Qureos Mentor

A-Line Staffing Solutions

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 Job Title
 
 
 
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 Nurse Case Manager II - OHIO
 
 
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 Address
 
 
 
 Field-Ohio (Field) (OH001F)
 
 
 
 Job Description
 
 
 
 <ul>
 <li>
 Conducts comprehensive assessments of referred member's needs and eligibility using clinical tools and information review.
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 Evaluates member's benefit plan and available programs/services to determine case resolution approach.
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 Interprets applicable criteria, guidelines, policies, procedures, and regulatory standards to ensure benefit administration.
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 Utilizes case management and quality management processes in compliance with regulatory and accreditation standards.
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 Provides advocacy and facilitates options to meet health needs and promote cost-effective outcomes.
 
 
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 Critical Information
 
 
 
 
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 Work hours: Monday-Friday 8-5 pm EST
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 Remote: Fully remote (never coming onsite)
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 Job duration: Not specified
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 Environment: Office-based with sedentary work involving sitting, talking, listening, and computer use
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 Work may include visiting facilities and patients' homes in the Ohio area
 
 
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 </ul>
 
 
 Education/Licenses Needed
 
 
 
 
 <ul>
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 RN with current unrestricted state licensure
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 Case Management Certification (CCM) preferred
 
 
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 </ul>
 
 
 Benefits:
 
 
 
 
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 Benefits are available to full-time employees after 90 days of employment.
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 A 401(k) with company match is available after 1 year of service.
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 This is an AI-formatted job description; recruiter confirmation required.
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 </ul>
</div>

*Nurse Case Manager II - OHIO

<div>
 
 Job Title
 
 
 
 Clinical Review Nurse - Concurrent Review - J00933
 
 
 
 Address
 
 
 
 Various, OH
 
 
 
 Job Description
 
 
 
 <ul>
 <li>
 Evaluate and conduct concurrent reviews for patient care.
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 Coordinate with healthcare professionals to ensure quality standards are met.
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 Document patient interactions and review outcomes diligently.
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 Communicate findings and recommendations effectively.
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 Maintain compliance with healthcare regulations and policies.
 
 
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 </ul>
 
 
 Critical Information
 
 
 
 
 <ul>
 <li>
 Remote work available.
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 Contract duration: 26.0 weeks.
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 <li>
 Shift hours: Monday-Friday, 8AM-5PM.
 
 
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 </ul>
 
 
 Education/Licenses Needed
 
 
 
 
 <ul>
 <li>
 Nurse Ohio Licensure.
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 <li>
 RN preferred.
 
 
 </li>
 </ul>
 
 
 Benefits:
 
 
 
 
 <ul>
 <li>
 Benefits are available to full-time employees after 90 days of employment.
 </li>
 <li>
 A 401(k) with company match is available after 1 year of service.
 </li>
 <li>
 This is an AI-formatted job description; recruiter confirmation required.
 </li>
 </ul>
</div>

Clinical Review Nurse - Concurrent Review - J00933

Join A-Line Staffing Solutions and explore 2   exciting career opportunities. They're hiring for various roles with options for remote or on-site work. Apply today and become part of their innovative team.

A-Line Staffing Solutions

ABOUT_COMPANY

*Nurse Case Manager II - OHIO

Clinical Review Nurse - Concurrent Review - J00933