A-Line Staffing Solutions
https://cdn.haleymarketing.com/templates/61804/logos/alinestaffing-hml.png
http://www.alinestaffing.com
http://www.alinestaffing.com
true
Care Manager II (RN)
Various Ohio, OH 99999 US
Posted: 01/20/2023
2023-01-20
2023-03-07
Category: Nursing
Job Number: 116118
Job Description
Registered Nurse Case Manager openings with a Major Health Plan / Managed Care Company based in the Cleveland, Ohio 44105 area! Starting ASAP! Apply now with Luke H. at A-Line!
Will be mostly remote but does have some member visit requirements - Need to live in the NE Region of Ohio (Lake, Lorain, Cuyahoga County) and be able to commute to in-person visits
Shift (Start/End Time): 8am-5pm Mon-Fri
Pay Rate: $35 - $45 hourly plus travel reimbursement
Daily Responsibilities:
Required Skills/Experience:
Why Apply with A-Line?
Keywords: CCM, InterQual, ICD-10, URAC, CMS, Medicare, Medicaid, Case Management, Certified Case Manager, Medical Coding, BSN, Medical Management, Utilization Review, Utilization Management, Waiver Program, Registered Nurse, MCO, RN, Nurse, Managed Care, Medical Claims, Appeals, Mail Order Medications, Insurance Verification, Pharmacy, Prior Authorization, Patient Counselor, Healthcare, Inbound Calls, Outbound Calls, CCM, InterQual, ICD-10, URAC, CMS, Medicare, Medicaid, Case Management, Certified Case Manager, Medical Coding, BSN, Medical Management, Utilization Review, Utilization Management, Registered Nurse, MCO, RN, Nurse, Managed Care, Medical Claims, Appeals, Mail Order Medications, Insurance Verification, Pharmacy, Prior Authorization, Patient Counselor, Healthcare, Inbound Calls, Outbound Calls, CCM, InterQual, ICD-10, URAC, CMS, Medicare, Medicaid, Case Management, Certified Case Manager, Medical Coding, BSN, Medical Management, Utilization Review, Utilization Management, Waiver Program, Registered Nurse, MCO, RN, Nurse, Managed Care, Medical Claims, Appeals, Mail Order Medications, Insurance Verification, Pharmacy, Prior Authorization, Patient Counselor, Healthcare, Inbound Calls, Outbound Calls, CCM, InterQual, ICD-10, URAC, CMS, Medicare, Medicaid, Case Management, Certified Case Manager, Medical Coding, BSN, Medical Management, Utilization Review, Utilization Management, Registered Nurse, MCO, RN, Nurse, Managed Care, Medical Claims, Appeals, Mail Order Medications, Insurance Verification, Pharmacy, Prior Authorization, Patient Counselor, Healthcare, Inbound Calls, Outbound Calls.
Will be mostly remote but does have some member visit requirements - Need to live in the NE Region of Ohio (Lake, Lorain, Cuyahoga County) and be able to commute to in-person visits
Shift (Start/End Time): 8am-5pm Mon-Fri
Pay Rate: $35 - $45 hourly plus travel reimbursement
Daily Responsibilities:
- Manage a caseload and complete face to face visits on members periodically.
- 55-85 touches per week.
- Case Manager, Home Health Nurse experience preferred
Required Skills/Experience:
- RN Licensure in GOOD standing in Ohio
- Must reside in Lake/Cuyahoga/Lorain County and have a Valid Driver’s license
- experience in Care Management
- At least basic Microsoft office experience
- Home Care background- where in person visits were completed
- Waiver knowledge preferred
Why Apply with A-Line?
- Full benefits available after 90 days: Medical, Dental, Vision, Life, Short-term Disability
- 401k after 1 year of employment: With employer match and profit sharing
- GREAT Hours! Monday through Friday, 40 hours per week
- Competitive Pay Rate!
Keywords: CCM, InterQual, ICD-10, URAC, CMS, Medicare, Medicaid, Case Management, Certified Case Manager, Medical Coding, BSN, Medical Management, Utilization Review, Utilization Management, Waiver Program, Registered Nurse, MCO, RN, Nurse, Managed Care, Medical Claims, Appeals, Mail Order Medications, Insurance Verification, Pharmacy, Prior Authorization, Patient Counselor, Healthcare, Inbound Calls, Outbound Calls, CCM, InterQual, ICD-10, URAC, CMS, Medicare, Medicaid, Case Management, Certified Case Manager, Medical Coding, BSN, Medical Management, Utilization Review, Utilization Management, Registered Nurse, MCO, RN, Nurse, Managed Care, Medical Claims, Appeals, Mail Order Medications, Insurance Verification, Pharmacy, Prior Authorization, Patient Counselor, Healthcare, Inbound Calls, Outbound Calls, CCM, InterQual, ICD-10, URAC, CMS, Medicare, Medicaid, Case Management, Certified Case Manager, Medical Coding, BSN, Medical Management, Utilization Review, Utilization Management, Waiver Program, Registered Nurse, MCO, RN, Nurse, Managed Care, Medical Claims, Appeals, Mail Order Medications, Insurance Verification, Pharmacy, Prior Authorization, Patient Counselor, Healthcare, Inbound Calls, Outbound Calls, CCM, InterQual, ICD-10, URAC, CMS, Medicare, Medicaid, Case Management, Certified Case Manager, Medical Coding, BSN, Medical Management, Utilization Review, Utilization Management, Registered Nurse, MCO, RN, Nurse, Managed Care, Medical Claims, Appeals, Mail Order Medications, Insurance Verification, Pharmacy, Prior Authorization, Patient Counselor, Healthcare, Inbound Calls, Outbound Calls.