Job Summary
A company is looking for a Nurse Case Manager II in Ohio.
Key Responsibilities
- Conduct comprehensive assessments of referred members' needs and determine case resolution approaches
- Apply and interpret criteria and guidelines while assessing benefits and members' needs
- Utilize case management and quality management processes in compliance with regulatory standards
Required Qualifications, Training, and Education
- 3 years of clinical practice experience in a hospital or alternative care setting
- Experience in the healthcare and/or managed care industry
- Case management experience preferred
- Current unrestricted RN state licensure
- Case Management Certification/CCM preferred
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