Managed Care Specialist (RN or LPN)

Managed Care Specialist (RN or LPN) at Brickyard Healthcare summary: The Managed Care Specialist (RN or LPN) is instrumental in case management for managed care and commercial insurance, serving as a vital link between healthcare providers and insurance payers. This role emphasizes effective communication and negotiation while ensuring proper payment levels for services delivered and advancing care plans. A compassionate team player with clinical and case management experience is ideal for optimizing patient outcomes and facilitating financial operations. We rely on and trust our Managed Care Specialist (RN or LPN) to provide centralized or field based case management for managed care and commercial insurance payers and residents. The right candidate for this role is a dedicated and compassionate team-player. Why Work For Us? Competitive Pay Excellent health benefits packages Career advancement opportunities Education reimbursement program of up to $7,500 per year Flexible scheduling available Benefits & Conditions: No waiting period for enrollment Three health plan options Delta Dental VSP Vision Free Basic Life Insurance Disability, Critical Illness, Accident & Legal Coverage 401(k) Retirement Plan Employee Assistance Program Responsibilities: Communicates, negotiates, and acts as liaison between Living Center/ Agency and the insurance plan to ensure proper level of payment is assigned for services provided Communicates care plan to insurance case managers with emphasis on strong discharge planning Communicates insurance benefits to all levels of associates and families Understands provisions of contracts and associated exclusions Provides cost analysis and negotiation of services and/or rates Consults on appeals, retro authorizations and collections issues Qualifications: · Licensed as a Registered Nurse (RN) or Licensed Practical Nurse (LPN) · Minimum two (2) years clinical experience preferred · Minimum two (2) to three (3) years case management experience preferred · Must be capable of maintaining regular attendance BYHCIND Keywords: Managed Care, Case Management, Health Insurance, Patient Care, Registered Nurse, Licensed Practical Nurse, Healthcare Benefits, Insurance Billing, Clinical Experience, Liaison

Location: Zionsville, IN, US

Posted Date: 4/6/2025