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Healthcare Technology Recruiter | Connecting Healthcare Talent with Opportunities at Medasource Position: Case Manager
Location : Indianapolis (Hybrid)
Duration: 6 month contract with the possibility of going FTE
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.
Seniority level Seniority level Associate
Employment type Employment type Full-time
Job function Job function Health Care Provider
Industries Hospitals and Health Care and Medical Practices
Referrals increase your chances of interviewing at Medasource by 2x
Inferred from the description for this job Medical insurance
Vision insurance
401(k)
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