Registered Nurse - Case Manager
Apply NowCompany: TotalMed
Location: Ottawa, OH 45875
Description:
Registered Nurse-Case Manager
Job ID #1790137
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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 individual's benefit plan and/or health needs through communication and available resources to promote optimal, cost-effective outcomes
Job details
$43.11 / hour
Fulton, Wood, Lucas, or Ottawa County, Ohio
New
Profession: Registered Nurse
Facility Type: ???
Specialty: Case Manager
Division: MedFi
Start Date: 03/17/2025
Apply
Responsibilities
- Telephonically and/or face to face assessing, planning, implementing and coordinating all case management activities
- Services strategies policies and programs are comprised of network management and clinical coverage policies
- Conducts an evaluation of member's needs and benefit plan eligibility and facilitates integrative functions
- Applies clinical judgment to the incorporation of strategies designed to reduce risk factors and barriers and address complex health
- Assessments take into account information from various sources to address all conditions
- Reviews prior claims to address potential impact on current case management and eligibility
approach assess the need for a referral to clinical resources for assistance in functionality
- Consults with supervisor and others in overcoming barriers in meeting goals and objectives
- Utilizes case management processes in compliance with regulatory and company policies and procedures
- Utilizes interviewing skills to ensure maximum member engagement
Required Qualifications
Active unrestricted RN license (OH)
2+ years of Clinical experience- Home health highly preferred
1+ year of previous Case Management experience
Case Management Certification (CCM) preferred
Job ID #1790137
| Share
About this Role
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
Job details
$43.11 / hour
Fulton, Wood, Lucas, or Ottawa County, Ohio
New
Profession: Registered Nurse
Facility Type: ???
Specialty: Case Manager
Division: MedFi
Start Date: 03/17/2025
Apply
Responsibilities
- Telephonically and/or face to face assessing, planning, implementing and coordinating all case management activities
- Services strategies policies and programs are comprised of network management and clinical coverage policies
- Conducts an evaluation of member's needs and benefit plan eligibility and facilitates integrative functions
- Applies clinical judgment to the incorporation of strategies designed to reduce risk factors and barriers and address complex health
- Assessments take into account information from various sources to address all conditions
- Reviews prior claims to address potential impact on current case management and eligibility
approach assess the need for a referral to clinical resources for assistance in functionality
- Consults with supervisor and others in overcoming barriers in meeting goals and objectives
- Utilizes case management processes in compliance with regulatory and company policies and procedures
- Utilizes interviewing skills to ensure maximum member engagement
Required Qualifications
Active unrestricted RN license (OH)
2+ years of Clinical experience- Home health highly preferred
1+ year of previous Case Management experience
Case Management Certification (CCM) preferred