Hybrid RN Nurse Case Manager II - OHIO

FULLY REMOTE BUT YOU MUST RESIDE IN THE COLUMBUS, OH REGION (Hamilton, Butler, Warren, Clinton and Clermont Counties)

• Monday through Friday
• 8:00 PM - 5:00 PM EST
• Pay range is between $35.00 - $35.00 per hour (commensurate of experience)

Job 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.

Job Requirements

• Valid and unrestricted RN license for the state of Ohio
• Case Management Certification (CCM) preferred
• 2 years of case management experience 
• 3 years Clinical practice experience, e.g., hospital setting, alternative care setting such as home health or ambulatory care
• Effective communication skills, both verbal and written
• Up to 75% travel for member facing visits—documentation at home

What Anchor Staffing, Inc. offers

Contingent to permanent opportunities

Medical

Vacation

FOR IMMEDIATE CONSIDERATION:

Kimberly Cameron, PHR

Human Resources & Lead, MCO Talent Acquisition

773-881-5743 / kcameron@anchorstaffing.com