662 RN Case Manager Jobs in , IN
Medasource is Hiring a Remote RN Case Manager
Position: Case Manager
Client: Health Insurance Client
Location: Remote (Indiana)
Duration: 6-month Contract-to-Hire
Start: ASAP
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.
Job Type: Full-time
Benefits:
- Dental insurance
- Health insurance
- Vision insurance
Schedule:
- 8 hour shift
- Monday to Friday
Work setting:
- Remote
Application Question(s):
- Do you have a valid Indiana RN license or Compact State RN License?
- Do you have a valid Social Work license in the state of Indiana? Please state which license you currently hold.
- How many years of Health Insurance Industry/Managed Care experience do you have?
Experience:
- Case management: 3 years (Preferred)
- InterQual: 1 year (Preferred)
- Milliman (MCG): 1 year (Preferred)
- Cerner: 1 year (Preferred)
Location:
- Indiana (Required)
Work Location: Remote
Job Summary
Full Time
IT Outsourcing & Consulting
$83k-100k (estimate)
04/25/2024
08/22/2024
medasource.com
Indianapolis, IN
200 - 500
IT Outsourcing & Consulting
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The job skills required for RN Case Manager include Case Management, Social Work, Discharge Planning, Managed Care, Health Insurance, etc. Having related job skills and expertise will give you an advantage when applying to be a RN Case Manager. That makes you unique and can impact how much salary you can get paid. Below are job openings related to skills required by RN Case Manager. Select any job title you are interested in and start to search job requirements.
The following is the career advancement route for RN Case Manager positions, which can be used as a reference in future career path planning. As a RN Case Manager, it can be promoted into senior positions as a Case Management Director that are expected to handle more key tasks, people in this role will get a higher salary paid than an ordinary RN Case Manager. You can explore the career advancement for a RN Case Manager below and select your interested title to get hiring information.
If you are interested in becoming a RN Case Manager, you need to understand the job requirements and the detailed related responsibilities. Of course, a good educational background and an applicable major will also help in job hunting. Below are some tips on how to become a RN Case Manager for your reference.
Step 1: Understand the job description and responsibilities of an Accountant.
Quotes from people on RN Case Manager job description and responsibilities
Case Managers act as patient advocates and make sure the needs of the patient are met effectively and efficiently.
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The Case Manager RN reflects the mission, vision, and values of NM, adheres to the organization’s Code of Ethics and Corporate Compliance Program, and complies with all relevant policies, procedures, guidelines and all other regulatory and accreditation s
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Prepares all required documentation of case work activities as appropriate.
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Step 2: Knowing the best tips for becoming an Accountant can help you explore the needs of the position and prepare for the job-related knowledge well ahead of time.
Career tips from people on RN Case Manager jobs
Before becoming an RN case manager, a nurse would be expected to earn some clinical experience.
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Graduate from an Accredited Nursing Program.
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Gain Experience Working as a Nurse.
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They should be familiar with emerging professional and technical aspects and have RN case management experience.
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Step 3: View the best colleges and universities for RN Case Manager.
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