Nurse Case Manager

  • Sector: MRS Medical
  • Contact: Marie Nellas
  • Client: Medical Recruitment Strategies
  • Location: Maumee, United States of America
  • Salary: Negotiable
  • Expiry Date: 25 January 2023
  • Job Ref: BBBH406938_1666900334
  • Contact Email: mnellas@medicalrecruitmentstrategies.com

Hiring for care management in one of our counties or all mentioned below.
1) Fulton,
2) Lucas,
3) Ottawa,
4) Wood.

Required Qualifications :
** Requires an OHIO RN with unrestricted active license
** P-Active RN License NO RESTRICTIONS
** -2+ years of clinical experience

Duties:

The Case Manager utilizes a collaborative process of assessment, planning, facilitation and advocacy for options and services to meet an individual's benefit plan and/or health needs through communication and available resources to promote optimal, cost-effective outcomes.

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 member's 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

Hours per DayHours per Week
8
40

Experience: 2-3 years Clinical practice experience, e.g., hospital setting, alternative care setting such as home health or ambulatory care required.