Registered Nurse Case Manager

ICONMA is a globally recognized, Woman-Owned staff augmentation and technology consulting firm. We specialize in connecting clients with top-tier professionals and providing digital solutions, empowering organizations of all sizes to achieve their business goals. By delivering exceptional workforce talent and tailored solutions we help businesses – from startups to Fortune 500 companies – drive innovation and growth. Since 2000, we have been a trusted partner. With our headquarters in Troy, Michigan, and over 15 global locations, we are ready to support your business wherever you are.

Our Client, a Retail Pharmacy company, is looking for a Nurse Case Manager to work remotely in Central Ohio (Franklin, Delaware, Union, Pickaway or Madison County).

Through the use of clinical tools and information/data review, conducts comprehensive assessments of referred member's needs/eligibility and determines approach to case resolution and/or meeting needs by evaluating member's benefit plan and available internal and external programs/services Application and/or interpretation of applicable criteria and guidelines, standardized case management plans, policies, procedures, and regulatory standards while assessing benefits and/or member’s needs to ensure appropriate administration of benefits Utilizes case management and quality management processes in compliance with regulatory and accreditation guidelines and company policies and procedures