Ohio Licensed RN Case Manager

Job Summary

To support a leading national healthcare organization, the remote Ohio Licensed RN Case Manager will utilize a collaborative process to assess, plan, and advocate for clients' health needs while ensuring compliance with regulatory standards.

Key responsibilities

• Conduct comprehensive assessments of referred members' needs and eligibility to determine case resolution approaches
• Apply clinical tools and guidelines to evaluate benefits and ensure appropriate administration of services
• Utilize case management processes in compliance with regulatory and accreditation guidelines

Required qualifications

• Must hold an RN with compact designation or a single state Ohio RN license
• Minimum of 3 years of clinical practice experience in a hospital or alternative care setting
• Experience in the healthcare and/or managed care industry is required