Case Manager

Medasource

Indianapolis (IN)

Hybrid

USD 40,000 - 43,000

Full time

14 days+

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Benefits offered by this job

Medical insurance

Vision insurance

401(k)

Job summary

A healthcare staffing company is seeking a Case Manager in Indianapolis for a 6-month contract. Responsibilities include planning and coordinating patient care, ensuring quality service delivery, and discharge planning. Applicants must possess an Associate's Degree in Nursing and an active RN license in Indiana. Competitive compensation and benefits are offered for this full-time position.

Qualifications

Requires 3-5 years of experience in a related field.
Must be certified in Case Management if preferred.

Responsibilities

Plan and coordinate care for patients from pre-admission through post-discharge.
Ensure patients receive appropriate services and care.
Perform accurate and timely discharge planning.

Skills

Knowledge of InterQual Acute Level of Care Criteria

Knowledge of Medicare/Medicaid

Knowledge of insurance and regulatory guidelines

Understanding of third party denial and appeal process

Communication Skills

Education

Associate's Degree in Nursing

Active RN license

Tools

Cerner

Windows

MCCM

SMS

Job description

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Position: Case Manager

Location: Indianapolis (Hybrid)

Duration: 6 month contract with the possibility of going FTE

The RN Case Manager plans and coordinates care for patients from pre-admission through post-discharge by working collaboratively with the multidisciplinary team. Ensures that patients are assigned the appropriate level of care, receive the appropriate services and are transitioned to the appropriate post-discharge level of care. Performs accurate, timely and effective discharge planning for patients. Works with third party payers to ensure coverage. Administers education and prevention programs.

Associate's Degree in Nursing required.
Requires an active Registered Nurse (RN) license in the state of Indiana or an active Nurse Licensure Compact (NLC) RN license.
Certification in Case Management preferred.
Knowledge of InterQual Acute Level of Care Criteria and Federal guidelines outlining coverage of inpatient and outpatient hospital services, including observation is preferred.
Knowledge of Medicare/Medicaid, insurance and regulatory guidelines is preferred.
Ability to comprehend third party contractual arrangements is preferred.
Understanding of the third party denial and appeal process is preferred.
Requires knowledge of various software applications including Windows; Cerner; MCCM; and SMS.
3-5 years of experience preferred.

Seniority level