Explore Toledo: Your Next Case Management Adventure!

Here are the job details for your review:
Job Title: Nurse Case Manager II - Toledo OH
Job Location: Field Columbus, OH USA 43215
Duration: 3+ Months Contract (Potential for extension)    
Pay Rate: $39.39/HR on W2
Shift: Monday-Friday 8am-5pm EST

Note:
Looking in Toledo Region - Fulton, Wood, Ottawa, and Lucas Counties.

Professional 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

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.
• Ability to multitask, prioritize and effectively adapt to a fast paced changing environment
• Sedentary work involving periods of sitting, talking, listening.
• Work requires sitting for extended periods, talking on the telephone and typing on the computer.
• Work requires the ability to perform close inspection of hand written and computer generated documents as well as a PC monitor.
• Typical office working environment with productivity and quality expectations

Education:
• RN with current unrestricted state licensure.
• Case Management Certification CCM preferred