Managed Care Specialist (RN or LPN)

Brickyard Healthcare; Franklin (IN); On-site; USD 50,000 - 80,000; Full time

Job summary

Join a compassionate team as a Managed Care Specialist, where you will play a vital role in coordinating care and insurance communications. This position involves negotiating payment levels and providing essential information to families about care plans. Ideal candidates will possess strong clinical backgrounds and a dedication to patient care. With excellent pay, health benefits, and opportunities for career advancement, this role offers a chance to make a significant impact in the healthcare field. If you are a dedicated RN or LPN looking to enhance your career while helping others, this is the opportunity for you.

Benefits

Excellent health benefits packages

Career advancement opportunities

Education reimbursement program of up to $7,500 per year

Flexible scheduling available

No waiting period for enrollment

Three health plan options

Delta Dental

VSP Vision

Free Basic Life Insurance

401(k) Retirement Plan

Qualifications

• Minimum two years clinical experience preferred.
• Two to three years case management experience preferred.

Responsibilities

• Acts as liaison between Living Center and insurance plans for payment.
• Communicates care plans and insurance benefits to families and associates.

Skills

Managed Care

Case Management

Insurance Negotiation

Patient Care

Healthcare Liaison

Compassionate Care

Education

Licensed as a Registered Nurse (RN)

Licensed Practical Nurse (LPN)

Job description

Managed Care Specialist (RN or LPN) at Brickyard Healthcare

The Managed Care Specialist (RN or LPN) ensures effective case management for managed care and commercial insurance payers, coordinating communications between the healthcare facility and insurance plans. This role involves negotiating payment levels, consulting on appeals, and providing comprehensive information to families and associates about care plans and insurance benefits. Ideal candidates are compassionate, dedicated, and have a strong clinical background with experience in case management.

We rely on and trust our Managed Care Specialist (RN or LPN) to provide centralized or field-based case management for managed care and commercial insurance payers and residents. The right candidate for this role is a dedicated and compassionate team player.

Why Work For Us?

• Excellent pay with multiple incentives:
• Excellent health benefits packages
• Career advancement opportunities
• Education reimbursement program of up to $7,500 per year
• Flexible scheduling available

Benefits & Conditions:

• No waiting period for enrollment
• Three health plan options
• Delta Dental
• VSP Vision
• Free Basic Life Insurance
• Disability, Critical Illness, Accident & Legal Coverage
• 401(k) Retirement Plan
• Employee Assistance Program

Responsibilities:

• Communicates, negotiates, and acts as liaison between Living Center/Agency and the insurance plan to ensure proper level of payment is assigned for services provided
• Communicates care plan to insurance case managers with emphasis on strong discharge planning
• Communicates insurance benefits to all levels of associates and families
• Understands provisions of contracts and associated exclusions
• Provides cost analysis and negotiation of services and/or rates
• Consults on appeals, retro authorizations, and collections issues

Qualifications:

• Licensed as a Registered Nurse (RN) or Licensed Practical Nurse (LPN)
• Minimum two (2) years clinical experience preferred
• Minimum two (2) to three (3) years case management experience preferred
• Must be capable of maintaining regular attendance

Keywords:

Managed Care, Case Management, Registered Nurse, LPN, Health Insurance, Patient Care, Insurance Negotiation, Healthcare Liaison, Clinical Experience, Compassionate Care