- Responsible for performing care management within the scope of licensure for members with complex and chronic care needs by assessing, developing, implementing, coordinating, monitoring, and evaluating care plans designed to optimize member health care across the care continuum.
- Performs duties telephonically or on-site such as at hospitals for discharge planning. Primary duties may include, but are not limited to:
- Ensures member access to services appropriate to their health needs.
- Conducts assessments to identify individual needs and a specific care management plan to address objectives and goals as identified during assessment.
- Implements care plan by facilitating authorizations/referrals as appropriate within benefits structure or through extra-contractual arrangements.
- Coordinates internal and external resources to meet identified needs. Monitors and evaluates effectiveness of the care management plan and modifies as necessary.
- Interfaces with Medical Directors and Physician Advisors on the development of care management treatment plans.
- Negotiates rates of reimbursement, as applicable. Assists in problem solving with providers, claims or service issues.
- Requires BA/BS in a health related field and minimum of 3 years of clinical experience; or any combination of education and experience, which would provide an equivalent background. Current, unrestricted RN license in applicable state(s) required. Multi-state licensure is required if this individual is providing services in multiple states.
- Certification as a Case Manager is preferred.
- For URAC accredited areas the following applies: Requires BA/BS and 3 years of clinical care experience; or any combination of education and experience, which would provide an equivalent background. Current and active RN license required in applicable state(s). Multi-state licensure is required if this individual is providing services in multiple states. 5 years of experience, certification as a Case Manager from the approved list of certifications, and a BS in a health or human services related field preferred.
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The Villages Indianapolis, United StatesCase Manager - Adoption · Annual Salary: $43,500 - $48,500 · Are you a skilled Case Manager with adoption experience? If so, we want you to be our next Wendys Wonderful Kids (WWK) Adoption Recruiter. · This position: · * Recruits adoptive families using the evidence-based, child- ...
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Omni Visions Inc. Indianapolis, United StatesJob Description · Job DescriptionPosition Title: Case Manager I FIS · Join the OMNI Family · Do you want to be a part of a team that improves lives, empowers people, and strengthens communities? · Want to be a thought leader and change maker? If yes, then look no further. · Omni ...
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Management and Training Corporation Marion, United StatesJob Description · Pay: $22.92 per hour · Work schedule: Full time, 8-hour shifts · Benefit package includes: Medical, vision, and prescription drug benefits · Dental benefits · Life insurance · Accidental death and dismemberment insurance · Short-term and long-term disability be ...
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City of Marion Ohio Marion, United StatesApplication Opens: Monday, May 20, 2024 at 8:00 a.m.Application Closes: UNTIL FILLEDPosition Location: Marion City Hall, 233 W. Center St., Marion, OHThis is a full-time non-exempt position with a starting pay rate of $19.93/hour. SUMMARY: Case Manager is responsible for assistin ...
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1 week ago
Management and Training Corporation Marion, United StatesJob DescriptionPay: $22.92 per hourWork schedule: Full time, 8-hour shiftsBenefit package includes: Medical, vision, and prescription drug benefits Dental benefits Life insurance Accidental death and dismemberment insurance Short-term and long-term disability benefits 401(k) reti ...
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Purposeful Parenting LLC Indianapolis, United StatesJob Description · Job DescriptionSalary: 30 hourly · Case Managers provide services that are effective in reducing maltreatment, improving caretaking and coping skills, enhancing family resilience, supporting healthy and nurturing relationships, and children's physical, mental, e ...
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Firefly Children & Family Alliance Indianapolis, United StatesJob Description · Job DescriptionBUILD A CAREER THAT MEANS MORE · Few jobs offer the satisfaction and gratification that come from doing work that improves the lives of vulnerable children and families. That's where Firefly Children and Family Alliance stands out from the crowd. ...
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Medasource Indianapolis, United States*Position:* Manager, Case Manager · *Location*: Downtown Indy · *Duration:* 6 month contract to hire · *Start: June 3 * · This position is responsible for supervision and oversight of assigned Case Managers. Responsible for the frontline supervision and management of deployed cas ...
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Medasource Indianapolis, United StatesPosition: Manager, Case Manager · Location: Downtown Indy · Duration: 6 month contract with the possibility of going FTE · Start: May 6 · This position is responsible for supervision and oversight of assigned Case Managers. Responsible for the frontline supervision and management ...
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Medasource Indiana, United StatesPosition: Case Manager RN · Location: Remote (Indiana) · Duration: 6 month contract to hire · Start: ASAP · The RN Case Manager plans and coordinates care for patients from pre-admission through post-discharge by working collaboratively with the multidisciplinary team. Ensures t ...
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Sondhi Solutions Indiana, United StatesBehavioral Case Manager · Remote · Pay: $29-$38/hour · The day-to-day responsibilities of this the role and a description of the project (Outside of Workday JD): · Managing personal queue in TruCare · Outreaching to members to assist them with identified complex case management n ...
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case management supervisor
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Horizon House Indianapolis, United StatesJob Description · Job DescriptionSalary: · Department: Housing · Reports to: Director of Housing · Status: Salaried, Full-time. Exempt · ***MSW & previous supervisory experience required*** · Position Objective: · The Case Management Supervisor position on the Horizon House hou ...
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Adult and Child Indianapolis, United StatesApply · Job Type · Full-time · Description · Adult & Child Health is a growing 501c (3) not-for-profit integrated healthcare organization based in Indianapolis servicing multiple locations. A&C is committed to a diverse and inclusive workforce. We offer flexibility, generous PTO ...
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Horizon House Indianapolis, United StatesJob Description · Job DescriptionSalary: $43,000-$48,000/annually · Department: Housing · Reports to: Case Management Supervisor · Status: Salaried, Full-time, Exempt · Position Objective: · Bachelor's degree required · Three to five years of experience providing services to home ...
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Eskenazi Health Indianapolis, United States Full time (w/ben) 11The Senior Nurse Care Manager and Discharge Coordinator serves as the overall coordinator of care, collaborating in tandem with Social Work counterpart, Physicians, Interdisciplinary Team, Nursing, and patients/families to provide seamless and efficient service for the trauma and ...
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American United Life Ins Co Indianapolis, United StatesJob Description · Job DescriptionAt OneAmerica Financial, our purpose is to create more certainty for our customers that leads to better moments, every day. Our commitment is to advance stability and growth in every solution and relationship. We deliver financial strength that bu ...
RN Case Manager - Indianapolis, United States - Professional Management Enterprises
Description
Job Description
Job DescriptionDescription:We are currently seeking a Remote RN Case Manager for Indianapolis area
Full-time
11 paid holidays
80 Hours PTO
Health, Dental, Vision, 401k
Weekly Pay
(Salary: $83,000-$93,000 based on experience)
RN Case Manager professionals in Indianapolis
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Charis Dulin
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Ayodeji JAYEOBA
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