Talent.com
Nurse Case Manager I
Nurse Case Manager IInternational Medical Group • Indianapolis, IN, US
Nurse Case Manager I

Nurse Case Manager I

International Medical Group • Indianapolis, IN, US
[job_card.30_days_ago]
[job_preview.job_type]
  • [job_card.full_time]
  • [filters_job_card.quick_apply]
[job_card.job_description]

As one of the world's top International Medical Insurance companies, IMG helps individuals and companies of all sizes.

Every second of every day, vacationers, those working or living abroad for short or extended periods, people traveling frequently between countries, and those who maintain multiple countries of residence use our products to give themselves global peace of mind® We are looking to grow our teams with people who share our energy and enthusiasm for creating the best experience for travelers.     JOB DETAILS RN License Must have an active RN license in good standing in Indiana.

Location :

  • Hybrid or Remote working options.  Corporate office is in Indianapolis, IN.

Relocation Expenses Reimbursed :

  • No Qualified candidates must be legally authorized to be employed in the United States.
  • IMG will not be providing sponsorship for employment visa status (e.g., H-1B or TN status) for this position.   JOB SUMMARY The Case Manager will evaluate medical necessity, appropriateness, and efficiency of the use of health care services, procedures, and facilities for utilization review and / or / evacuation / repatriation.  Work as a liaison between the Insured, the insurance carrier and the Insured’s healthcare team to meet the requirements of the Insured’s policy in the United States and abroad.      PERKS Comprehensive benefits package including Medical / RX / Dental / Vision insurance 401k Plan with company match Paid Time Off and Company Paid Holidays Free employee parking On site fitness center Casual dress environment Tuition reimbursement plan   DUTIES AND RESPONSIBILITIES Perform Certifications, Concurrent Reviews, Retrospective Reviews, and Medical Evacuations / Repatriations including inpatient and outpatient management of assistance cases.
  • Knowledge of the Non-certification process and Appeals process including logs and time frames.
  • Participate in the on call rotation schedule.
  • The provision of telephone and email based pre travel advice Direct and / or re-direct members to in-network providers.
  • Negotiate discounts with out of network providers.
  • Direct healthcare team members to utilize alternative care settings when appropriate.
  • Identify potential large case management cases by diagnosis, dollar amount and / or high utilization of medical services and refer those identified for large case management.
  • Document information and status in case management systems and document Prepare precertification and / or case management reports as needed.
  • Use good judgment when evaluating medical cases and confer with Medical Director when appropriate.
  • Communicate with other members of team as needed, and ensure that information is shared appropriately.
  • Maintain confidentiality and privacy of all protected health information.
  • Continue education through relevant reading materials, online courses and / or seminars.
  • Support and participate in Quality Management activities.
  • Utilize clinical support tools as indicated.
  • Maintain a working knowledge of the any applicable state or federal regulations as appropriate for job duties.
  • Report / document complaints when / if received.
  • Any other job duties or tasks as assigned.   QUALIFICATIONS   Current and active Nursing license – Registered Nurse  Minimum two years acute hospital-based experience providing direct patient care Good computer skills including familiarity with the Internet, Word and Excel.   PREFERRED SKILLS   B.S.N.
  • Preferred Minimum two years utilization review with a managed care or insurance company Proficient verbal and written communication skills in a foreign language preferred Excellent computer skills, including database knowledge.
  • Experience auditing medical charts against itemized medical bills   PROFESSIONAL COMPETENCIES Communication - Must be able to express ideas clearly, concisely, and logically.  Must make effective and persuasive arguments when discussing medical care issues.
  • Initiative – proactive in resolving problems, reporting discrepancies, suggesting new ideas and seeking process improvements.
  • Judgment - use of good clinical judgment in resolving questions of medical necessity as it relates to precertifications and case management.
  • Flexibility – must be willing to adjust as the industry or job requirements change.
  • Teamwork – must work well in a team and help foster a cooperative environment.
  • Represent a positive, professional image of the company.
  • Excellent customer service skills and phone etiquette.
  • Excellent organizational skills and attention to detail.   WORK CONDITIONS Office environment setting Able to work comfortably in a desk environment 90+% of the time spent sitting, doing keyboard entry and utilizing a mouse   #LI-DNI    IMG is committed to creating a diverse environment and is proud to be an equal opportunity employer.
  • All qualified applicants will receive consideration for employment without regard to race, color, ethnicity, national origin, religion, gender, gender identity or expression, sexual orientation, genetic information, disability, age, veteran status, and other protected statuses as required by applicable law.
  • Powered by JazzHR
    • [job_alerts.create_a_job]

    Nurse Case Manager • Indianapolis, IN, US

    [internal_linking.similar_jobs]
    RN Case Manager

    RN Case Manager

    Interim HealthCare • Greenwood, IN, US
    [job_card.full_time] +1
    Our Registered Nurse Case Managers (RNCM) have been called to care when they're needed most.At Interim HealthCare, you'll support a full range of patient services to bring comfort and dignity to ou...[show_more]
    [last_updated.last_updated_30]
    Registered Nurse Case Manager

    Registered Nurse Case Manager

    Luminary Hospice • Carmel, IN, US
    [job_card.full_time]
    Reports To : Director of Clinical Services.At Luminary Hospice, we are a mission-driven organization that empowers our team members to shape our culture in order to allow them to provide the highest...[show_more]
    [last_updated.last_updated_30] • [promoted]
    Travel Nurse RN - Case Management - $1,837 per week

    Travel Nurse RN - Case Management - $1,837 per week

    TotalMed Case Management Staffing • Indianapolis, IN, USA
    [job_card.full_time]
    TotalMed Case Management Staffing is seeking a travel nurse RN Case Management for a travel nursing job in Indianapolis, Indiana. Job Description & Requirements.We are seeking a Case Manager-Registe...[show_more]
    [last_updated.last_updated_30] • [promoted]
    Travel Nurse RN - Case Manager - $1,826 to $1,883 per week in Indianapolis, IN

    Travel Nurse RN - Case Manager - $1,826 to $1,883 per week in Indianapolis, IN

    Pioneer Healthcare Services • Indianapolis, IN, US
    [job_card.full_time]
    Registered Nurse (RN) | Case Manager Location : Indianapolis, IN Agency : Pioneer Healthcare Services Pay : $1,826 to $1,883 per week Shift Information : Days Start Date : ASAP About the Position If you...[show_more]
    [last_updated.last_updated_variable_days] • [promoted]
    Medical Case Manager II

    Medical Case Manager II

    CorVel Healthcare Corporation • Carmel, IN, US
    [job_card.full_time]
    CorVel Corporation is hiring a caring, self-motivated, energetic and independent registered nurse to fill a Medical Case Manager position in Indianapolis, IN. Work from home, and on the road.Monday ...[show_more]
    [last_updated.last_updated_30] • [promoted]
    Field Nurse Case Manager (1099) - Indianapolis, IN

    Field Nurse Case Manager (1099) - Indianapolis, IN

    The IMA Group • Indianapolis, IN, United States
    [job_card.full_time]
    For over 30 years, The IMA Group has been dedicated to enhancing the livelihood and productivity of individuals and organizations navigating challenging periods of health, work and disability while...[show_more]
    [last_updated.last_updated_variable_days] • [promoted]
    Travel Registered Nurse - Case Manager - $1,954 to $2,107 per week in Indianapolis, IN

    Travel Registered Nurse - Case Manager - $1,954 to $2,107 per week in Indianapolis, IN

    TravelNurseSource • Indianapolis, Indiana, US
    [job_card.full_time]
    Registered Nurse (RN) | Case Manager.TravelNurseSource is working with Host Healthcare to find a qualified Case Manager RN in Indianapolis, Indiana, 46260!. Host Healthcare is an award-winning trave...[show_more]
    [last_updated.last_updated_30]
    Travel Nurse - RN - Case Manager - $1895.4 / Week

    Travel Nurse - RN - Case Manager - $1895.4 / Week

    Uniti Med • Indianapolis, IN, US
    [job_card.full_time]
    Uniti Med is seeking an experienced Case Manager Registered Nurse for an exciting Travel Nursing job in Indianapolis, IN. Shift : Inquire Start Date : ASAP Duration : 13 weeks Pay : $1895.Uniti Med prov...[show_more]
    [last_updated.last_updated_30] • [promoted]
    Registered Nurse (RN) - Case Manager, Hospice

    Registered Nurse (RN) - Case Manager, Hospice

    Elara Caring • Indianapolis, IN, US
    [job_card.full_time]
    Elara Caring is seeking a Registered Nurse (RN) Case Manager, Hospice for a nursing job in Indianapolis, Indiana.Job Description & Requirements. At Elara Caring, we have a unique opportunity to ...[show_more]
    [last_updated.last_updated_variable_hours] • [promoted] • [new]
    Travel Nurse RN - Case Manager - $1,760 per week in Indianapolis, IN

    Travel Nurse RN - Case Manager - $1,760 per week in Indianapolis, IN

    Gifted Healthcare • Indianapolis, IN, US
    [job_card.full_time]
    Registered Nurse (RN) | Case Manager Location : Indianapolis, IN Agency : Gifted Healthcare Pay : $1,760 per week Shift Information : Days - 5 days x 8 hours Contract Duration : 12 Weeks Start Date : ASA...[show_more]
    [last_updated.last_updated_variable_days] • [promoted]
    Travel Nurse RN - Case Manager - $220 to $2,320 per week in Indianapolis, IN

    Travel Nurse RN - Case Manager - $220 to $2,320 per week in Indianapolis, IN

    Compunnel Healthcare • Indianapolis, IN, US
    [job_card.full_time]
    Registered Nurse (RN) | Case Manager Location : Indianapolis, IN Agency : Compunnel Healthcare Pay : $220 to $2,320 per week Shift Information : Days - 5 days x 8 hours Contract Duration : 13 Weeks Star...[show_more]
    [last_updated.last_updated_variable_days] • [promoted]
    Case Manager 1

    Case Manager 1

    George Junior Republic • Franklin, IN, US
    [job_card.full_time]
    Established in 1909, George Junior Republic and its affiliates provide opportunities for success and wellness to the individuals, families, and communities served. The Clinical Case Manager 1 is res...[show_more]
    [last_updated.last_updated_30] • [promoted]
    Travel Nurse RN - Case Management - $2,205 per week

    Travel Nurse RN - Case Management - $2,205 per week

    Sharp Nursing Medical Staffing • Indianapolis, IN, USA
    [job_card.full_time]
    Sharp Nursing Medical Staffing is seeking a travel nurse RN Case Management for a travel nursing job in Indianapolis, Indiana. Job Description & Requirements.Our client is currently seeking a travel...[show_more]
    [last_updated.last_updated_30] • [promoted]
    Travel Nurse RN - Case Manager - $2,100 to $2,200 per week in Indianapolis, IN

    Travel Nurse RN - Case Manager - $2,100 to $2,200 per week in Indianapolis, IN

    Compunnel Healthcare • Indianapolis, IN, US
    [job_card.full_time]
    Registered Nurse (RN) | Case Manager Location : Indianapolis, IN Agency : Compunnel Healthcare Pay : $2,100 to $2,200 per week Shift Information : Days - 5 days x 8 hours Contract Duration : 13 Weeks St...[show_more]
    [last_updated.last_updated_variable_days] • [promoted]
    RN Field Nurse Case Manager Indianapolis, Indiana

    RN Field Nurse Case Manager Indianapolis, Indiana

    EagleOne Case Management Solutions • Indianapolis, IN, US
    [job_card.full_time]
    EagleOne is a family owned Nurse Case Management company that has been in business for 33 years and counting.Our expertise and commitment to excellence allows us to cater to the unique needs of our...[show_more]
    [last_updated.last_updated_30] • [promoted]
    Travel Nurse RN - Case Manager - $1,771 per week in Indianapolis, IN

    Travel Nurse RN - Case Manager - $1,771 per week in Indianapolis, IN

    Gifted Healthcare • Indianapolis, IN, US
    [job_card.full_time]
    Registered Nurse (RN) | Case Manager Location : Indianapolis, IN Agency : Gifted Healthcare Pay : $1,771 per week Shift Information : Days - 5 days x 8 hours Contract Duration : 13 Weeks Start Date : ASA...[show_more]
    [last_updated.last_updated_variable_days] • [promoted]
    Registered Nurse Case Manager-Home Health

    Registered Nurse Case Manager-Home Health

    CLOVER LLC • Indianapolis, IN, US
    [job_card.full_time]
    Clover Home Health is hiring a Full-Time.Registered Nurse (RN-Home Health).Here at Clover, we do not believe it's enough just to do our job. we believe that the work we do requires HEART!.This ...[show_more]
    [last_updated.last_updated_variable_days] • [promoted]
    Registered Nurse Case Manager Home Health - PRN

    Registered Nurse Case Manager Home Health - PRN

    Boost Home Healthcare - Central Indiana • Fishers, IN, US
    [job_card.full_time]
    Do you love helping others live their best life possible? Are you passionate about promoting quality of life by providing world-class care?. Inspired by nurses, Boost Home Healthcare makes it easier...[show_more]
    [last_updated.last_updated_30] • [promoted]