Local Contract Nurse RN - Clinic Case Management
Cincinnati, OH
Apidel Technologies
5x8 hrs, Days
Referral Bonus

***This is a Local Contract job in counties: Butler, Clermont, Warren, & Hamilton Counties ***** No Travel worker will be considered.
Job Description
Position: Nurse Case Manager
Location: Cincinnati OH (Hybrid)
Duration: 03+ Months (with possibilities of extension)
Shift: M-F 8am-5pm EST
Pay rate: $38.00/hr. on W2 (without benefits).

Note:
• Candidates must reside in anyone of the given counties: Butler, Clermont, Warren, & Hamilton Counties. Candidates must be willing and able to travel between 50% and 75% for in person visits.

Position 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.

Duties
• 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
• Communicates with member/client and other stakeholders as appropriate (e.g., medical providers, attorneys, employers and insurance carriers) telephonically or in person.
• Prepares all required documentation of case work activities as appropriate.
• Conducts an evaluation of members/clients’ needs and benefit plan eligibility and facilitates integrative functions using clinical tools and information/data.

Experience
• 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
• Effective communication skills, both verbal and written.

Education
• RN with current unrestricted state licensure.
• Preferred case management experience