Medicare Nurse Case Manager Salary in United States

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Average Salary for Medicare Nurse Case Manager in United States

The average salary of a(n) Medicare Nurse Case Manager in United States is $68,551.

The average hourly rate of a(n) Medicare Nurse Case Manager in United States is $32.96.

The average bonus of a(n) Medicare Nurse Case Manager in United States is $1,042.00.

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 United States

Case Manager - San Antonio, TX

Aetna

Nursing/Certified Case Manager (CCM) is desired. The Case Manager will outreach members to introduce the Case Management Program....

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Utilization Management/RN Care Manager II (Level 2) - Brentwood, TN

myNEXUS

Refers requests that do not meet coverage guidelines criteria to RN Case Manager for a Level II Review. Utilization Management Nurse/Care Manager II (Level 2)....

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Field Based Case Manager - Telecommute, DE - New Castle, DE

UnitedHealth Group

Certified Case Manager (CCM). RN, Registered Nurse, Nurse, Licensed, Care Coordinator, Case Manager, Case Management, Medicare, Medicaid, Medicaid Waiver, MDS,...

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Care Manager - Galveston, TX

The University of Texas Medical Branch

Demonstrates skill in prioritizing case load for appropriate level of case management intervention. Present Long LOS case....

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Case Management Support Specialist Case Management FT PC#00018350 - Rockledge, FL

Health First, Inc.

Gathers information from Social Worker, Utilization Review Nurse or Case Manager to assist in facilitation of assigned case management tasks....

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