Case Management reputed company

Position Title: RN reputed company/Case Manager Duration: Long Term Location: Indianapolis IN 46201 Anticipated Start Date: ASAP (Please note this is the reputed company date and is subject to change. BC reputed company will send official notice reputed company of a confirmed start date.) Job Type: Contract (40 hr. week) Pay reputed company: $33 to $43 per hour on W2. reputed company:

• Responsible for performing care management reputed company the scope of licensure for members with reputed company 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 reputed company 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 reputed company benefits structure or through extra-contractual arrangements.
• Coordinates reputed company 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 reputed company field and minimum of 3 years of clinical experience; or any combination of education and experience, which would reputed company an equivalent background.
• reputed company, 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 reputed company an equivalent background.
• reputed company and reputed company RN license required in applicable state(s).
• Multi-state licensure is required if this individual is providing services in multiple states.
• Certification as a Case Manager and a BS in a health or reputed company services reputed company field preferred.

Apply To This Job