*Nurse Case Manager II - Cincinnati OH - A-Line Staffing Solutions : Job Details

Conducts comprehensive assessments of referred members' 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. Applies and interprets 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. Critical Information: Requires 3 years of clinical practice experience, including hospital or alternative care settings. Must have proficiency with computer skills, including navigating multiple systems and keyboarding. Effective communication skills, both verbal and written, are required. Sedentary work is involved, with periods of sitting, talking, listening, and typing on ...Case Manager, Nurse, Manager, Healthcare, Staffing, Management