Nurse Case Manager II

Job title: Nurse Case Manager II
Location: Toledo, OH 43613
Duration: 6+ Months (Possible Extension)   

Shift: Mon - Fri 8 am – 5 pm
Pay Rate: $44.14/hr. on w2
 
Toledo Region – Fulton, Wood, Ottawa, and Lucas Counties

Position Summary
The Case Manager is responsible for using a collaborative process of assessment, planning, facilitation, and advocacy to meet each individual’s health needs and benefit plan requirements. This role leverages communication and available resources to promote optimal, cost-effective outcomes for members.
Key Responsibilities

• Conduct comprehensive assessments of referred members’ needs and eligibility using clinical tools and data review.
• Determine the most effective approach to case resolution by evaluating members’ benefit plans and available internal and external programs/services.

 
Required Qualifications

• Registered Nurse (RN) with an active, unrestricted license.
• Minimum 3 years of clinical practice experience in a hospital, home health, or ambulatory care setting.

 
Preferred Qualifications

• Case Management experience.
• Healthcare and/or managed care industry experience.
• Case Management Certification (CCM).