Nurse Case Manager II

ICONMA; Hamilton (OH); On-site; USD 80,000 - 89,000; Full time

Job summary

ICONMA is seeking a Nurse Case Manager II for their locations in Hamilton County, OH. The role involves assessments, benefit plan management, and coordination of healthcare services for optimal patient outcomes. Ideal candidates will have an active RN license, clinical experience, and strong communication skills. This is a full-time position offering competitive salary and growth opportunities.

Benefits

Health Benefits

Referral Program

Excellent growth and advancement opportunities

Qualifications

• Active OH RN license required.
• 3 years clinical practice in healthcare settings.
• Case management experience preferred.

Responsibilities

• Utilizes collaborative processes for case management.
• Conducts assessments of member's needs.
• Ensures compliance with regulations and company policies.

Skills

Effective communication

Multitasking

Clinical knowledge

Education

High School Diploma or GED

RN license

Case Management Certification

Job description

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Our Client, a Retail Pharmacy company, is looking for a Nurse Case Manager II for their Hamilton County, OH/ Butler County, OH/Clermont County, OH/Warren County, OH location.

Responsibilities

• The Case Manager utilizes a collaborative process of assessment, planning, facilitation and advocacy for options and services to meet an individuals benefit plan and/or health needs through communication and available resources to promote optimal, cost-effective outcomes.
• Requires an RN with unrestricted active license
• Through the use of clinical tools and information/data review, conducts comprehensive assessments of referred member's needs/eligibility and determines approach to case resolution and/or meeting needs by evaluating member's benefit plan and available internal and external programs/services.
• Application and/or interpretation of applicable criteria and guidelines, standardized case management plans, policies, procedures, and regulatory standards while assessing benefits and/or members needs to ensure appropriate administration of benefits.
• Utilizes case management and quality management processes in compliance with regulatory and accreditation guidelines and company policies and procedures
  
  

Requirements

• Must have active OH RN license
• Verifyable High School Diploma or GED Required
• 3 years Clinical practice experience, e.g., hospital setting, alternative care setting such as home health or ambulatory care required.
• Healthcare and/or managed care industry experience.
• 3 years Clinical practice experience, e.g., hospital setting, alternative care setting such as home health or ambulatory care required.
• Healthcare and/or managed care industry experience.
• Case Management experience preferred-- Position requires proficiency with computer skills which includes navigating multiple systems and keyboarding
• Effective communication skills, both verbal and written.
• Ability to multitask, prioritize and effectively adapt to a fast paced changing environment
• Sedentary work involving periods of sitting, talking, listening. Work requires sitting for extended periods, talking on the telephone and typing on the computer.
• Work requires the ability to perform close inspection of hand written and computer generated documents as well as a PC monitor.
• RN with current unrestricted state licensure.
• Case Management Certification preferred
  
  

Why Should You Apply?

• Health Benefits
• Referral Program
• Excellent growth and advancement opportunities
  
  

As an equal opportunity employer, ICONMA provides an employment environment that supports and encourages the abilities of all persons without regard to race, color, religion, gender, sexual orientation, gender identity or express, ethnicity, national origin, age, disability status, political affiliation, genetics, marital status, protected veteran status, or any other characteristic protected by federal, state, or local laws.

Seniority level

• Seniority level

  Mid-Senior level

Employment type

• Employment type

  Full-time

Job function

• Job function

  Health Care Provider

• Industries

  Staffing and Recruiting

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