Medicare Nurse Case Manager Salary in Louisville, Kentucky

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Average Salary for Medicare Nurse Case Manager in Louisville, Kentucky

The average salary of a(n) Medicare Nurse Case Manager in Louisville, Kentucky is $63,984.

The average hourly rate of a(n) Medicare Nurse Case Manager in Louisville, Kentucky is $30.76.

The average bonus of a(n) Medicare Nurse Case Manager in Louisville, Kentucky is $973.00.

Job Description:

Plans, directs, implements, and evaluates appropriate healthcare services for Medicare patients in conjunction with Physician's treatment plan to ensure that cost effective, quality care is provided. Typically requires licensure as a Registered Nurse with three years of relevant nursing and medical case management experience. Certification as a Case Manager or professional certification in a clinical specialty may also be required. Coordinates cases that normally include prospective and retrospective review and prior authorization, determining the appropriate level of care and utilization of services, concurrent review, retrospective review, developing discharge plans, and ensuring quality cost effectiveness. Develops a plan of care for Medicare patients from admission to discharge. Monitors patient progress toward desired outcomes through assessments and evaluations. Develops and administers education and prevention programs for Medicare patients. Analyzes referred cases for potential case management interventions. Evaluates the effectiveness of alternate care services and ensures that cost effective, quality care is maintained to meet case management objectives. Determines if proposed medical treatment plans meet contract provisions. May arrange referrals, consultations, therapeutic services, and confer with other specialists on course of care and treatment. May negotiate fees with providers of medical care, agencies, and outside vendors to achieve maximum cost effectiveness. Less

Plans, directs, implements, and evaluates appropriate healthcare services for Medicare patients in conjunction with Physician's treatment plan to ensure that cost effective, quality care is provided. Typically requires licensure as a Registered Nurse with three years of relevant nursing and... More

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Results for Medicare Nurse Case Manager in Louisville, Kentucky

Case Manager - Registered Nurse (RN) - Jeffersontown, KY

The Evangelical Lutheran Good Samaritan Society

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Quality Improvement Manager - Louisville, KY

WellCare

Preferred Licensed Registered Nurse (RN). Coordinates guidelines, studies and performance improvement activities in concert with the utilization management,...

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Director of Resident Assessment - 1631243 - Louisville, KY

Golden Living Centers

Acts as in-house case manager by considering all aspects of the resident's care and coordinating services with physicians, families, third party payers and...

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LPN Clinical Coordinator - Louisville, KY

Kindred At Home

ACLS, ANA, Acute care, Admissions Nurse, Admission Nurse, cardio nurse, cardio LPN, cardio LVN, cardiac nurse, cardiac LPN, cardiac LVN, case management, case...

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Nurse Advocate - Continue the Care - Louisville, KY

Kindred Healthcare

Nurse Advocate - Continue the Care. Registered Nurse with Professional Licensure required. Background in case management or Utilization Review preferred....

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