Ohio Licensed Nurse Case Manager

Job Summary

A company is looking for a Nurse Case Manager II in NW Ohio - Toledo.

Key Responsibilities

• Conduct comprehensive assessments of members' needs and eligibility
• Evaluate members' benefit plans and determine appropriate case resolution approaches
• Utilize case management processes in compliance with regulatory standards

Required Qualifications

• Current unrestricted RN state licensure
• Case Management Certification (CCM) preferred
• Experience with clinical tools and data review
• Knowledge of applicable criteria, guidelines, and regulatory standards
• Ability to work fully remote during scheduled hours