Hybrid RN Nurse Case Manager II - OHIO

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

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Company Description

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Full-time

Fully remote