Hybrid Field Nurse Case Manager - Ohio regions

Franklin, OH | Work from home flexibility

Posted: 02/04/2025 Category: Nursing Job Number: 415146

Job Description

A-Line Staffing is now hiring a Hybrid Field Nurse Case Manager - Ohio regions. The Case Manager will be working for a Fortune 500 company and has career growth potential. This is a full-time position, working 40+ hours per week. The position requires working with members remotely, visiting their homes (25%), and documenting from home office (75%)


If you are interested in this position, please apply directly to this job posting, text Jenise Nottage at 586-473-6098 or email resume to jnottage@alinestaffing.com.

Compensation:

• The pay for this position is $44.14 per hour
• Benefits are available to full-time employees after 90 days of employment
• A 401(k) with a company match is available for full-time employees with 1 year of service on our eligibility dates

Highlights:

• This position is a contract assignment with the potential to hire on permanently based upon attendance, performance, and business needs
• The required availability for this position is Monday through Friday, 8 AM to 5 PM

 

Responsibilities:

  • Case Management
    • Use clinical tools and data review to conduct comprehensive assessments of referred members’ needs/eligibility
    • Determine approach for case resolution and meeting needs by evaluating members’ benefit plans and available resources
    • Ensure appropriate administration of benefits by applying criteria, guidelines, and regulatory standards
    • Collaborate with internal and external resources to facilitate optimal, cost-effective outcomes
    • Ensure compliance with case management and quality management processes, policies, and accreditation guidelines

  • Communication and Advocacy
    • Act as an advocate for members, helping them navigate internal and external programs/services
    • Provide communication to members regarding available resources and assistance in making informed decisions

  • Documentation and Reporting
    • Document all interactions, assessments, and case resolutions through computer systems
    • Ensure compliance with regulatory standards in documentation

Requirements:

  • Education:
    • Required: RN with unrestricted current state licensure
    • Preferred: Case management experience

  • Experience:
    • 3+ years of clinical practice experience (e.g., hospital, home health, or ambulatory care setting)
    • Healthcare or managed care industry experience
    • Case management experience is preferred

  • Skills:
    • Proficiency with computer systems and navigation across multiple platforms
    • Strong verbal and written communication skills
    • Ability to multitask, prioritize, and adapt to a fast-paced changing environment
    • Ability to sit for extended periods, use a computer, and communicate over the phone

Additional Information:

• Remote position with the potential to be onsite in the future
The position requires working with members remotely, visiting their homes, and documenting from home office

If you think this position is a good fit for you, please reach out to me – feel free to call, e-mail, or apply to this posting!

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About Franklin, OH

Ready to jumpstart your career in Franklin, Ohio? Nestled in the heart of Warren County, Franklin boasts a vibrant community with a perfect blend of small-town charm and big-city opportunities. Known for its historic Main Street lined with quaint shops and delicious eateries, Franklin is also home to attractions like the Franklin Public Library and the iconic Franklin Theatre. With easy access to nearby cities like Cincinnati and Dayton, as well as proximity to outdoor recreation areas like Clear Creek Metro Park, Franklin offers a unique backdrop for professional growth and a high quality of life. Explore our job listings today and discover why Franklin, OH, is the perfect place to take your career to new heights!