Case Manager

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Position:
RNCase Manager

Location:
100% Remote (Must be local to the state of Indiana or within driving distance)

Duration:
6-month Contract to hire

Start:
December 2024

Overview:

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.

Qualifications:

  • Associate's Degree in Nursing or Bachelor's Degree in Social Work required.
  • Requires an active Registered Nurse (RN) license in the state of Indiana or an active Nurse Licensure Compact (NLC) RN license OR a Social Work license in the state of Indiana.
  • 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

Read the full job description and apply online on the recuiter's web-site

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