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Case Management Nurse

Case Management Nurse

Integrated Resources, Inc ( IRI )Springfield, OH, US
2 days ago
Job type
  • Full-time
Job description

Job Title : Case Manager I

Location : Clark County or Madison County, OH (Remote + Field Visits)

Duration : 3 Months (Possible Extension)

Schedule : Monday – Friday, 8 : 00 AM – 5 : 00 PM EST

Position Overview :

  • This is a remote position requiring occasional home visits (0–3 per week) for members in the Waiver population.
  • The role focuses on case management, assessments, and care planning to ensure members receive quality, cost-effective care in compliance with regulations.
  • Location for home visits : Clark County or Madison County, OH

Day-to-Day Responsibilities :

  • Conduct telephonic and in-person visits with members receiving home care services.
  • Assess member needs, develop care plans, and authorize appropriate services.
  • Monitor care plan effectiveness and update as needed.
  • Collaborate with members, caregivers, physicians, and providers.
  • Maintain accurate documentation and meet productivity / quality standards.

    • Essential Functions :

  • Provide case management for members with chronic / complex conditions.
  • Conduct assessments and implement individualized care plans.
  • Coordinate services, including behavioral health and long-term care.
  • Participate in interdisciplinary team meetings and ongoing training.
  • Ensure compliance with HIPAA, company policies, and state / federal regulations.

    • Required Education / Certification :

  • RN, LSW, or LISW – must be licensed in Ohio

    • Required Experience :

  • Minimum 1 year case management or managed care experience
  • Minimum 1 year working with individuals with chronic conditions / home care

    • Skills & Abilities :

  • Strong assessment, organizational, and problem-solving skills
  • Ability to work independently and manage multiple priorities
  • Proficient in Microsoft Office and case management tools
  • Knowledge of applicable regulations, coding (ICD-9, CPT, HCPC), and benefits coordination
  • Excellent verbal and written communication skills
  • Ability to maintain professional relationships with members, providers, and team members
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    Nurse Case Management • Springfield, OH, US