health Title: RN, Case Manager Location: Belmont Ave 3551 Belmont Ave Suite 19-B, Youngstown, OH 44505 Role Description: In partnership with the primary care provider, (PCP), the RN, Case Manager is the lead for care management activities, drives care coordination and collaborates with interdisciplinary teams to ensure care continuity for complex patients. This role focuses on preventing avoidable admissions, driving efficient resource utilization, and ensuring effective team-based care. It is a field-based, in-person/on-site role, requiring strong relationships between patients, providers and care team members. Core Responsibilities: Manages an assigned caseload of complex patients in a value-based care environment, with a focus on driving reduced admissions, readmissions, and medical utilization. Accountable for panel metric performance in admission prevention, readmission prevention, and transitions of care metrics. Owns overall care coordination for assigned patients, functioning as the primary point of contact and ensuring alignment, accountability, and follow-through across the care team. Manage transitions of care episodes for patients on their panel, including timely completion of structured clinical assessments to identify post-discharge needs, medication reconciliation on behalf of the PCP, and addressal of identified needs directly or via collaboration with other team members. Collaborates patient’s PCP, family/caregiver, Social Worker, Behavioral Health Specialists, and other care team members, as needed to evaluate the individual's needs, goals, and plan of action and ensure care plan progression. Ensure timely documentation of key clinical assessments after admissions, while balancing in-center care team planning meetings. Lead in-person interdisciplinary care planning meetings to ensure effective care coordination and management between providers visits. Perform timely nursing assessments and provide patient education for chronic condition management and transitions of care. Educate patients and families, empowering them in their care, and advocating for their needs. Document visits in electronic health record according to internal standards Other duties as assigned. What are we looking for? Current RN license in assigned state is required; Bachelor degree in nursing preferred. Minimum of 6-8 years nursing experience. Certified Case Manager (CCM) required, or willingness to obtain within 12 months of hire, unless candidate has 2-3 years of relevant care/case management experience 2+ years experience in transitional nursing, emergency room nursing, care coordination, discharge planning, or home health is strongly preferred. Demonstrated skill in motivational interviewing, patient activation, time management, and navigating community and social resources. A flexible and positive attitude Comfort with ambiguity and change High emotional intelligence as evidenced by ability to evaluate/perceive a situation from multiple lenses and understand various perspectives in coming to problem resolution. Access to reliable transportation and ability to travel throughout the communities OSH serves US work authorization Someone who embodies being Oaky What does being Oaky look like? Radiating positive energy Assuming good intentions Creating an unmatched patient experience Driving clinical excellence Taking ownership and delivering results Being relentlessly determined Why Oak Street Health? Oak Street Health is on a mission to rebuild healthcare as it should be, providing personalized primary care for older adults on Medicare, with the goal of keeping patients healthy and living life to the fullest. Our innovative care model is centered right in our patient communities, and focused on the quality of care over volume of services. We are an organization on the move! With over 200+ locations and an ambitious growth trajectory, Oak Street Health is attracting and cultivating team members who embody Oaky values and passion for our mission. Oak Street Health Benefits: Mission-focused career impacting change and measurably improving health outcomes for Medicare patients Paid vacation, sick time, and investment/retirement 401K match options Health insurance, vision, and dental benefits Opportunities for leadership development and continuing education stipends New centers and flexible work environments Opportunities for high levels of responsibility and rapid advancement Oak Street Health is an equal opportunity employer. We embrace diversity and encourage all interested readers to apply. Learn more at www.oakstreethealth.com/diversity-equity-and-inclusion-at-oak-street-health Anticipated Weekly Hours 40 Time Type Full time Pay Range The typical pay range for this role is: $60,522.00 - $129,615.00 This pay range represents the base hourly rate or base annual full-time salary for all positions in the job grade within which this position falls. The actual base salary offer will depend on a variety of factors including experience, education, geography and other relevant factors. This position is eligible for a CVS Health bonus, commission or short-term incentive program in addition to the base pay range listed above. Our people fuel our future. Our teams reflect the customers, patients, members and communities we serve and we are committed to fostering a workplace where every colleague feels valued and that they belong. Great benefits for great people We take pride in offering a comprehensive and competitive mix of pay and benefits that reflects our commitment to our colleagues and their families. This full‑time position is eligible for a comprehensive benefits package designed to support the physical, emotional, and financial well‑being of colleagues and their families. The benefits for this position include medical, dental, and vision coverage, paid time off, retirement savings options, wellness programs, and other resources, based on eligibility. Additional details about available benefits are provided during the application process and on Benefits Moments. We anticipate the application window for this opening will close on: 09/30/2026 Qualified applicants with arrest or conviction records will be considered for employment in accordance with all federal, state and local laws. Our Work Experience is the combination of everything that's unique about us: our culture, our core values, our company meetings, our commitment to sustainability, our recognition programs, but most importantly, it's our people. Our employees are self-disciplined, hard working, curious, trustworthy, humble, and truthful. They make choices according to what is best for the team, they live for opportunities to collaborate and make a difference, and they make us the #1 Top Workplace in the area.

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Collaborates patient’s PCP, family/caregiver, Social Worker, Behavioral Health Specialists, and other care team members, as needed to evaluate the individual's needs, goals, and plan of action and ensure care plan progression. Ensure timely documentation of key clinical assessments after admissions, while balancing in-center care team planning meetings. Lead in-person interdisciplinary care planning meetings to ensure effective care coordination and management between providers visits. Perform timely nursing assessments and provide patient education for chronic condition management and transitions of care. Educate patients and families, empowering them in their care, and advocating for their needs. Document visits in electronic health record according to internal standards Other duties as assigned. What are we looking for? Current RN license in assigned state is required; Bachelor degree in nursing preferred. Minimum of 6-8 years nursing experience. 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The RN utilizes knowledge derived from the principles of biological, physical, behavioral, social, and nursing sciences to assess, plan, implement and evaluate patient care. The care is culturally based and age specific. Prepares, implements, evaluates, revises, and coordinates interdisciplinary plan of care for each assigned patient in a collaborative effort with the other healthcare team members and patient/family within the time frame indicated by unit's standards of practice. Communicates formulated plan of care, as appropriate, to all levels of associates involved in the patient's care and demonstrates ability to establish priorities of care based on patient's assessment and needs. Gives clear instructions to patients/family regarding treatment, and involves family/guardian in the assessment, initial treatment, and continuing care of the patient. 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A minimum of three to five years of clinical nursing experience required, with at least three years in transplant, nephrology, hepatology, critical care, or complex medical-surgical nursing preferred. Join our team to BE UC Health. Be Extraordinary. Be Supported. Be Hope. Apply Today! About UC Health UC Health is an integrated academic health system serving Greater Cincinnati and Northern Kentucky. In partnership with the University of Cincinnati, UC Health combines clinical expertise and compassion with research and teaching—a combination that provides patients with options for even the most complex situations. Members of UC Health include: UC Medical Center, West Chester Hospital, University of Cincinnati Physicians and UC Health Ambulatory Services (with more than 900 board-certified clinicians and surgeons), Lindner Center of HOPE and several specialized institutes including: UC Gardner Neuroscience Institute and the University of Cincinnati Cancer Center. Many UC Health locations have received national recognition for outstanding quality and patient satisfaction. Learn more at uchealth.com. UC Health is an EEO employer. Responsibilities Patient Population - (CLINICAL ONLY): Engages in population appropriate communication. Has knowledge of growth and development milestones and tasks. Gives clear instructions to patients/family regarding treatment. Involves family/guardian in the assessment, initial treatment and continuing care of the patient. Identifies any physical limitations of the patient and deploys intervention when necessary. Recognizes and responds appropriately to patients/families with behavioral health problems. Interprets population related data and plans care appropriately. Identifies and responds appropriately to different needs resulting from unique psychological needs or those associated with religious / cultural norms. Performs treatments, administers medication or operates equipment safely. Recognizes and responds to signs/symptoms of abuse or neglect. Patient Care Coordination & Clinical Management Coordinate and manage patient care activities across the transplant continuum (evaluation, waitlist, inpatient, and post-transplant). Attend and participate in weekly transplant clinics to assess patients in person, manage complex medical needs, and collaborate with providers in real time. Perform and interpret clinical assessments, review test results, and escalate abnormal findings to the provider. Monitor for complications, support ongoing medical management, and reinforce treatment adherence. Facilitate patient-centered, evidence-based care that aligns with program protocols and regulatory standards. Interdisciplinary Collaboration & Communication Serve as a central liaison among transplant recipients, living donors, families, surgeons, physicians, APPs, pharmacists, behavioral health specialists, social workers, and other healthcare professionals. Communicate care plans, testing needs, and clinical updates across inpatient and outpatient settings and ensure seamless transitions throughout the transplant and donation processes. Present cases, evaluation findings, and updates during weekly multidisciplinary meetings and selection committees. Collaborate with the HLA laboratory on crossmatching, donor preselects, match reviews, and NKR-related logistics. Facilitate clear communication regarding candidacy, closure of referrals, and evaluation outcomes with transparency and consistency. Promote continuity, safety, and consistency of care across all phases of transplantation and living donation. Education & Counseling Provide individualized and group education regarding the transplant process, testing, surgery, medications, and long-term expectations. Facilitate informed consent discussions and reinforce patient and caregiver understanding. Support education on medication adherence, infection prevention, and self-management strategies. Assist in developing educational materials and participate in community or outreach education efforts as assigned. Regulatory & Data Management Maintain accurate and timely documentation in the EMR and transplant databases (UNOS, Phoenix, SpectraPath, NKR, etc.). Ensure compliance with institutional, CMS, and UNOS requirements for data accuracy,timeliness, and completeness. Participate in audits, data validation, and chart reviews to maintain readiness for regulatory inspections. Collaborate with quality and data teams to ensure appropriate reporting of clinical outcomes and key performance indicators. Quality, Safety & Performance Improvement Identify opportunities for process improvement and contribute to quality initiatives within the transplant program. Report and track patient safety events, readmissions, and adverse outcomes. Support root cause analysis, process corrective action plans, and QAPI documentation. Promote adherence to program protocols and assist in development and revision of clinical policies and pathways. Professional Development & Program Support Maintain current transplant and donor specific knowledge through continuing education and professional development. Attend required meetings, including selection committee, morbidity & mortality, and program quality reviews. Support program coverage needs across coordinator roles as necessary. Participate in departmental and institutional initiatives that enhance program growth, efficiency, and excellence.