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RN Case Manager

Location : Cincinnati, OH
Job Type : Contract
Reference Code : 18852
Hours : Full Time
Required Years of Experience : 2
Travel : No
Relocation : No
Job Industry : Healthcare - Health Services
Job Category : Healthcare - RNs & Nurse Management

Job Description :

Job Description: Responsible for health care management and coordination of healthcare members in order to achieve optimal clinical, financial and quality of life outcomes. Works with members to create and implement an integrated collaborative plan of care. Coordinates and monitors members progress and services to ensure consistent cost effective care that complies with the clients policy and all state and federal regulations and guidelines. For these positions you must reside in the Columbus/Cincinnati area. Must be an RN or LSW and have 2 years of clinical experience, Hospital, Home healthcare, health insurance or and Case Management. This is a remote position but, once things are resumed face to face visits will be required.

  • Provides case management services to members with chronic or complex conditions including:

  • Proactively identifies members that may qualify for potential case management services.

  • Conducts assessment of member needs by collecting in-depth information from information systems, the member, member.

  • family/caregiver, hospital staff, physicians and other providers.

  • Identifies, assesses and manages members per established criteria.

  • Develops and implements a case management plan in collaboration with the member, caregiver, physician and/or other appropriate healthcare professionals to address the member needs.

  • Performs ongoing monitoring of the plan of care to evaluate effectiveness.

  • Documents care plan progress in information system.

  • Evaluates effectiveness of the care plan and modifies as appropriate to reach optimal outcomes.

  • Measures the effectiveness of interventions to determine case management outcomes.

  • Promotes integration of services for members including behavioral health and long term care to enhance the continuity of care for members.

For immediate consideration please email

Required Qualifications :
Must be an RN or LSW and have 2 years of clinical experience, Hospital, Home healthcare, health insurance or and Case Management. 
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