Managed Care Specialist (RN or LPN)

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

Job summary

An established industry player is seeking a compassionate Managed Care Specialist to provide case management for managed care and commercial insurance payers. This role requires a dedicated professional with a strong background in nursing and case management. The ideal candidate will excel in communication and negotiation, acting as a vital link between the Living Center and insurance plans. With excellent pay, health benefits, and career advancement opportunities, this position offers a rewarding career path in a supportive environment. If you are passionate about making a difference in patient care and have the necessary qualifications, this is the perfect opportunity for you.

Benefits

Excellent pay with multiple incentives

Excellent health benefits packages

Career advancement opportunities

Education reimbursement program up to $7,500 per year

Flexible scheduling available

No waiting period for enrollment

Three health plan options

Delta Dental

VSP Vision

401(k) Retirement Plan

Qualifications

• Licensed as RN or LPN with 2+ years clinical experience preferred.
• Experience in case management is a plus.

Responsibilities

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

Skills

Case Management

Communication Skills

Negotiation Skills

Education

Registered Nurse (RN) License

Licensed Practical Nurse (LPN) License

Job description

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?

1. Excellent pay with multiple incentives:
2. Excellent health benefits packages
3. Career advancement opportunities
4. Education reimbursement program of up to $7,500 per year
5. 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