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Estimated Pay $37 per hour
Hours Full-time, Part-time
Location Indianapolis, Indiana

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Estimated Pay
We estimate that this job pays $36.78 per hour based on our data.

$26.48

$36.78

$49.3

About this job

A Medical RNCare Manager II is needed to meet HBR targets and member enrollment. Fully remote M-F 8AM - 5PM. MUST reside in the state of Indiana.
  • Cold call outreach to members,
  • Completion of member multiple enrollment and follow-up assessments,
  • Creation of member care plans
  • Input documentation into multiple computer systems
  • Daily collaboration with CM/UM/Pharmacy peers to meet member needs
  • Checking eligibility in FSSA system,
  • Research claim encounter and Hospital systems to obtain member health history
  • Maintain Case Load 50
  • Daily outreach 20-40 calls daily
  • Monthly Quality Audit score 90%
Education/Experience:
Graduate from an Accredited School of Nursing. Bachelor's degree in Nursing preferred. 2+ years of clinical nursing experience in a clinical, acute care, or community setting and 1+ years of case management experience in a managed care setting. Knowledge of utilization management principles and healthcare managed care. Experience with medical decision support tools (i.e. Interqual, NCCN) and government sponsored managed care programs.
Licenses/Certifications: Current state's RN license.

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