Job Summary
A company is looking for a Nurse Case Manager to support patients in various healthcare settings.
Key Responsibilities
- Independently manages complex healthcare cases, assessing patient needs and educating members on treatment options
- Facilitates interventions based on care treatment plans and coordinates services with community resources
- Maintains documentation in compliance with company and regulatory guidelines
Required Qualifications
- Graduate of a registered nursing program approved by the Ohio State Nursing Board; Bachelor's Degree preferred
- 3 years of experience as a Registered Nurse with clinical and case management experience, preferably in health insurance
- Current State of Ohio unrestricted Registered Nurse license; multiple state licensure preferred
- Certified Case Manager (CCM) or other industry-recognized certification preferred (required within 3 years of hire)
- In-depth knowledge of health insurance benefits and health coaching techniques
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