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Case Management - RN Case Manager - Full Time - 1st Shift
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Full-time
- Wilson Health is looking for a direct hire RN Case Manager for our Case Management department in Sidney, Ohio (North Dayton, Ohio) area.
- EDC clinic offering free primary care, prescriptions, labs/testing, and wellness visits.
- Department Description: Wilson Health's Case Management Department is responsible for the process of development and implementation of a collaborative process of assessment, planning, facilitation, care coordination, evaluation and advocacy for options and services to meet an individual's and family's comprehensive health needs.
- Works collaboratively with interdisciplinary team both internal and external to the organization to improve patient care through effective utilization review and monitoring of health care resources and assumes a leadership role to achieve desired clinical, utilization and resource outcomes Addresses and resolves patterns in variances that have a negative quality/cost impact.
- Perform concurrent and retrospective review function by evaluating the medical necessity, appropriateness, and cost-effectiveness of patient care plans and procedures in compliance of Utilization Review Plan.
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