Position : Case Manager Nurse
Requires current state of Indiana license as a Registered Nurse.
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 required.
Requires strong clinical background in acute care.
Days 8am to 4:30pm