Case Manager I
Reference Code: 5043
Position Title: Case Manager I, 16980-1
Location: OH 100% REMOTE Cincinnati or Columbus greater area (including the surrounding counties)
Duration: 3 months contract with possible extension
This position will be remote, however when we open back up for member visits there could be visits on occasion. Those usually aren’t often.
Prefer candidates be near Cincinnati or Columbus greater area (including the surrounding counties). Will be working in EST. Monday – Friday 8am-5pm EST with 1 hour lunch. Ability to flex and take a 30 minute lunch leaving at 4:30pm.
Required licensure: RN, LSW, LISW
Required education: Graduate from an Accredited School of Nursing. Bachelor's Degree in Nursing preferred. Bachelors of Social Work.
Required Experience: 3-5 years of clinical experience. 1-3 years in case management, disease management, managed care or medical or behavioral health settings.
Active State Registered Nursing (RN) license in good standing or Active Licensed Social Worker (LSW or LISW) in good standing.
Day to Day responsibilities include: Complete comprehensive assessments of members per regulated timelines and determines who may qualify for case management based on clinical judgement. Develop and implement a case management plan of care and collaborate with member, care giver, physician or other appropriate healthcare professionals and members support network. Conduct face to face or home visits as required. Performs ongoing monitoring of the members care through quarterly reviews, annual assessments and post discharge assessments as needed. Maintains ongoing member case load for regular outreach and management. Promotes integration of services for member including behavioral health care, long term services and supports and home and community to enhance the continuity of care for Members. Assesses for barriers to care and provides care coordination and assistance to member to address concerns. Computer experience (Microsoft word, excel, PowerPoint).