Care Review Clinician

Integrated Resources Inc.; Cincinnati (OH); Remote; USD 50,000 - 65,000; Full time

Job summary

A healthcare provider is seeking a Case Manager to assist with case management by performing face-to-face visits with members in the Cincinnati area. This remote position requires traveling to multiple locations, educating members about their benefits, and documenting interactions. Candidates must have a nursing degree and relevant experience in home care or case management.

Qualifications

• Completion of an accredited Registered Nursing program or equivalent experience.
• At least 5+ years LPN experience in home care.
• Preferably experience in hospital nursing or case management.

Responsibilities

• Complete face-to-face visits with members as directed by the case manager.
• Document observations and interactions through computer.
• Travel extensively within the designated area.

Skills

Clinical Practice

Member Education

Documentation

Professionalism

Education

Registered Nursing program

Job description

Integrated Resources, Inc., is led by a seasoned team with combined decades in the industry. We deliver strategic workforce solutions that help you manage your talent and business more efficiently and effectively. Since launching in 1996, IRI has attracted, assembled, and retained key employees who are experts in their fields. This has helped us expand into new sectors and steadily grow.

Job Description

***The positions are remote, but the home office is located in Springdale (Cincinnati).

100% travel within the Cincinnati area. Agents will be able to expense mileage at $0.54 per mile. Expenses are only reimbursable for miles between member visits, not from home to the first visit or from the last visit back home.

Duties

• Complete face-to-face visits with members in case management as directed by the case manager.
• Drive to multiple locations in a day, covering multiple counties.
• Follow the series of questions provided by the case manager to educate members on their benefits and advise on their utilization.
• Document observations and interactions primarily through computer, with minimal physical contact.

Summary

• Collaborate with the Case Management team.
• Perform face-to-face member visits as directed.
• Travel extensively within the designated area.
• Maintain professional relationships with provider community and internal/external customers.
• Conduct oneself professionally at all times.
• Adhere to the company Code of Conduct and safety standards.
• Consult with and refer cases to medical directors as necessary.

Qualifications

• Completion of an accredited Registered Nursing program or equivalent experience and education.

Required Experience

• 0-2 years of clinical practice.
• At least 5+ years of LPN experience in home care.
• Preferably hospital nursing, utilization management, or case management experience.

Required Licensure/Certification

• Active, unrestricted State Nursing license (RN, LVN, LPN) in good standing.