Nurse Case Manager Ii Ohio Nw Ohio Toledo

Ohio, United States

Job Description

Job Title:
Nurse Case Manager II - Ohio - NW Ohio - Toledo
Address:
Toledo, OH

  • Conducts comprehensive assessments of members' needs and eligibility using clinical tools and data review.
  • Evaluates members' benefit plans and available programs/services to determine appropriate case resolution approaches.
  • Interprets applicable criteria, guidelines, policies, procedures, and regulatory standards to ensure proper management of benefits.
  • Utilizes case management and quality management processes in compliance with regulatory and accreditation standards.
  • Communicates effectively to facilitate assessment, planning, and advocacy for health options and services.
Critical Information
  • Schedule: Monday through Friday, 8 am to 5 pm.
  • Work environment: Fully remote.
  • Job duration: 13 weeks.
  • Remote/on-site/hybrid: Fully remote.
  • Shift/hours: 8 am to 5 pm, weekdays.
Education/Licenses Needed
  • RN with current unrestricted state licensure.
  • Case Management Certification (CCM) preferred.
Benefits:
  • Benefits are available to full-time employees after 90 days of employment.
  • A 401(k) with company match is available after 1 year of service.
  • This is an AI-formatted job description; recruiter confirmation required.

Skills Required

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Job Detail

  • Job Id
    JD5539338
  • Industry
    Not mentioned
  • Total Positions
    1
  • Job Type:
    Full Time
  • Salary:
    Not mentioned
  • Employment Status
    Permanent
  • Job Location
    Ohio, United States
  • Education
    Not mentioned