medicare coordinator

Medical Mutual

<div>
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 We are seeking candidates who are currently based in Ohio for this role.
 
 
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 Founded in 1934, Medical Mutual is the oldest and one of the largest health insurance companies based in Ohio. We provide peace of mind to more than 1.2 million members through our high-quality health, life, disability, dental, vision and indemnity plans. We offer fully insured and self-funded group coverage, including stop loss, as well as Medicare Advantage, Medicare Supplement, and individual plans.
 
 
 
 Medicare Pharmacy Coordinator I
 
 
 
 
 
 Job Summary:
 
 
 
 
 Working under general supervision, administers typically more standardized or routine daily operations in compliance with the Medicare Part D (pharmacy) and Medicare Part C (medical drug) benefit programs. Configures, implements, maintains, and services Medicare and Individual pharmacy benefits, with a strong focus on member experience.
 
 
 
 
 Responsibilities:
 
 
 
 
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 Coordinates pharmacy reject review and resolution either directly or forwards/escalates to other departments or PBM. Monitors paid claims for accuracy including for transition supply oversight. Ensures timely communication to members on coverage determination and prescriptions with timeframe restrictions, assesses coverage review accuracy, and triages as needed.
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 Assists in outbound calls to members, providers, and pharmacies to initiate coverage determinations/appeals, prescription refills, and switch members to lower cost therapeutic alternatives based on discussions with providers. Documents all attempts in tracking software.
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 Collaborates with Clinical Intervention Pharmacists on Medicare Stars and other quality initiatives, with a strong focus on member experience. Conducts outreach to Pharmacy Benefit Manager (PBM) for refills, claim reprocessing and to members to provide status of intervention.
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 Tracks and coordinates daily issue/response files with PBM for claim resolution. Outreaches to pharmacy/prescriber as needed.
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 Generates reports from pharmacy system and reviews production metrics. .
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 Supports operational oversight overflow and any additional requests. Responds to Part D and Part B benefit questions, updates tracking documents, and ensures effectuation of claims.
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 Builds and maintains knowledge of new or updated CMS regulations, Coverage Gap Discount, Coverage Determinations and Appeals, Grievances, and Medicare marketing material requirements.
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 Assists in internal and external audits and projects of the Medicare Part D (pharmacy) and Part C (medical drug) programs as needed.
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 Performs other duties as assigned.
 
 
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 Qualifications:
 
 
 
 
 
 Education and Experience:
 
 
 
 <ul>
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 Associate Degree in Business Administration, Healthcare, or related field or equivalent combination of experience, training, and education.
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 4 &ndash; 5 years of experience in a health plan, pharmacy, or PBM operations, which includes exposure to Centers for Medicare &amp; Medicaid Services (CMS) guidelines, preferably Part D.
 
 
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 Professional Certification(s):
 
 
 
 
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 Certified Pharmacy Technician (CPhT) preferred.
 
 
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 Technical Skills And Knowledge:
 
 
 
 
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 Knowledge of CMS guidelines and Medicare Part D (pharmacy).
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 Knowledge of pharmacy claims processing through retail or mail pharmacy.
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 Intermediate Microsoft Office skills (Excel, Word, Power Point).
 
 
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 Medicare Pharmacy Coordinator II
 
 
 
 
 
 Job Summary:
 
 
 
 
 Working under general supervision, administers standardized to moderately complex daily operations in compliance with the Medicare Part D (pharmacy) and Medicare Part C (medical drug) benefit programs. Configures, implements, maintains, and services Medicare and Individual pharmacy benefits, with a strong focus on member experience.
 
 
 
 
 Responsibilities:
 
 
 
 
 <ul>
 <li>
 Coordinates pharmacy reject review and resolution either directly or forwards/escalates to other departments or PBM. Monitors paid claims for accuracy including for transition supply oversight. Ensures timely communication to members on Part D coverage determination, all levels of appeal, re-openings (case re-decision) and Part C organization determination, and prescriptions with timeframe restrictions, assesses coverage review accuracy, and triages as needed.
 </li>
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 Coordinates remediation efforts for Hospice and End Stage Renal Disease (ESRD) processes.
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 Supports Medicare Pharmacy Specialists in the research and review of Part D and Part B inquiries, grievances, and CTMs, updating tracking documents, audit research items, and marketing material reviews.
 </li>
 <li>
 Assists in outbound calls to members, providers, and pharmacies to initiate coverage determinations/appeals, prescription refills, and switch members to lower cost therapeutic alternatives based on discussions with providers. Documents all attempts in tracking software.
 </li>
 <li>
 Collaborates with Clinical Intervention Pharmacists on Medicare Stars and other quality initiatives, with a strong focus on member experience. Conducts outreach to Pharmacy Benefit Manager (PBM) for refills, claim reprocessing and to members to provide status of intervention.
 </li>
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 Generates reports from pharmacy system and reviews production metrics. Conducts Part D Explanation of Benefits (EOB) audit.
 </li>
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 Tracks and coordinates daily issue/response files with PBM for claim resolution. Outreaches to pharmacy/prescriber as needed. Supports operational oversight overflow and any additional requests. Responds to Part D and Part B benefit questions, updates tracking documents, and ensures effectuation of claims.
 </li>
 <li>
 Maintains knowledge of new or updated CMS regulations, Coverage Gap Discount, Coverage Determinations and Appeals, Grievances, and Medicare marketing material requirements. Assists in internal and external audits and projects of the Medicare Part D (pharmacy) and Part C (medical drug) programs as needed.
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 Assists more junior level with any oversight process questions.
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 Performs other duties as assigned.
 
 
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 </ul>
 
 
 Education And Experience:
 
 
 
 
 <ul>
 <li>
 Associate Degree in Business Administration, Healthcare, or related field or equivalent combination of experience, training, and education.
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 <li>
 1-2 years of experience as a Medicare Pharmacy Coordinator or equivalent 5-6 years of experience in a health plan, pharmacy, or PBM operations, which includes exposure to Centers for Medicare &amp; Medicaid Services (CMS) guidelines, specifically Part D.
 
 
 </li>
 </ul>
 
 
 Technical Skills And Knowledge:
 
 
 
 
 <ul>
 <li>
 Strong knowledge of CMS guidelines and Medicare Part D (pharmacy).
 </li>
 <li>
 Strong knowledge of pharmacy claims processing through retail or mail pharmacy.
 </li>
 <li>
 Intermediate Microsoft Office skills (Excel, Word, Power Point).
 
 
 </li>
 </ul>
 
 A Great Place To Work:
 
 
 
 Medical Mutual is looking to grow our team! We truly value and respect the talents and abilities of all of our employees. That's why we offer an exceptional package that includes:
 
 
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 We will provide the equipment you need for this role, including a laptop, monitors, keyboard, mouse and headset.
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 Whether you are working remote or in the office, employees have access to on-site fitness centers at many locations, or a gym membership reimbursement when there is no Medical Mutual facility available. Enjoy the use of weights, cardio machines, locker rooms, classes and more.
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 On-site cafeteria, serving hot breakfast and lunch, at the Brooklyn, OH headquarters.
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 Discounts at many places in and around town, just for being a Medical Mutual team member.
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 The opportunity to earn cash rewards for shopping with our customers.
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 Business casual attire, including jeans.
 
 
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 Excellent Benefits And Compensation:
 
 
 
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 Employee bonus program.
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 401(k) with company match up to 4% and an additional company contribution.
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 Health Savings Account with a company matching contribution.
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 Excellent medical, dental, vision, life and disability insurance &mdash; insurance is what we do best, and we make affordable coverage for our team a priority.
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 Access to an Employee Assistance Program, which includes professional counseling, personal and professional coaching, self-help resources and assistance with work/life benefits.
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 Company holidays and up to 16 PTO days during the first year of employment with options to carry over unused PTO time.
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 After 120 days of service, parental leave for eligible employees who become parents through maternity, paternity or adoption.
 
 
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 An Investment In You:
 
 
 
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 Career development programs and classes.
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 Mentoring and coaching to help you advance in your career.
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 Tuition reimbursement up to $5,250 per year, the IRS maximum.
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 Diverse, inclusive and welcoming culture with Business Resource Groups.
 
 
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 About Medical Mutual:
 
 
 
 Medical Mutual&rsquo;s status as a mutual company means we are owned by our policyholders, not stockholders, so we don&rsquo;t answer to Wall Street analysts or pay dividends to investors. Instead, we focus on developing products and services that allow us to better serve our customers and the communities around us.
 
 
 There&rsquo;s a good chance you already know many of our Medical Mutual customers. As the official insurer of everything you love, we are trusted by businesses and nonprofit organizations throughout Ohio to provide high-quality health, life, disability, dental, vision and indemnity plans. We offer fully insured and self-funded group coverage, including stop loss, as well as Medicare Advantage, Medicare Supplement and individual plans. Our plans provide peace of mind to more than 1.2 million Ohioans.
 
 
 We&rsquo;re not just one of the largest health insurance companies based in Ohio, we&rsquo;re also the longest running. Founded in 1934, we&rsquo;re proud of our rich history with the communities where we live and work.
 
 
 
 We maintain a drug-free workplace and perform pre-employment substance abuse and nicotine testing.
 
 
 
</div>

Medicare Pharmacy Coordinator

University of Massachusetts

<div>Overview:
<div>
GENERAL SUMMARY OF POSITION:
</div><div>Under the general direction of the Manager or designee, the Program Coordinator will be responsible for coordinating assigned program activities. The primary responsibilities of the program coordinator include providing customer service to Medicaid clients to assist them with the Medicare enrollment process, handling in-coming calls from a diverse client population, conducting outreach and follow up calls to clients to ensure successful enrollment in Medicare, updating client records in proprietary database and reporting program activities and results. The Benefit Coordination Consulting (BCC) Program Coordinator will participate in the daily operations of Medicare Eligibility Enhancement Program projects and assist in the project activities relating to cost savings and revenue initiatives both in- and out-of-state.</div>
Responsibilities:
<div>
MAJOR RESPONSIBILITIES:</div><ul><li>
Coordinate and monitor assigned program activities.</li><li>
Review and analyze data relating to program effectiveness.</li><li>
Make recommendations for changes in procedures and guidelines and formulate strategies for accomplishing program objectives.</li><li>
Provide technical assistance and advice to agency personnel and others concerning assigned programs in order to exchange information, resolve problems and ensure compliance with established policies, procedures and standards.</li><li>
Develop and implement procedures and guidelines to accomplish assigned agency program objectives and goals.</li><li>
Confer with management staff and other agency personnel to determine program requirements and availability of resources and assist in developing program evaluation criteria and standards.</li><li>
Evaluate program activities and make recommendations for program modifications.</li><li>
Review existing regulations that pertain to programs and services and make recommendations for improvements or changes, particularly as it relates to meeting contractual requirements.</li><li>
Comply with established policies, health &amp; safety regulations and requirements, procedures and department objectives.</li><li>
Review and monitor compliance with the federal and state regulations.</li><li>
Maintain the confidentiality of all business documents and correspondence per UMass Chan Medical School/ForHealth Consulting procedures and HIPAA regulations</li><li>
Perform other related program duties as assigned.</li></ul>
Qualifications:
<div>
REQUIRED QUALIFICATIONS:</div><ul><li>
Bachelor&rsquo;s degree in business or public administration or related field; or equivalent experience.</li><li>
Two years of related experience in business administration, business management or public administration.</li><li>
Ability to understand, apply and explain pertinent laws, rules, regulations, policies, and procedures.</li><li>
Ability to work independently and collaboratively.</li><li>
Ability to relate and communicate well with a diverse client population.</li><li>
Ability to communicate effectively in both writing and oral presentation.</li><li>
Demonstrated ability to work appropriately with confidential information.</li><li>
Skilled in problem solving and team building</li><li>
Effective negotiating skills.</li><li>
Strong interpersonal skills needed to interact with all organizational levels.</li><li>
Demonstrated ability to assess priorities and operate in a flexible manner.</li><li>
Demonstrated experience using computer based tools including email, Microsoft Word, Excel, PowerPoint and database environments.</li></ul><div></div><div> 
PREFERRED QUALIFICATIONS:</div><ul><li>
Previous professional experience in customer service or call center role.</li><li>
Experience working with federal and state agencies, preferably health and human services organizations.</li><li>
Knowledge of state and federal health insurance programs.</li><li>
Ability to utilize questioning and listening skills that support effective telephone communication.</li><li>
Ability to apply the proper telephone etiquette to satisfy various client and agency situations.</li><li>
Experience working with Microsoft Access and SQL data environments</li></ul></div>

Medicare Enrollment Support Program Coordinator - REMOTE

The Premier of Alice Assisted Living Facility

<div><h2 class="jobSectionHeader">Join Our Team as an MDS Coordinator</h2>

Enhance Resident Care Through Quality Assessment &amp; Coordination

We&rsquo;re seeking a dedicated and detail-oriented MDS Coordinator to join our growing team! This role is essential to ensuring accurate assessments, compliance with state and federal regulations, and optimal care planning for our residents. Success in this position requires reliability, strong organizational skills, and a collaborative approach to interdisciplinary coordination.

<h2 class="jobSectionHeader">Your Impact as an MDS Coordinator</h2>

In this role, you will:
<ul>
<li>Coordinate Resident Assessments: Oversee admission, annual, quarterly, Medicare, and change-of-condition assessments, while ensuring timely communication with nursing and other departments.
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<li>Ensure Regulatory Compliance: Follow all Federal and State guidelines for comprehensive assessments (MDS).
</li>
<li>Monitor Documentation: Review MDS and care plan files for accuracy, thoroughness, and organization.
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<li>Utilize MDS Software: Maintain expertise in software systems to ensure correct data entry and reporting.
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<li>Lead Interdisciplinary Meetings: Attend and coordinate Medicaid, ITTM, and care plan meetings for smooth team communication.
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<li>Update Care Plans: Adjust and revise care plans as needed based on current assessments and resident status.
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<li>Provide Quality Reporting: Generate and distribute Quality Indicators Reports to leadership to support care improvement.
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<li>Submit MDS Data: Ensure timely and accurate transmission of MDS assessments per reporting standards.
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<li>Stay Current: Attend professional development sessions to keep up with industry standards and best practices.
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<li>Oversee Ancillary Data: Collect and report ancillary services to corporate billing for accurate processing.
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</ul><h2 class="jobSectionHeader">What Makes You a Great Fit</h2>

We&rsquo;re looking for someone who:
<ul>
<li>Holds a current Nursing License in good standing.
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<li>Has experience in geriatric nursing and a commitment to resident-centered care.
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<li>Demonstrates excellent assessment, documentation, and communication skills.
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<li>Understands nursing home regulations and compliance requirements.
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<li>Works well both independently and within a team.
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<li>Can manage multiple priorities with accuracy and efficiency.
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</ul><h2 class="jobSectionHeader">Benefits (Full-Time)</h2>
<ul>
<li>Comprehensive Benefits: Health, Dental, and Vision Insurance
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<li>Extra Protection: AD&amp;D, Short-Term Disability, Cancer, Critical Illness, and more
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<li>Life Insurance: Whole and Term Policies
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<li>Professional Growth: Tuition Reimbursement for continued education
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<li>Time to Recharge: Paid Time Off
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<li>Retirement Planning: Immediate 401(k) eligibility
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<li>Unwavering Support: Exceptional corporate resources
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</ul><h2 class="jobSectionHeader">Equal Opportunity Employer</h2>

We are an equal opportunity employer and prohibit discrimination/harassment without regard to race, color, religion, age, sex, national origin, disability status, genetics, protected veteran status, sexual orientation, gender identity or expression, or any other characteristic protected by federal, state or local laws.</div>

MDS Coordinator

The Ambassador Skilled Nursing & Therapy

<div>As a nursing professional, you have a calling to help others. We are looking for a licensed nurse who is detail-oriented and dynamic to be a Minimum Data Set (MDS) Coordinator for our facility. The MDS Coordinator orchestrates, directs and schedules completion of the MDS including Resident Assessment Protocols (RAPs) and Care Plans for residents. Registered Nurses (RNs) and Licensed Practical Nurses (LPNs) are both encouraged to apply.

Responsibilities and Purpose
<ul>
<li>Collect data for MDS, including quarterly MDS, for residents in a timely fashion as required by RAI manual and guidelines from HCFA. Review RAPs upon completion and all pertinent data.</li>
<li>Maintain accurate MDS/Care Plan tracking to ensure timely completion.</li>
<li>Ensure that each MDS is completed in an accurate, factual manner to reflect the resident&rsquo;s current medical condition as evidenced by physical assessment and documentation in the resident&rsquo;s medical record.</li>
<li>Coordinate decisions about whether to proceed to care plan or not and document on MDS as indicated and as required by state/federal regulations.</li>
<li>Electronically record and transmit MDS data according to the state database as required by state and federal regulations.</li>
</ul>
Desired Experience and Education
<ul>
<li>Current and unencumbered Oklahoma Registered Nurse (RN) or Licensed Practical Nurse (LPN) License.</li>
<li>Up to date First Aid and CPR certification.</li>
<li>Basic computer skills, including Microsoft Office.</li>
<li>Knowledge of the MDS and RAPs with the ability to draft a comprehensive plan of care for residents that is individualized and specific to current status and care needs.</li>
</ul>
Benefits

We offer competitive pay relative to experience. All full-time employees are eligible for benefits including:
<ul>
<li>Medical, Dental and Vision Insurance</li>
<li>401(k) with Company Match</li>
<li>Employee Assistance Program</li>
<li>Wage Advances via OnShift Wallet</li>
<li>Education Funds and Scholarships</li>
<li>Nurse Aide Training and Certification</li>
<li>Career Ladders- CNA, RN, and Beyond</li>
<li>Clinical Hours For College Students</li>
<li>CPR and IV Certifications</li>
<li>Employee Stock Ownership Plan (ESOP)</li>
</ul>
Earn Better With Us | Realize the Value of 100% Employee Ownership

We are 100% employee-owned by members of the community we serve through an Employee Stock Ownership Plan (ESOP). We can impact the total value of your compensation in 4 significant ways:
<div>
<ul><li>We pay future employee-owners competitive wages based on their experience and provide pathways for career advancement.</li></ul>
<ul><li>We allow you to access up to 50% of your net earned wages the following day when you need cash immediately.</li></ul>
<ul><li>We offer an 401(k) with matching so that you can begin wealth-building today</li></ul>
<ul><li>More remarkably, we create a future reward for every eligible team member at no cost so you can live comfortably when your working days are over.</li></ul>
</div>
Ownership inspires a rich culture of teamwork where your attention to detail, customer service mindset, pride, effort, and attitude contribute to a vision of superior satisfaction and quality outcomes for everyone entrusted to our care.

We are an Equal Opportunity Employer.

#IND4</div>

Minimum Data Set (MDS) Coordinator

Grace Skilled Nursing & Therapy - Jenks

Philadelphia Wound Care

Remote Medical Intake &amp; Scheduling CoordinatorPhiladelphia Wound Care Remote | Full-Time or Part-Time | Healthcare Administration + Practice DevelopmentCompensation$24 &ndash; $32 per hour depending on experienceAbout Philadelphia Wound CarePhiladelphia Wound Care is a physician-led mobile wound care practice providing advanced wound management to patients in their homes, skilled nursing facilities, and long-term care settings throughout the Philadelphia region.Our practice focuses on treating diabetic ulcers, pressure injuries, surgical wounds, and complex chronic wounds for patients who have difficulty traveling to outpatient clinics.We work closely with hospitals, case managers, physicians, home health agencies, and skilled nursing facilities to provide timely wound care services.We are currently in an exciting startup growth phase and are seeking a highly organized and motivated team member to support patient intake, scheduling, referral coordination, and practice growth initiatives.Position OverviewJoin our dynamic healthcare team as a Remote Medical Intake &amp; Scheduling Coordinator. In this vital role, you will be the first point of contact for patients and referring providers, ensuring a smooth and professional experience from the moment they reach out.You will manage patient intake, scheduling, insurance verification, and medical documentation, while supporting clinicians with accurate and timely information. Your attention to detail, strong communication skills, and ability to work independently will help drive both operational efficiency and high-quality patient care.This role also includes practice marketing and referral development responsibilities, including occasional in-person visits to healthcare facilities in the Delaware Valley to build relationships and support patient access to care.This position offers a clear growth pathway into a Practice Operations / Practice Manager role as the practice expands.Key ResponsibilitiesPatient Intake &amp; Communication<ul><li>Serve as the first point of contact for patients, referral sources, and healthcare partners</li><li>Manage incoming patient calls with excellent phone etiquette</li><li>Collect patient demographics, clinical information, and medical history</li><li>Assist patients with intake forms and documentation review</li></ul>Scheduling &amp; Coordination<ul><li>Schedule appointments accurately using medical scheduling systems</li><li>Coordinate home visits and facility visits for providers</li><li>Optimize scheduling flow and geographic routing</li><li>Manage follow-up scheduling and appointment confirmations</li></ul>Insurance Verification &amp; Documentation<ul><li>Verify insurance coverage including Medicare, Medicare Advantage, and commercial plans</li><li>Understand basic Medicaid limitations (as applicable)</li><li>Review and update patient records in EHR/EMR systems (e.g., AdvancedMD, Athena, Epic, etc.)</li><li>Maintain compliance with HIPAA regulations and PHI protection</li></ul>Medical Administrative Support<ul><li>Support documentation processes including familiarity with ICD-10 and CPT coding (preferred)</li><li>Maintain accurate and organized medical records</li><li>Manage multi-line phone systems, fax, and referral communications</li></ul>Referral Coordination<ul><li>Communicate with case managers, discharge planners, and referring physicians</li><li>Track referral status and ensure timely scheduling</li><li>Ensure all required documentation is received and complete</li></ul>Practice Marketing &amp; Outreach<ul><li>Assist with practice marketing and referral development efforts</li><li>Build relationships with healthcare providers and facilities</li><li>Conduct occasional in-person visits to hospitals, SNFs, and clinics in the Delaware Valley</li><li>Support distribution of marketing materials and follow-up with referral sources</li></ul>Administrative Operations<ul><li>Maintain workflow efficiency in a fast-paced, startup environment</li><li>Collaborate with clinicians and leadership to improve processes</li><li>Support overall growth and operational infrastructure of the practice</li></ul>Qualifications<ul><li>2+ years experience in a medical office or healthcare administrative role</li><li>Strong knowledge of medical terminology, scheduling, and patient intake workflows</li><li>Experience with insurance verification (Medicare, commercial plans; Medicaid familiarity a plus)</li><li>Proficiency in EHR/EMR systems (e.g., Athena, Epic, eClinicalWorks, AdvancedMD, etc.)</li><li>Familiarity with ICD-10 and CPT coding (preferred)</li><li>Strong communication skills and professional phone presence</li><li>Ability to work independently in a remote environment with high attention to detail</li><li>Proficiency with Microsoft Office and general administrative systems</li></ul>Preferred Experience (Strongly Desired)<ul><li>Wound care experience (major plus / highly preferred)</li><li>Home health, hospice, or mobile healthcare experience</li><li>Skilled nursing facility (SNF) or hospital coordination</li><li>Experience with healthcare marketing, referral development, or provider outreach</li><li>Experience in startup or high-growth healthcare environments</li></ul>SkillsMedical scheduling Patient intake coordination Insurance verification Referral management Healthcare administration Practice marketing / provider outreach EHR/EMR documentation HIPAA compliance Customer service and communicationWork Environment<ul><li>Remote position with occasional local travel (Delaware Valley region)</li><li>Fast-paced, high-growth startup environment</li><li>Opportunity for leadership development and expanded responsibilities</li></ul>Growth OpportunityThis role has the potential to evolve into a Practice Operations / Practice Manager position, overseeing workflows, staff coordination, and operational strategy as the practice continues to expand.How to ApplyPlease submit your resume and a brief description of your experience in:<ul><li>Medical intake and scheduling</li><li>Insurance verification</li><li>Any wound care or healthcare outreach experience</li></ul>Bonus Keywords for Indeed SEOmedical receptionist medical intake coordinator medical scheduler medical office administrator remote medical office healthcare scheduling coordinator patient intake specialist wound care coordinator home health coordinator medical marketing coordinator healthcare outreach coordinatorJob Types: Full-time, ContractPay: $24.00 - $32.00 per hourBenefits:<ul><li>Dental insurance</li><li>Health insurance</li><li>Life insurance</li><li>Opportunities for advancement</li><li>Paid time off</li><li>Vision insurance</li></ul>Work Location: Remote

Remote Medical Intake and scheduling Coordinator ( Wound Care)

Research Medical Center

<div><h5 class="jobSectionHeader">Introduction</h5>
Are you looking for a place to deliver excellent care patients deserve? At Research Medical Center we support our colleagues in their positions. Join our Team as a(an) RN Case Manager Acute Rehab and access programs to assist with every stage of your career.<h5 class="jobSectionHeader">
Benefits</h5>
Research Medical Center, offers a total rewards package that supports the health, life, career and retirement of our colleagues. The available plans and programs include:<ul><li>
Comprehensive medical coverage that covers many common services at no cost or for a low copay. Plans include prescription drug and behavioral health coverage as well as free telemedicine services and free AirMed medical transportation.</li><li>
Additional options for dental and vision benefits, life and disability coverage, flexible spending accounts, supplemental health protection plans (accident, critical illness, hospital indemnity), auto and home insurance, identity theft protection, legal counseling, long-term care coverage, moving assistance, pet insurance and more.</li><li>
Free counseling services and resources for emotional, physical and financial wellbeing 
</li><li>
401(k) Plan with a 100% match on 3% to 9% of pay (based on years of service) 
</li><li>
Employee Stock Purchase Plan with 10% off HCA Healthcare stock 
</li><li>
Family support through fertility and family building benefits with Progyny and adoption assistance. 
</li><li>
Referral services for child, elder and pet care, home and auto repair, event planning and more 
</li><li>
Consumer discounts through Abenity and Consumer Discounts 
</li><li>
Retirement readiness, rollover assistance services and preferred banking partnerships 
</li><li>
Education assistance (tuition, student loan, certification support, dependent scholarships) 
</li><li>
Colleague recognition program 
</li><li>
Time Away From Work Program (paid time off, paid family leave, long- and short-term disability coverage and leaves of absence) 
</li><li>
Employee Health Assistance Fund that offers free employee-only coverage to full-time and part-time colleagues based on income.</li></ul>
Learn more about Employee Benefits
Note: Eligibility for benefits may vary by location. 
Are you a continuous learner? With more than 94,000 nurses throughout HCA Healthcare, we are one of the largest employers of nurses in the United States. Education is key to excellence! As a majority owner of Galen College of Nursing, which joins Research College of Nursing and Mercy School of Nursing as educational facilities within the HCA Healthcare family, we make it easier and more affordable to gain certifications and job skills. Apply today for our RN Case Manager Acute Rehab opening and continue to learn!<h5 class="jobSectionHeader">
Job Summary and Qualifications</h5>
The Case Manager (CM) ensures high quality, patient-centered care by managing rehabilitative care to ensure optimum outcomes. As an active member of the rehab team, the CM provides, coordinates, and directs care specific to the needs of each Rehab patient. The CM collaborates with the Rehab Program Director and Facility Case Management Director regarding departmental functions, and coordinates efforts within the rehabilitation team.
<ul><li>Provides program orientation to patients/families/caregivers, including the case manager&rsquo;s role, Rehab philosophy, continued stay and discharge criteria, Medicare and insurance benefits, grievance procedures, treatment plan process, and rights and responsibilities.</li><li>
Acts as coordinator of patient/family/caregiver education and monitors documentation of education by team members. Promotes participation of the patient/family/caregiver in team discussions related to plans, goals and status through Family Conferences and other interactions.</li><li>
Provides program orientation to patients/families/caregivers, including the case manager&rsquo;s role, Rehab philosophy, continued stay and discharge criteria, Medicare and insurance benefits, grievance procedures, treatment plan process, and rights and responsibilities.</li><li>
Acts as coordinator of patient/family/caregiver education and monitors documentation of education by team members. Promotes participation of the patient/family/caregiver in team discussions related to plans, goals and status through Family Conferences and other interactions.</li><li>
 Provides program orientation to patients/families/caregivers, including the case manager&rsquo;s role, Rehab philosophy, continued stay and discharge criteria, Medicare and insurance benefits, grievance procedures, treatment plan process, and rights and responsibilities.</li><li>
Acts as coordinator of patient/family/caregiver education and monitors documentation of education by team members. Promotes participation of the patient/family/caregiver in team discussions related to plans, goals and status through Family Conferences and other interactions.</li><li>
Provides program orientation to patients/families/caregivers, including the case manager&rsquo;s role, Rehab philosophy, continued stay and discharge criteria, Medicare and insurance benefits, grievance procedures, treatment plan process, and rights and responsibilities.</li><li>
Acts as coordinator of patient/family/caregiver education and monitors documentation of education by team members. Promotes participation of the patient/family/caregiver in team discussions related to plans, goals and status through Family Conferences and other interactions.</li><li>
Provides program orientation to patients/families/caregivers, including the case manager&rsquo;s role, Rehab philosophy, continued stay and discharge criteria, Medicare and insurance benefits, grievance procedures, treatment plan process, and rights and responsibilities.
 </li></ul>What qualifications you will need:<ul><li>
(RN) Registered Nurse</li><li>
Associate Degree, or Registered Nurse Diploma</li></ul>
Research Medical Center is a 585+ bed hospital. Our hospital offers an array of medical and health clinic services. This includes women's services offering obstetrics and fertility, an emergency room, and a trauma center. We offer a Stroke Center, a walk-in clinic, and orthopedics across three Kansas City locations. Our specialty care areas include a Chest Pain Center, Level I Trauma Center, Breast Care Center, Cardiovascular Rehabilitation Programs, and Primary Stroke Center. We are one of 10 HCA Midwest Health hospitals in Kansas City and surrounding areas
Research Psychiatric Center is a 95+ bed facility. We offer acute inpatient, day treatment, and community-based outpatient behavioral healthcare. We treat adolescents, adults, and senior adults for emotional disorders, mental illness, and substance abuse. Our professional staff includes psychiatrists, psychologists, social workers, and licensed professional counselors. We are committed to delivering our patients skilled compassionate care regardless of age or circumstance.
HCA Healthcare has been recognized as one of the World&rsquo;s Most Ethical Companies&reg; by the Ethisphere Institute more than ten times. In recent years, HCA Healthcare spent an estimated $3.7 billion in cost for the delivery of charitable care, uninsured discounts, and other uncompensated expenses. 
&quot;Good people beget good people.&quot;- Dr. Thomas Frist, Sr. 
HCA Healthcare Co-Founder
If growth and continued learning is important to you, we encourage you to apply for our RN Case Manager Acute Rehab opening. Our team will promptly review your application. Highly qualified candidates will be contacted for interviews. Unlock the possibilities apply today!
We are an equal opportunity employer. We do not discriminate on the basis of race, religion, color, national origin, gender, sexual orientation, age, marital status, veteran status, or disability status.</div>

RN Case Manager Acute Rehab

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RN Case Manager Acute Rehab