CTC · 1 day ago
RN Case Manager
Columbus, OH
Full-time
Onsite
Mid Level
$43/hr - $44/hr
3+ years expCTC is seeking an RN Case Manager in the Toledo region, specifically in Fulton, Wood, Ottawa, and Lucas Counties. The role involves utilizing a collaborative process to assess and advocate for individuals' health needs while ensuring optimal outcomes through effective communication and resource management.
Human ResourcesInformation ServicesInformation Technology
Responsibilities
Through the use of clinical tools and information/data review, conducts comprehensive assessments of referred member's 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
Application and/or interpretation of applicable criteria and guidelines, standardized case management plans, policies, procedures, and regulatory standards while assessing benefits and/or members 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
Qualification
Required
RN with unrestricted active license
3 years Clinical practice experience, e.g., hospital setting, alternative care setting such as home health or ambulatory care required
Healthcare and/or managed care industry experience
Proficiency with computer skills which includes navigating multiple systems and keyboarding
Effective communication skills, both verbal and written
Ability to multitask, prioritize and effectively adapt to a fast paced changing environment
Sedentary work involving periods of sitting, talking, listening
Ability to perform close inspection of hand written and computer generated documents as well as a PC monitor
Typical office working environment with productivity and quality expectations
RN with current unrestricted state licensure
Case Management Certification
Preferred
Case Management experience
Company
CTC
Founded in 1996, CTC is a global IT services, Consulting and Business Solutions partner dedicated to helping organizations innovate, optimize, and grow.
1001-5000 employees
Funding
Current Stage
Late StageLeadership Team
Gregory A. Cheesewright
CEO
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