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*Nurse Case Manager II

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*Nurse Case Manager II

  • Location:

    Cincinnati

  • Sector:

    MRS Nursing

  • Job type:

    Temporary & Contract

  • Salary:

    Negotiable

  • Contact:

    Aldrin Fernandez

  • Contact email:

    afernandez@medicalrecruitmentstrategies.com

  • Job ref:

    BBBH408462_1669061014

  • Published:

    12 days ago

  • Duration:

    6 months

  • Expiry date:

    2023-02-19

  • Startdate:

    12/05/22

  • Client:

    Medical Recruitment Strategies

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