*Competitive pay and sign on bonus*
The Nurse Case Manager must practice case management within the scope of their licensure (based on the standards of the discipline). The case manager staff will be expected to engage members in the case management process and assess, plan, implement, coordinate, monitor and evaluate the treatment options of health care services. The Nurse Case Manager will coordinate and assure the delivery of service, assess physical as well as psychological factors involved in planning the patients care. The Nurse Case Manager will assist with setting of member specific goals that are geared towards the promotion o quality, cost effective outcomes. The Case Manager will be knowledgeable in regards to community resources and apply the case management concepts and standards of care.
Collaborates with clients, families and providers by assessing patient needs, facilitating and implementing clinical care, planning, education, monitoring and evaluating specific services and advocating health care needs on an individual basis either by phone and/or by onsite visits.
Utilizes clinical expertise and standards of practice in determining appropriate treatment options.
Applies knowledge of disease continuums, expected patient outcomes and community services available.
Applies knowledge of reimbursement practices, cost analysis approaches and provider contract arrangements.
Bachelor's degree required (or higher) in a health related field and licensure as a health professional where available.
Certification as a Case Manager, CCM preferred.
Registered Nurse with current State of Ohio license
Three (3) years clinical practice experience. Medical case management experience preferred.
Excellent interpersonal and written communication skills to collaborate/interact effectively and confidentially with internal and external contacts.
Ability to work independently, yet collaboratively within a team structure. Ability to travel to various locations with access to own transportation for business use
Medical Mutual is looking to grow our team! We truly value and respect the talents and abilities of all of our employees. That's why we offer an exceptional package that includes:
A Great Place to Work:
Top Workplace in Northeast Ohio. Five years in a row we've received this recognition!
On-site wellness center and massage. Enjoy personal trainers, towel service, locker room, weight room, elliptical machines, and a variety of classes!
On-site cafeteria serving hot breakfast and lunch. Choices ranging from salad bar, made to order, hot and cold sandwiches, or a variety of entrees cooked fresh daily
Employee discount program. Discounts at many places in and around town, just for being a Medical Mutual team member
Business casual attire
Excellent Benefits and Compensation:
Competitive compensation plans
Employee bonus program
401(k) with company match and an additional company contribution
Excellent medical, dental, vision, and disability insurance
An Investment in You:
Career development programs and classes
Mentoring and coaching to help you advance
Education reimbursement up to $5K per year
About Medical Mutual:
We strive to create peace of mind. Our customers can trust us to do things right and to help them get value from their health plan. We're the largest health insurer in Ohio and for 80 years, we've been serving our members and the Ohio communities where they live and work. Medical Mutual is a Top Place to Work in Northeast Ohio with exceptional career opportunities that offer challenge, growth and a great work/life balance. We want talented, innovative, and driven people to help us continue to be the best health insurance choice of Ohioans and help make Ohio the best it can be! Our headquarter building is located in the heart of downtown Cleveland and we have multiple offices throughout the state. Join us at one near you!
At Medical Mutual we celebrate differences and are mutually invested in our employees and our community. We are proud to be an Equal Employment Opportunity and Affirmative Action Employer. Qualified applicants will receive consideration for employment regardless of race, color, religion, sex, sexual orientation, gender perception or identity, national origin, age, marital status, veteran status, or disability status.
We maintain a drug-free workplace and perform pre-employment substance abuse and nicotine testing.
Associated topics: ambulatory, asn, bsn, care unit, intensive care, intensive care unit, nurse rn, psychiatric, registed, staff nurse
• Post ID: 56364567 cleveland