Nurse Case Manager IInternational Medical Group • Indianapolis, IN, US
Nurse Case Manager I
International Medical Group • Indianapolis, IN, US
14 days ago
Job type
- Full-time
- Quick Apply
Job descriptionNo 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 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
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 :
Create a job alert for this search
Nurse Case Manager • Indianapolis, IN, US
Related jobs
Zack Group is seeking a travel nurse RN Case Management for a travel nursing job in Indianapolis, Indiana.Job Description & Requirements.
Case Manager RN’s for positions in Indianapolis, Indiana.The...Show more
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
Synergy Medical Staffing is seeking a travel nurse RN Case Management for a travel nursing job in Indianapolis, Indiana.Job Description & Requirements.
Location : Indianapolis, Indiana.Shift : 5x8 Day...Show more
Travel Nurse RN - Case Manager, Utilization Review - $1,805 per week at Medical Solutions summary : .As a Travel Nurse RN Case Manager specializing in Utilization Review, you will provide high-qualit...Show more
Staffing Care Pro - Registered Nurse Case Manager.The Registered Nurse Case Manager will help ensure that our clients receive safe, professional, and loving care in their homes.The Registered Nurse...Show more
Arrow Healthcare Staffing is seeking a travel nurse RN ICU - Intensive Care Unit for a travel nursing job in Fishers, Indiana.
Job Description & Requirements.Arrow Healthcare Staffing Job ID #17...Show more
Assured Nursing is seeking a travel nurse RN OR - Operating Room for a travel nursing job in Columbus, Indiana.Job Description & Requirements.
Assured Nursing is currently seeking a.The ideal ca...Show more
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
Nightingale Nurses is seeking a travel nurse RN OR - Operating Room for a travel nursing job in Columbus, Indiana.Job Description & Requirements.
You may not realize it, but as an RN with real w...Show more
RN ICU - Intensive Care Unit for a travel nursing job in Fishers, Indiana.Job Description & Requirements.Pay package is based on 12 hour shifts and 36 hours per week (subject to confirmation) w...Show more
MedPro Healthcare Staffing is seeking a travel nurse RN ICU - Intensive Care Unit for a travel nursing job in Fishers, Indiana.
Job Description & Requirements.Joint Commission-certified staffing...Show more
GQR Healthcare is seeking a travel nurse RN ICU - Intensive Care Unit for a travel nursing job in Fishers, Indiana.Job Description & Requirements.
Contract - W2 ICU Registered Nurse (RN) Job.Pro...Show more
Stability Healthcare is seeking a travel nurse RN ICU - Intensive Care Unit for a travel nursing job in Fishers, Indiana.
Job Description & Requirements.Stability Healthcare is looking for a ICU...Show more
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
Schedule : Nights, 3 (12-hour) shifts 7pm-7 : 30am Will work every third weekend.Various health insurance options & wellness plans.
Retirement benefits including employer match plans.Long-term & short-...Show more
Anders Group is seeking a travel nurse RN Case Manager, Acute Care Case Management for a travel nursing job in Indianapolis, Indiana.
Job Description & Requirements.Pay package is based on 8 hour sh...Show more
Access Healthcare is seeking a travel nurse RN Care Manager for a travel nursing job in Indianapolis, Indiana.Job Description & Requirements.
Access Healthcare Job ID #73232692.Pay package is ba...Show more
Junxion Med Staffing is seeking a travel nurse RN ICU - Intensive Care Unit for a travel nursing job in Fishers, Indiana.
Job Description & Requirements.Junxion Med Staffing Job ID #1348146.Pay ...Show more
Travel Nurse RN - Case Management - $2,311 per week
Zack Group • Indianapolis, IN, USA
Permanent
Last updated: 30+ days ago • Promoted
RN Case Manager
Interim HealthCare • Greenwood, IN, US
Full-time +1
Last updated: 30+ days ago
Travel Nurse RN - Case Management - $2,201 per week
Synergy Medical Staffing • Indianapolis, IN, USA
Permanent
Last updated: 30+ days ago • Promoted
Travel Nurse RN - Case Manager, Utilization Review - $1,805 per week
Medical Solutions • Indianapolis, IN, USA
Full-time
Last updated: 30+ days ago • Promoted
Registered Nurse Case Manager
Staffing Care Pro • Indianapolis, IN, USA
Full-time
Quick Apply
Last updated: 30+ days ago
Travel ICU / PCU Registered Nurse
Arrow Healthcare Staffing • Fishers, IN, US
Full-time
Last updated: 2 days ago • Promoted
Travel Nurse RN - OR - Operating Room
Assured Nursing • Columbus, IN, US
Full-time
Last updated: 30+ days ago • Promoted
Travel Nurse RN - Case Management - $1,837 per week
TotalMed Case Management Staffing • Indianapolis, IN, USA
Full-time
Last updated: 30+ days ago • Promoted
Travel Nurse RN - OR - Operating Room
Nightingale Nurses • Columbus, IN, US
Full-time
Last updated: 30+ days ago • Promoted
Travel Nurse RN - ICU - Intensive Care Unit
Travel Nurses, Inc. • Fishers, IN, US
Full-time
Last updated: 30+ days ago • Promoted
Travel Nurse RN - ICU - Intensive Care Unit
MedPro Healthcare Staffing • Fishers, IN, US
Full-time
Last updated: 29 days ago • Promoted
Travel ICU / PCU Registered Nurse
GQR Healthcare • Fishers, IN, US
Full-time
Last updated: 18 hours ago • Promoted • New!
Travel ICU / PCU Registered Nurse
Stability Healthcare • Fishers, IN, US
Full-time
Last updated: 1 day ago • Promoted
Travel Nurse RN - Case Management - $2,205 per week
Sharp Nursing Medical Staffing • Indianapolis, IN, USA
Full-time
Last updated: 30+ days ago • Promoted
Registered Nurse (RN) Intermediate Care
Ascension • Carmel, IN, US
Full-time
Last updated: 9 days ago • Promoted
Travel Nurse RN - Case Manager, Acute Care Case Management - $2,092 per week
Anders Group • Indianapolis, IN, USA
Full-time
Last updated: 30+ days ago • Promoted
Travel RN Case Manager - $2,365 per week
Access Healthcare • Indianapolis, IN, US
Full-time
Last updated: 30+ days ago • Promoted
Travel Nurse RN - ICU - Intensive Care Unit
Junxion Med Staffing • Fishers, IN, US
Permanent
Last updated: 12 days ago • Promoted