Our Managed Care Client is seeking RN Case Managers
Must reside in or near Butler, Clermont, Clinton, Hamilton, Warren Counties for in person visits with 75% travel (mileage reimbursed.) However, you will perform your documentation from home. Your caseload will be in your resident county.
Must have a minimum of two (2) years of clinical experience, e.g., hospital setting, alternative care setting such as home health or ambulatory care required.
The roles are Monday – Friday. 8 am to 5 pm
Pay rate: $35.00 - $35.93
Contingent to permanent – This is not a temporary assignment. Client is seeking to convert to full time (eligible after 90 days)
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. 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
For immediate consideration:
Kimberly Cameron, PHR
kcameron@anchorstaffing.com
773-881-5743
Anchor Staffing, Inc. offers:
Medical/Holiday/Vacation or PTO