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    Managed Care Specialist - Indianapolis, IN, US, United States - Brickyard Healthcare

    Brickyard Healthcare
    Brickyard Healthcare Indianapolis, IN, US, United States

    3 weeks ago

    Default job background
    Healthcare
    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?


    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%1390494% %%mednurse%%
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