Managed Care Specialist

Become a Managed Care Nurse at American Senior Communities in Indianapolis, IN, and start making a difference in the lives of seniors today! Ideal candidate will be a Physical Therapy Assistant. Familiarity with insurance coverage is a must.

What does a Managed Care Nurse do each day at ASC?

• Making a difference in the lives of the patients we serve by providing them care and compassion.
• Acting as a positive teammate to fellow employees by helping onboard new teammates.

• Screens for the appropriateness of managed care referrals with insurance as primary payor by obtaining prior authorization when appropriate. Coordinates initial assessment; then collaborates with concurrent review team member for continued authorization throughout skilled stay. Serves as a liaison between patients, family, physician, discharge hospital planner, insurance companies and ASC interdisciplinary team. Maximizes managed care census and reimbursement potential.

• Assists with admissions process.
• Assesses prospective patients to evaluate care needs and determine suitability for admission to ASC facility.
• Calculates daily rate/level of care, service needs and contracts with payor source for program services.
• Acts as liaison between ASC facility and insurance company.

What’s in it for you? Benefits and perks include:

• Medical/Dental/Vision insurance available - Plans starting as low as $20 a week
• 401(k)
• Paid time off and paid holidays
• Generous friend referral program
• Tuition assistance and up to $500 for certifications
• Volunteer community involvement opportunities

Requirements:

• Demonstrates C.A.R.E. values to our residents, family members, customers and staff.
• Understanding of both Long-Term Care and Acute Care diagnosis, patient care plans and managed care practices. 

We are Equal Opportunity-Affirmative Action Employer – Minority / Female / Disability / Veteran and other protected categories.