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Remote Rn Field Case Manager Jobs in Ohio (NOW HIRING)

Sedgwick

Field Case Manager - Vocational

Cincinnati, OH · On-site +1

... remote work environment that allows face to face interaction with injured workers and medical ... LICENSING RN licensure preferred; or graduate degree in health or human services field required ...

Sedgwick

Field Case Manager - Vocational

Dublin, OH · On-site +1

... remote work environment that allows face to face interaction with injured workers and medical ... LICENSING RN licensure preferred; or graduate degree in health or human services field required ...

Engage Consulting

REMOTE RN MDS CONSULTANT

Toledo, OH · On-site +1

Job Type Full-time Description REMOTE RN MDS CONSULTANT-Full Time Engage Consulting is seeking an ... manage Case Mix opportunities to support accurate reimbursement • Monitor and improve Quality ...

CVS Health

Case Manager, Registered Nurse

Columbus, OH · Remote

$54K - $155K/yr

Position Summary This is a remote work from home role anywhere in the US with virtual training ... The AHH RN Case manager position requires the nurse to support members across multiple states. A RN ...

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Remote Rn Field Case Manager information

What is the difference between Remote Rn Field Case Manager vs Remote Rn Utilization Review Nurse?

AspectRemote Rn Field Case ManagerRemote Rn Utilization Review Nurse
CertificationsRN license, case management certification often preferredRN license, certification in utilization review or case management beneficial
Work EnvironmentField-based, visiting patients and providers remotelyOffice-based, reviewing cases and medical records remotely
Employer & Industry UsageInsurance companies, workers' comp, healthcare providersInsurance companies, managed care organizations, healthcare payers
Common Search & ComparisonRemote Rn Field Case Manager vs Remote Rn Utilization Review Nurse

The Remote Rn Field Case Manager primarily conducts patient visits and manages cases in the field, while the Remote Rn Utilization Review Nurse focuses on reviewing medical necessity and appropriateness of care remotely. Both roles require RN licensure and related certifications, but differ in work environment and daily responsibilities.

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Remote Rn Field Case Manager jobs near you
RN Field Behavioral Health Case Manager

RN Field Behavioral Health Case Manager

Healthcare Support Staffing

Maumee, OH • Remote

Full-time

Posted 26 days ago

Job description

Company Description

Are you an experienced Administrative Assistant 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!

Job Description

RN Field Behavioral Health Case Manager will work 70% in the field and 30% remote. The patient members that they will be assessing are dual eligible Medicare/ Medicaid. There duties include; day-to-day operations of the High Risk Case Management functions to include working with members identified as high risk to identify needs and goals to achieve empowerment and improved quality of life. RN Field Behavioral Health Case Manager assess members' current functional level and, in collaboration with the member, develop and monitor the Case Management Treatment Plan, monitor quality of care; assisting with discharge planning, participating in special clinical projects and communicate with departmental and plan administrative staff to facilitate daily operations of the High Risk Case Management functions. Collaborate with both medical and behavioral providers to ensure optimal care for members. 

Daily Responsibilities: 

RN Field Behavioral Health Case Manager will be responsible for the Lucas County patient members'

Work telephonically with patients identified as high risk to identify needs, set goals and implement action steps towards achieving goals. 

Empower patients to help them improve their quality of life. 

Comply with established referral, pre-certification and authorization policies, procedures and processes by related Medical Management staff.

RN Field Behavioral Health Case Manager participate in on-going communication between case management staff, utilization management staff, health plan partners and contracted providers.

RN Field Behavioral Health Case Manager will assist with the implementation of policies and procedures regarding case management and utilization management functions.

Working with these members to identify needs and goals to achieve improved quality of life.

Maintain HIPAA compliance.


Qualifications

Requirements: 

MUST have a valid RN License in the State of OH

3 years of Behavioral Health experience 

3-5 years of case and/or utilization management experience.

CCM (Certified Case Manager) or other clinical certification preferred

Hours for this Position: 

Monday - Friday 8 am - 5 pm.   


Advantages of this Opportunity:

Competitive salary

Growing Company

Medical benefits go into effect 30 days after start date



Additional Information


If you are interested in applying to this position, please contact Shanna Ramirez, (407) 636-7030 ext. 170 and click the Green "I'm Interested" Button to email your resume.

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!


The greatest compliment to our business is a referral.If you know of someone looking for a new opportunity, please pass along my contact information!


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About Healthcare Support

Sourced by ZipRecruiter

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!Healthcare Support Staffing, Inc. is an equal employment opportunity employer and will consider all qualified applicants without regard to race, color, religion, disability, sex, sexual orientation, gender identity, national origin, protected veteran status, or any other characteristic protected by applicable local, state, or federal law.

Industry

Recruiting and staffing services

Company size

201 - 500 Employees

Headquarters location

Maitland, FL, US

Year founded

2003

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