Hybrid RN Nurse Case Manager II - OHIO
Job Description
Job Description
FULLY REMOTE BUT YOU MUST RESIDE IN THE COLUMBUS, OH REGION ( Hamilton, Butler, Warren, Clinton and Clermont Counties )
- Monday through Friday
- 8:00 PM - 5:00 PM EST
- Pay range is between $35.00 - $35.00 per hour (commensurate of experience)
Job Summary
The Case Manager utilizes a collaborative process of assessment, planning, facilitation and advocacy for options and services to meet an individuals benefit plan and/or health needs through communication and available resources to promote optimal, cost-effective outcomes. Requires an RN with unrestricted active license.
Through the use of clinical tools and information/data review, conducts comprehensive assessments of referred member's needs/eligibility and determines approach to case resolution and/or meeting needs by evaluating member's benefit plan and available internal and external programs/services. Application and/or interpretation of applicable criteria and guidelines, standardized case management plans, policies, procedures, and regulatory standards while assessing benefits and/or members needs to ensure appropriate administration of benefits. Utilizes case management and quality management processes in compliance with regulatory and accreditation guidelines and company policies and procedures.Job Requirements
- Valid and unrestricted RN license for the state of Ohio
- Case Management Certification (CCM) preferred
- 2 years of case management experience
- 3 years Clinical practice experience, e.g., hospital setting, alternative care setting such as home health or ambulatory care
- Effective communication skills, both verbal and written
- Up to 75% travel for member facing visits —documentation at home
What Anchor Staffing, Inc. offers
Contingent to permanent opportunities
Medical
Vacation
FOR IMMEDIATE CONSIDERATION:
Kimberly Cameron, PHR
Human Resources & Lead, MCO Talent Acquisition
773-881-5743 / [email protected]
Company Description
See our company profile at
Also on LinkedIn: -inc
Company Description
See our company profile at on LinkedIn:
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