Registered Nurse - Case Manager
Apply NowCompany: TotalMed
Location: Cincinnati, OH 45238
Description:
Registered Nurse-Case Manager
Job ID #1757996
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About this Role
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.
Job details
$43.13 / hour
Cincinnati Area, Ohio
Profession: Registered Nurse
Facility Type: ???
Specialty: Case Manager
Division: MedFi
Start Date: 02/24/2025
Apply
Responsibilities
conducts comprehensive assessments of referred member's needs/eligibility and determines approach to case resolution and/or meeting needs
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
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
Required Qualifications
RN with current unrestricted state licensure
3+ years of clinical practice experience (hospital setting OR home health/ambulatory care)
Case management experience/ field work experience
Job ID #1757996
| Share
About this Role
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.
Job details
$43.13 / hour
Cincinnati Area, Ohio
Profession: Registered Nurse
Facility Type: ???
Specialty: Case Manager
Division: MedFi
Start Date: 02/24/2025
Apply
Responsibilities
conducts comprehensive assessments of referred member's needs/eligibility and determines approach to case resolution and/or meeting needs
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
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
Required Qualifications
RN with current unrestricted state licensure
3+ years of clinical practice experience (hospital setting OR home health/ambulatory care)
Case management experience/ field work experience