Ohio Licensed Nurse Case Manager - job 1 of 4

Job Summary

A company is looking for a Nurse Case Manager II in the Toledo Region of Ohio.

Key Responsibilities

• Conduct comprehensive assessments of referred members' needs and determine case resolution approaches
• Apply and interpret applicable criteria, guidelines, and case management plans while assessing benefits and member needs
• Utilize case management and quality management processes in compliance with regulatory and company policies

Required Qualifications, Training, and Education

• RN with current unrestricted state licensure
• Clinical practice experience, with preferred experience in healthcare and managed care industry
• Preferred case management experience
• Proficient computer skills, including navigating multiple systems
• Case Management Certification (CCM) preferred