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    Case Manager - Indiana, United States - Medasource

    Medasource
    Medasource Indiana, United States

    2 weeks ago

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    Description

    Position: Case Manager

    Location: Downtown Indy

    Duration: 6 month contract with the possibility of going FTE

    Start: May 6

    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.
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