Nurse Case Manager II - Ohio - Cincinnati Area and surrounding counties.

LanceSoft Inc; Columbus (OH); Remote; USD 60,000 - 80,000; Full time

Job summary

LanceSoft Inc is seeking a Nurse Case Manager II for a remote position with field responsibilities in the Cincinnati area. The ideal candidate will collaborate in the assessment and management of client care, ensuring high-quality service delivery in compliance with insurance and healthcare regulations. This full-time role requires an RN licensure and a minimum of three years clinical experience, preferably in healthcare or managed care settings, with a strong emphasis on communication and multitasking skills.

Benefits

Medical Insurance options

Dental and Vision Insurance

401k Contributions

Critical Illness Insurance

Voluntary Permanent Life Insurance

Accident Insurance

Other Employee Perks

Qualifications

• 3 years Clinical practice experience in a hospital or care setting is required.
• Proficiency in case management and effective communication skills necessary.
• Ability to adapt to a fast-paced changing environment.

Responsibilities

• Conduct comprehensive assessments to determine case resolution.
• Utilize case management processes in compliance with guidelines.
• Evaluate member’s benefit plan to ensure appropriate administration of benefits.

Skills

Effective communication

Multitasking

Computer proficiency

Education

RN with current unrestricted state licensure

Job description

Nurse Case Manager II - Ohio - Cincinnati Area and surrounding counties.

Position Type: Full time

Location: Remote with field in Cincinnatti - Butler, Clairmont, Warren, & Hamilton Co. areas

Work Type: Remote with field

Est. Pay Range: $40.00/hrs. - $44.14/hrs.

Schedule: M-F 8-5

Job ID: 25-234664

Position Type: Full time

Location: Remote with field in Cincinnatti - Butler, Clairmont, Warren, & Hamilton Co. areas

Work Type: Remote with field

Est. Pay Range: $40.00/hrs. - $44.14/hrs.

Schedule: M-F 8-5

Position Summary:

• The Case Manager utilizes a collaborative process of assessment, planning, facilitation and advocacy for options and services to meet an individual’s benefit plan and/or health needs through communication and available resources to promote optimal, cost-effective outcomes.

Duties:

• 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 member’s 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

Required Qualifications:

• 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 handwritten and computer-generated documents as well as a PC monitor.
• Typical office working environment with productivity and quality expectations

Preferred Qualifications:

• Case Management Certification (CCM)

Education:

• RN with current unrestricted state licensure.

Employee Benefits:
At LanceSoft, full-time regular employees who work a minimum of 30 hours a week or more are entitled to the following benefits:

• Four options of medical Insurance
• Dental and Vision Insurance
• 401k Contributions
• Critical Illness Insurance
• Voluntary Permanent Life Insurance
• Accident Insurance
• Other Employee Perks

LanceSoft is a certified Minority Business Enterprise (MBE) and an equal opportunity employer. We prohibit discrimination and harassment of any kind based on race, color, sex, religion, sexual orientation, national origin, disability, genetic information, pregnancy, or any other protected characteristic as outlined by federal, state, or local laws.
This policy applies to all employment practices within our organization, including hiring, recruiting, promotion, termination, layoff, recall, leave of absence, compensation, benefits, training, and apprenticeship. LanceSoft makes hiring decisions based solely on qualifications, merit, and business needs at the time.

About the company

Established in 2000, LanceSoft is a Certified MBE and Woman-Owned organization, and a pioneer in providing premium end-to-end Global Workforce Solutions and IT Services to diverse clients across various domains.

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