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Commercial Case Manager Jobs in Indiana (NOW HIRING)

Encompass Health

Case Manager

Newburgh, IN · On-site

$19 - $24.50/hr

Case Manager Career Opportunity Recognized for your abilities as a Case Manager Are you ready for a ... Understand commercial contract levels, exclusions, payor requirements, and recertification needs.

Damar Services, Inc.

Case Manager

Indianapolis, IN

$47.50K/yr

Handles all case management aspects of assigned clients' care. Here are just a few of the benefits ... of private and commercial transportation; and to verbally communicate to exchange information.

Damar Services, Inc.

Case Manager

Indianapolis, IN

$47.50K/yr

Handles all case management aspects of assigned clients' care. Here are just a few of the benefits ... of private and commercial transportation; and to verbally communicate to exchange information.

IU Health

RN Case Manager-PRN

Monticello, IN

RN Case Manager-PRN PRN/Supplemental RN Case Manager - IU White Memorial & IU Frankfort Hospitals ... commercial insurance. * Assist with documentation and software systems such as Cerner, MCCM, SMS ...

Jj

Manager, Commercial Education

Warsaw, IN · On-site

The Commercial Education Manager will design and deliver a strategic, outcomes-focused Commercial ... Competitive intelligence, messaging and training delivery Design and deliver live workshops, case ...

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Commercial Case Manager information

What are the key skills and qualifications needed to thrive as a Commercial Case Manager, and why are they important?

To thrive as a Commercial Case Manager, you need a strong understanding of case management, insurance policies, and healthcare regulations, typically supported by a bachelor's degree in a related field and relevant experience. Familiarity with case management software, claims processing systems, and knowledge of regulatory compliance are essential technical requirements. Outstanding organizational skills, effective communication, and the ability to negotiate and resolve conflicts make someone stand out in this role. These skills are crucial for efficiently managing complex cases, ensuring compliance, and achieving optimal outcomes for clients and organizations.

What are some common challenges faced by Commercial Case Managers and how can they be addressed?

Commercial Case Managers often navigate complex client needs while balancing organizational policies, insurance requirements, and regulatory compliance. One frequent challenge is effectively coordinating communication among multiple stakeholders, including clients, healthcare providers, and insurers. Developing strong organizational skills, utilizing case management software, and fostering collaborative relationships can help address these challenges. Regular training on industry regulations and best practices also ensures that Commercial Case Managers stay current and effective in their roles.

What are Commercial Case Managers?

Commercial Case Managers are professionals who coordinate and oversee services for clients, typically within health insurance or workers’ compensation settings. They work with businesses, healthcare providers, and insurers to ensure that clients receive appropriate care while managing costs and compliance. Their responsibilities may include assessing client needs, developing service plans, monitoring progress, and facilitating communication among all parties. The goal is to achieve optimal outcomes for clients and employers while ensuring that services are delivered efficiently.

What is the difference between Commercial Case Manager vs Insurance Claims Adjuster?

AspectCommercial Case ManagerInsurance Claims Adjuster
CredentialsRelevant certifications (e.g., CPCM), industry experienceLicenses, certifications like AIC or CPCU
Work EnvironmentCorporate, legal, or insurance settings managing commercial casesInsurance companies, adjusting claims, assessing damages
Employer & IndustryInsurance firms, legal, or corporate sectorsInsurance companies, third-party administrators
Search & Comparison IntentUnderstanding roles in commercial case managementComparing claims adjustment processes

While both roles involve handling cases related to insurance, a Commercial Case Manager focuses on managing complex commercial claims and legal cases within corporate or insurance settings. An Insurance Claims Adjuster primarily evaluates and settles insurance claims, often on individual or property claims. The roles differ mainly in scope and specialization, with the Commercial Case Manager handling broader, often legal or contractual issues in commercial contexts.

What are popular job titles related to Commercial Case Manager jobs in Indiana? For Commercial Case Manager jobs in Indiana, the most frequently searched job titles are:
What job categories do people searching Commercial Case Manager jobs in Indiana look for? The top searched job categories for Commercial Case Manager jobs in Indiana are:
What cities in Indiana are hiring for Commercial Case Manager jobs? Cities in Indiana with the most Commercial Case Manager job openings:
Commercial Case Manager jobs near you
Case Manager

Case Manager

Encompass Health

Newburgh, IN • On-site

$19 - $24.50/hr

Other

Medical, Dental, Vision, Retirement, PTO

Posted 25 days ago

Encompass Health rating

6.9

Company rating: 6.9 out of 10

Based on 403 frontline employees who took The Breakroom Quiz

449th of 864 rated healthcare providers

Job description

Case Manager Career Opportunity

Recognized for your abilities as a Case Manager
Are you ready for a Case Management role that brings your career closer to home and heart? Join Encompass Health, where being a Case Manager goes beyond just a job; it positions you as a vital link between exceptional care and the transformative impact on each patient's journey. As the leading provider of rehabilitation care in the nation, this opportunity allows you to leverage your clinical expertise while contributing to the well-being of individuals in your community. Manage resources, coordinate patient care from admission to post-discharge, and oversee interdisciplinary plan-of-care decisions. This is more than a career move; it's a chance to shape a future where care and compassion converge for truly meaningful outcomes.
 

A Glimpse into Our World
At Encompass Health, you'll experience the difference the moment you become a part of our team. Working with us means aligning with a rapidly growing national inpatient rehabilitation leader. We take pride in the growth opportunities we offer and how our team unites for the greater good of our patients. Our achievements include being named one of the "World's Most Admired Companies" and receiving the Fortune 100 Best Companies to Work For Award, among other accolades, which is nothing short of amazing.

Starting Perks and Benefits

At Encompass Health, we are committed to creating a supportive, inclusive, and caring environment where you can thrive. From day one, you will have access to:

  • Affordable medical, dental, and vision plans for both full-time and part-time employees and their families.
  • Generous paid time off that accrues over time.
  • Opportunities for tuition reimbursement and continuous education.
  • Company-matching 401(k) and employee stock purchase plans.
  • Flexible spending and health savings accounts.
  • A vibrant community of individuals passionate about the work they do!

Become the Case Manager you always wanted to be

  • Work with interdisciplinary team, guiding treatment plans based on patient needs and preferences.
  • Coordinate with interdisciplinary team to establish tentative discharge plan and contingency plans.
  • Participate in planning for and the execution of patient discharge experience.
  • Monitor patient experience: quality/timeliness/service appropriateness/payors/expectations.
  • Facilitate team conferences weekly and coordinate all treatment plan modifications.
  • Complete case management addendums and all required documentation.
  • Maintain knowledge of regulations/standards, company policies/procedures, and department operations.
  • Review/analyze case management reports, including Key Care Indicators, and plan appropriate actions.
  • Understand commercial contract levels, exclusions, payor requirements, and recertification needs.
  • Attend Acute Care Transfer (ACT) meetings to identify trends and collaboratively reduce ACTs.
  • Meet with patient/family per Patient Arrival and Initial Visit Standard within 24 hrs. of admission.
  • Perform assessment of goals and complete case management addendum within 48 hours of admission.
  • Educate patient/family on rehabilitation and Case Manager role; establish communication plan.
  • Schedule and facilitate family conferences as needed.
  • Assist patient with timely procuring/planning of resources to avoid discharge delays or issues.
  • Monitor compliance with regulations for orthotics and prosthetics ordering and payment.
  • Make appropriate/timely referrals, including documentation to post discharge providers/physician
  • Ensure accuracy of discharge and payor-related information in the patient record
  • Participate in utilization review process: data collection, trend review, and resolution actions.
  • Participate in case management on-call schedule as needed.

Qualifications

  •  License or Certification:
    • Must be qualified to independently complete an assessment within the scope of practice of his/her discipline (for example, RN, SW, OT, PT, ST, and Rehabilitation Counseling).
    • If licensure is required for one's discipline within the state, individual must hold an active license.
    • Must meet eligibility requirements for CCM or ACM certification upon entry into this position OR within two years of entry into the position.
    • CCM or ACM certification required OR must be obtained within two years of being placed in the Case Manager II position.
  • Minimum Qualifications:
    •  For Nursing, must possess minimum of an Associate Degree in Nursing, RN licensure with BSN preferred. A diploma is acceptable only in those states whose minimum requirement for licensure or certification is a diploma rather than an associate degree.
    •  For all other eligible licensed or certified health care professionals, must possess a minimum of a bachelor's degree and graduate degree is preferred.
    • 2 years of rehabilitation experience preferred.
The Encompass Health Way 

We proudly set the standard in care by leading with empathy, doing what's right, focusing on the positive, and standing stronger together. Encompass Health is a trusted leader in post-acute care with over 150 nationwide locations and a team of 36,000 exceptional individuals and growing! 
 
At Encompass Health, we celebrate and welcome diversity in our inclusive culture. We provide equal employment opportunities regardless of race, ethnicity, gender, sexual orientation, gender identity or expression, religion, national origin, color, creed, age, mental or physical disability, or any other protected classification. 

What Encompass Health employees say

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About Encompass Health

Sourced by ZipRecruiter

Helping patients regain hope and independence, Encompass Health is a national leader in post-acute care. We operate rehabilitation hospitals in 36 states as well as Puerto Rico. Following the Encompass Way, we are driven by our core values: We proudly set the standard, lead with empathy, do what's right, focus on the positive, and remain stronger together.

Industry

Hospitals

Company size

10,000+ Employees

Headquarters location

Birmingham, AL, US

Year founded

1984

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