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International Medical Group, Inc. Nurse Case Manager I in Indianapolis, Indiana

As one of the world's top International Medical Insurance companies, IMG helps individuals and companies of all sizes. Every second of every day, vacationers, those working or living abroad for short or extended periods, people traveling frequently between countries, and those who maintain multiple countries of residence use our products to give themselves global peace of mind We are looking to grow our teams with people who share our energy and enthusiasm for creating the best experience for travelers.

JOB DETAILS

  • RN License -- Must have an active RN license in good standing in Indiana.
  • Location:Hybrid orRemoteworking options.
  • Corporate office is in Indianapolis, IN.
  • Relocation Expenses Reimbursed: No
  • Qualified candidates must be legally authorized to be employed in the United States. IMG will not beproviding sponsorship for employment visa status (e.g., H-1B or TN status) for this position.

JOB SUMMARY Evaluate medical necessity, appropriateness, and efficiency of the use of health care services, procedures, and facilities for utilization review and /or /evacuation/repatriation. Work as a liaison between the Insured, the insurance carrier and the Insureds healthcare team to meet the requirements of the Insureds policy in the United States and abroad.

PERKS

  • Comprehensive benefits package including Medical/RX/Dental/Vision insurance
  • 401k Plan with company match
  • Paid Time Off and Company Paid Holidays
  • Free employee parking
  • On site fitness center
  • Casual dress environment
  • Tuition reimbursement plan

DUTIES AND RESPONSIBILITIES

Perform Certifications, Concurrent Reviews, Retrospective Reviews, and Medical Evacuations/Repatriations including inpatient and outpatient management of assistance cases.

Knowledge of the Non-certification process and Appeals process including logs and time frames.

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