Angi Shireman Email & Phone Number

Indianapolis, Indiana Area

Indianapolis, Indiana Area

Responsibilities: Perform Certifications, Concurrent Reviews, Retrospective Reviews, Medical Evacuations, and Large Case Management, Determine and develop case management care plans with short and long term goals that are action oriented and time specific designed to meet the insured’s needs, Monitor treatment, outcomes and careplan, suggesting alternate care settings when appropriate and evaluating and updating goals as needed, Act as and advocate and provides ongoing health education when necessary, Knowledge of Non-certification process and Appeals process including logs and time frames, Review medical services for medical necessity, Direct and/or re-direct members to in-network providers, Negotiate discounts with out of network providers, Direct healthcare team members to utilize alternative care settings when appropriate, Identify potential large case management cases by diagnosis, dollar amount and/or high utilization of medical services, Review medical information for large case management, Consult medical criteria and other medical resources as needed, Document information and status in ACM systems and documents, Participate in the on call rotation schedule, Prepare precertification and/or case management reports as needed.

Indianapolis, Indiana Area

Responsibilities: Perform Certifications, Concurrent Reviews, Retrospective Reviews, and Medical Evacuations, Knowledge of the Non-certification process and Appeals process including logs and time frames, Review medical services for medical necessity, Direct and/or re-direct members to in-network providers, Negotiate discounts with out of network providers, Direct healthcare team members to utilize alternative care settings when appropriate, Identify potential large case management cases by diagnosis, dollar amount and/or high utilization of medical services and refer those identified for large case management, Document information and status in ACM systems and documents, Participate in the on call rotation schedule, Prepare precertification and/or case management reports as needed.

Responsibilities: direct patient care in emergent and non emergent situations, EHART protocols, body system assessments, IV starts, medication administration, urinary catheter insertion, EPIC computerized charting, communication with patient, family members and other staff including MDs,PAs,RTs etc.

Indianapolis, Indiana Area

Responsibilities: include communicating with RN & staff regarding patient diets,accuchecks,patient care, dressing changes, catheters and Input/Output

Education record

Associate Of Science (As), Nursing Education