Case Management Nurse Job at Computech Corporation, Hamilton County, OH

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  • Computech Corporation
  • Hamilton County, OH

Job Description

Job Title: Registered Nurse (RN) – Case Manager

Location: Hamilton, Butler, Clermont, or Warren Counties, OH

Schedule: Monday to Friday, 8:00 AM – 5:00 PM

Key Responsibilities:

  • Conduct comprehensive assessments of referred members' needs and eligibility.
  • Determine appropriate interventions and services by evaluating the member’s benefit plan and available resources.
  • Apply clinical judgment and established guidelines, protocols, and policies to ensure appropriate benefit administration.
  • Utilize case management and quality management processes in compliance with regulatory and accreditation standards.
  • Document all case activities accurately and in a timely manner.
  • Communicate effectively with members, providers, and other stakeholders.
  • Perform member visits in their homes and complete documentation remotely from a home office setting.

Qualifications:

  • Registered Nurse (RN) with a current, unrestricted state license.
  • Minimum of 3 years of clinical experience (hospital, home health, or ambulatory care setting preferred).
  • Experience in healthcare or managed care industry required; case management experience preferred.
  • Proficiency in computer systems, including navigating multiple platforms and strong keyboarding skills.
  • Excellent verbal and written communication skills.
  • Ability to prioritize, multitask, and thrive in a fast-paced environment.
  • Must be comfortable with sedentary work, including extended periods of sitting, computer use, and phone communication.

Job Tags

Remote job, Home office, Monday to Friday,

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