RN UM Discharge, Planning
Company: Summa Health
Location: Akron
Posted on: January 5, 2026
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Job Description:
As a regional, provider-owned health plan, SummaCare values the
relationship between the members and their doctors. SummaCare is a
part of Summa Health, an integrated healthcare delivery system that
includes Summa Health System hospitals, its community-based health
centers, dedicated clinicians and SummaCare. Based in Akron, Ohio,
SummaCare provides Medicare Advantage, individual and family and
commercial insurance plans. SummaCare has one of the highest rated
Medicare Advantage plans in the state of Ohio, with a 4.5 out of
5-Star rating for 2025 by the Centers for Medicare and Medicaid
Services (CMS). Known for its excellent customer service and
personalized attention to members, SummaCare is committed to
building lasting relationships. Employees can expect competitive
pay and benefits. Summary: Collaborates with other health care
providers to evaluate medical necessity of care, for elective and
emergency admissions, surgeries, diagnostic procedures and
treatments. Coordinate the delivery of services in the most
appropriate setting, and provide support for transitions between
settings for plan members that meets organizational goals related
to quality outcomes, member experience, and cost-efficiency, using
approved medical criteria and regulatory guidelines. Formal
Education Required: a) Bachelor Degree or may substitute with 4
years of like experience. Experience & Training Required: a) 3
years performing same or similar responsibilities. Relevant
experience includes: previous industry, utilization
management/utilization review experience and care coordination.
Other Skills, Competencies and Qualifications: a) Registered Nurse
(RN) state license in good standing. CCM/ACM certification or
equivalent helpful. b) Basic typing/computer skills needed to
collect, assess, and enter data. c) Demonstrate knowledge and
skills necessary to provide care appropriate to the age of the
members serviced. Takes ownership in identifying and obtaining
education and training needed to meet needs of the members. d) Work
cooperatively with team members to accomplish HSM mission and
goals. e) Organize and manage time to accurately complete tasks
within designated time frames in fast paced environment. f)
Maintain current knowledge of and comply with regulatory and
company policies & procedures. g) Maintain confidentiality of
member health and business information. h) Flexible: Ability to
adjust work hours to meet business demands. i) Ability to
effectively interact with populations of patients/customers with an
understanding of their needs for self-respect and dignity Level of
Physical Demands: 1) Sit and/or stand for prolonged periods of
time. 2) Bend, stoop, and stretch. 3) Lift up to 20 pounds. 4)
Manual dexterity to operate computer, phone, and standard office
machines. Equal Opportunity Employer/Veterans/Disabled $34.00/hr -
$50.99/hr The salary range on this job posting/advertising is base
salary exclusive of any bonuses or differentials. Many factors,
such as years of relevant experience and geographical location are
considered when determining the starting rate of pay. We believe in
the importance of pay equity and consider internal equity of our
current team members when determining offers. Please keep in mind
that the range that is listed is the full base salary range. Hiring
at the maximum of the range would not be typical. Summa Health
offers a competitive and comprehensive benefits program to include
medical, dental, vision, life, paid time off as well as many other
benefits. Basic Life and Accidental Death & Dismemberment
(AD&D) Supplemental Life and AD&D Dependent Life Insurance
Short-Term and Long-Term Disability Accident Insurance, Hospital
Indemnity, and Critical Illness Retirement Savings Plan Flexible
Spending Accounts – Healthcare and Dependent Care Employee
Assistance Program (EAP) Identity Theft Protection Pet Insurance
Education Assistance Daily Pay
Keywords: Summa Health, Akron , RN UM Discharge, Planning, Healthcare , Akron, Ohio
