*Nurse Case Manager II - Cincinnati OH
A-Line Staffing Solutions
Hartford, CT
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Nurse Case Manager II - Cincinnati OH
Cincinnati, OH
Full Time
Address
151 Farmington Ave
Hartford, CT 06156
Schedule
Monday - Friday, 8:00 AM - 5:00 PM EST
Job Description
Cincinnati, OH
Full Time
Address
151 Farmington Ave
Hartford, CT 06156
Schedule
Monday - Friday, 8:00 AM - 5:00 PM EST
Job Description
- Conducts comprehensive assessments of referred members' 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.
- Applies and interprets 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.
- Requires 3 years of clinical practice experience, including hospital or alternative care settings.
- Must have proficiency with computer skills, including navigating multiple systems and keyboarding.
- Effective communication skills, both verbal and written, are required.
- Sedentary work is involved, with periods of sitting, talking, listening, and typing on the computer.
- RN with current, unrestricted state licensure.
- Case Management Certification (CCM) is preferred.
- Benefits are available to full-time employees after 90 days of employment.
- A 401(k) with company match is available to full-time employees with 1 year of service on our eligibility dates.
- This is an AI-formatted job description; therefore, this does not remove human decision-making.
-
Seniority level
Mid-Senior level -
Employment type
Full-time -
Job function
Health Care Provider -
Industries
Staffing and Recruiting
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