Registered Nurse - Case Manager
TotalMedFranklin, OH, United Statesjob_description.job_card.30_days_ago
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job_description.job_card.job_descriptionRN with current unrestricted state licensure 3 years Clinical practice experience, e.g., hospital setting, alternative care setting such as home health or ambulatory care required. Healthcare and / or managed care industry experience. Case Management experience preferred Position requires proficiency with computer skills which includes navigating multiple systems and keyboarding
Registered Nurse-Case Manager
Job ID #1763369
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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
$44.11 / hour
Franklin, Union, Deleware, Pickaway, and Madison Counties, Ohio
New
Profession : Registered Nurse
Facility Type : ???
Specialty : Case Manager
Division : MedFi
Start Date : 02 / 24 / 2025
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Responsibilities
- 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
- Application and / or interpretation of applicable criteria and guidelines, standardized case management plans, policies, procedures, and regulatory standards while assessing benefits
- Utilizes case management and quality management processes in compliance with regulatory and accreditation guidelines and company policies and procedures
Required Qualifications
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Registered Nurse Case Manager • Franklin, OH, United States
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