Field Case Manager II

Healthcare Support Staffing; Cleveland (OH); On-site; USD 34,095 - 48,560; Full time

Benefits offered by this job

Competitive salary

Medical, Dental, and Vision benefits

Positive work environment

Job summary

A national healthcare staffing firm is seeking an experienced Field Case Manager II in Cleveland, Ohio. The position involves assessing and coordinating care for patients with complex medical needs, requiring strong clinical and case management skills. Candidates must hold a valid RN license and have at least 2 years of relevant experience. The firm offers a competitive salary and benefits, fostering a collaborative and positive work environment.

Qualifications

• Must be a registered nurse (RN) with a valid license.
• 2+ years of case management experience required.
• 5+ years of clinical experience preferred.

Responsibilities

• Coordinate care for members with complex medical conditions.
• Review admissions to ensure medical necessity.
• Develop and adjust care plans as necessary.
• Educate patients and providers on care processes.

Skills

Case management

Patient education

Collaboration

Critical Care

Education

RN license

CCM certification

Job description

HealthCare Support Staffing, Inc. (HSS), is a proven industry-leading national healthcare recruiting and staffing firm. HSS has a proven history of placing talented healthcare professionals in clinical and non-clinical positions with some of the largest and most prestigious healthcare facilities including: Fortune 100 Health Plans, Mail Order Pharmacies, Medical Billing Centers, Hospitals, Laboratories, Surgery Centers, Private Practices, and many other healthcare facilities throughout the United States. HealthCare Support Staffing maintains strong relationships with top providers in healthcare and can assure healthcare professionals they will receive fast access to great career opportunities that best fit their expertise. Connect with one of our Professional Recruiting Consultants today to see how a conversation can turn into a long-lasting and rewarding career!

Job Description

Are you an experienced Field Case Manager II looking for a new opportunity with a prestigious healthcare company? Do you want the chance to advance your career by joining a rapidly growing company? If you answered “yes” to any of these questions – this is the position for you!

Daily Responsibilities:

• Perform collaborative duties to assess, plan and coordinate continuum of care for select members with complex medical or behavioral health conditions or are at high risk in order to promote quality, cost effective care.
• Advanced review of admissions through on-site and telephonic review to ensure medical necessity and appropriate level of care.
• Develop, assess and adjust as necessary the care plan and promote desired outcome.
• Coordinate services between Primary Care Physician (PCP) specialist, and other medical and non-medical providers as necessary to meet the complete medical socio economic needs of clients. Participate in face to face visits with high risk members at point of service as needed. For BCHP only, participate in face to face visits with high risk members at point of service.
• Provide patient and provider education.

Hours for this Position:

• Pay rate: $30 per hour

Advantages of this Opportunity:

• Competitive salary, negotiable based on relevant experience
• Benefits offered, Medical, Dental, and Vision
• Fun and positive work environment

Qualifications

Qualifications/ Requirements:

• MUST be an RN
• CCM (Certified Case Manager) or other clinical certification preferred.
• 2+ years of case management experience.
• 5 plus years of Clinical experience
• 2+ years of related experience in managed care environment. (Medicare Experience) *Preferred
• Critical Care expr A+

Additional Information

Interested in being considered?

If you are interested in applying to this position, please contact (Katleen Angala, 321-445-8243) and click the Green I’m Interested Button to email your resume.