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Western and Southern Financial Group is in search of an experienced Registered Nurse to join the team in Cincinnati, Ohio!
Position: Manage Care RN (Case Management)
Location: 400 Broadway, Cincinnati, Ohio 45202
Shift: 8am – 5pm
Pay: Starting at $83,000 and increases with experience
Job Description:
· Utilize clinical experience and appropriate clinical criteria and guidelines, along with Plan provisions, in monitoring, evaluating, and coordinating both inpatient and outpatient medical care to promote quality outcomes at reasonable costs.
· Perform prospective and concurrent utilization reviews to determine medical necessity for inpatient admission, inpatient continued stay and selected outpatient services to ensure medically appropriate, high quality and cost-effective care and for most efficient utilization of third-party services.
· Assist members (associates, retirees, and dependents) in navigating the healthcare landscape and optimizing benefit plan utilization by identifying opportunities to promote quality healthcare.
· Monitor potential high-cost claims for early intervention with case management and retrospective reviews to assure appropriate and cost effectiveness.
Please submit your resume for immediate consideration!
#DP
Job Type: Full-time
Pay: $83,000.00 - $93,000.00 per year
Benefits:
Schedule:
Work setting:
Ability to Relocate:
Work Location: In person
Full Time
Insurance
$84k-101k (estimate)
04/24/2024
04/25/2024
The job skills required for Case Manager RN include Case Management, Health Insurance, etc. Having related job skills and expertise will give you an advantage when applying to be a Case Manager RN. That makes you unique and can impact how much salary you can get paid. Below are job openings related to skills required by Case Manager RN. Select any job title you are interested in and start to search job requirements.
The following is the career advancement route for Case Manager RN positions, which can be used as a reference in future career path planning. As a Case Manager RN, it can be promoted into senior positions as a Case Management Director that are expected to handle more key tasks, people in this role will get a higher salary paid than an ordinary Case Manager RN. You can explore the career advancement for a Case Manager RN below and select your interested title to get hiring information.
If you are interested in becoming a Case Manager RN, you need to understand the job requirements and the detailed related responsibilities. Of course, a good educational background and an applicable major will also help in job hunting. Below are some tips on how to become a Case Manager RN for your reference.
Step 1: Understand the job description and responsibilities of an Accountant.
Quotes from people on Case Manager RN job description and responsibilities
Case Managers act as patient advocates and make sure the needs of the patient are met effectively and efficiently.
02/16/2022: Denver, CO
An RN Case Manager must be able to multitask and handle numerous responsibilities throughout each day.
04/11/2022: Tampa, FL
Case managers work both within and outside of a hospital or medical facility.
04/12/2022: Olympia, WA
Work with patients, families and other professionals.
02/13/2022: Lubbock, TX
Case managers work holistically, ensuring that care and discharge plans meet the physical, social, and emotional needs of patients.
02/19/2022: Winston Salem, NC
Step 2: Knowing the best tips for becoming an Accountant can help you explore the needs of the position and prepare for the job-related knowledge well ahead of time.
Career tips from people on Case Manager RN jobs
Continue reading to learn more about the requirements, responsibilities, training, and average salaries of RN Case Managers.
04/15/2022: Savannah, GA
Get certified as a registered nurse.
04/09/2022: Lake Charles, LA
Undergo RN case manager training.
03/07/2022: Rochester, NY
Earn Case Management Certification.
03/09/2022: Monroe, LA
While not all healthcare employers require case management nurses to be certified, applicants with relevant certifications will certainly have an advantage when competing for case management nursing positions.
01/23/2022: Troy, NY
Step 3: View the best colleges and universities for Case Manager RN.