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Medicare Case Manager Jobs in Indiana (NOW HIRING)

ScionHealth

Case Manager II PRN

Indianapolis, IN · On-site

... of functions of case management, utilization review and management, and discharge planning ... Knowledge of Medicare benefits and insurance processes and contracts. * Knowledge of accreditation ...

Orthoindy

Case Manager RN - PRN

Indianapolis, IN · On-site

Promotes compliance with Medicare and payer source requirements. Responsible for contacting payer ... Certified Case Manager preferred OrthoIndy is an Equal Opportunity Employer

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Medicare Case Manager information

What does a Medicare case manager do?

A Medicare case manager coordinates and manages care for Medicare beneficiaries, ensuring they receive appropriate services and benefits. They assess patient needs, develop care plans, communicate with healthcare providers, and help clients navigate Medicare policies and coverage options, often using case management software. Strong organizational and communication skills are essential for this role.

What is the difference between Medicare Case Manager vs Medical Social Worker?

AspectMedicare Case ManagerMedical Social Worker
CredentialsRN, LPN, or licensed healthcare professionalMaster's in Social Work (MSW) or equivalent, licensure required
Work EnvironmentHospitals, clinics, insurance companies, home healthHospitals, community clinics, patient homes, social service agencies
Employer & IndustryHealthcare providers, insurance companies, government programsHospitals, mental health facilities, social service organizations

Medicare Case Managers primarily coordinate care for Medicare beneficiaries, focusing on healthcare plans and services. Medical Social Workers provide emotional support, counseling, and connect patients to community resources. While both roles involve patient advocacy, Medicare Case Managers are more healthcare-focused, whereas Medical Social Workers address social and emotional needs.

What is the highest paid case manager?

The highest paid case managers are often those with specialized certifications, extensive experience, and working in high-demand industries such as healthcare or insurance. Medicare case managers with advanced skills and leadership roles can earn salaries exceeding $80,000 annually, with top earners reaching over $100,000 in some regions or organizations.

What qualifications do you need to be a medical case manager?

To become a Medicare case manager, candidates typically need a bachelor's degree in nursing, social work, or a related healthcare field. Relevant experience in case management, strong communication skills, and knowledge of Medicare policies are also important; some roles may require certification such as the Certified Case Manager (CCM) credential.

What are the key skills and qualifications needed to thrive as a Medicare Case Manager, and why are they important?

To thrive as a Medicare Case Manager, you need a background in nursing or social work, current licensure (such as RN or LCSW), and a thorough understanding of Medicare regulations and case management principles. Familiarity with case management software, electronic health records (EHR) systems, and utilization review tools is typically required. Exceptional communication, problem-solving, and organizational skills help you coordinate care, advocate for patients, and collaborate with multidisciplinary teams. These skills are crucial for ensuring patients receive appropriate, cost-effective care while maintaining compliance with Medicare guidelines.

How to become a Medicare reviewer?

To become a Medicare reviewer, typically one needs a background in healthcare, such as nursing, health administration, or related fields, along with knowledge of Medicare policies and guidelines. Relevant certifications, like the Certified Medicare Counselor or similar credentials, can enhance qualifications. Experience with claims processing, medical review, or utilization management is also valuable in this role.

What are the most common challenges Medicare Case Managers face when coordinating care for clients, and how can they effectively address them?

Medicare Case Managers often encounter challenges such as navigating complex insurance regulations, managing high caseloads, and addressing gaps in communication between healthcare providers, patients, and families. To overcome these obstacles, successful case managers stay up to date on Medicare policies, leverage electronic health records for better coordination, and employ strong interpersonal skills to advocate for clients. Regular collaboration with multidisciplinary teams and ongoing professional development also help in providing comprehensive, patient-centered care.
What are popular job titles related to Medicare Case Manager jobs in Indiana? For Medicare Case Manager jobs in Indiana, the most frequently searched job titles are:
What job categories do people searching Medicare Case Manager jobs in Indiana look for? The top searched job categories for Medicare Case Manager jobs in Indiana are:
What cities in Indiana are hiring for Medicare Case Manager jobs? Cities in Indiana with the most Medicare Case Manager job openings:
Medicare Case Manager jobs near you
Infographic showing various Medicare Case Manager job openings in Indiana as of July 2026, with employment types broken down into 1% As Needed, 82% Full Time, 14% Part Time, and 3% Contract. Highlights an 86% Physical, 4% Hybrid, and 10% Remote job distribution.

Case Manager

Clarksville Rehabilitation Hospital

Clarksville, IN

$18 - $23.25/hr

Part-time

Medical, Dental, Life, Retirement

Re-posted 20 days ago

Job description

Clarksville Rehabilitation Hospital is a brand new startup with 40 private patient suites and set to take its first patient June 15th, 2026.
Position Summary:
The Case Manager, in collaboration with the physician, provides individual program management for each patient to ensure the patient’s progression through the continuum of care in a manner that achieves the desired clinical and financial outcomes. Monitors and manages clinical and financial coordination of treatment plan of assigned patients to ensure timely, cost-effective, individualized service delivery. Works with rehabilitation patients with various disabilities including, but not limited to: spinal cord injury, brain injury, cerebrovascular accident, amputation, neurologic disorders, orthopedic conditions, and arthritis. Coordinates length of stay management within Medicare (CMS) guidelines and 60% compliance threshold.
Pay: Rate of pay is based on years of experience and qualifications.
Minimum Qualifications:
  • Current state licensure as a Registered Nurse, Licensed Social Worker, PT, OT, SLP.
  • Minimum of 3 years healthcare and clinical experience in a hospital setting.

Desired Qualifications:
  • 1 year medical rehabilitation experience.
  • Certification in case management preferred.

Knowledge, Skills and Ability Requirements:
  • Excellent communication, negotiation, and conflict resolution skills required.
  • Knowledge of reimbursement systems preferred.
  • Excellent verbal and written communication skills
  • Strong organizational, time management and prioritization skills
  • Strong analytical and critical thinking skills
  • Detail-oriented, able to meet strict time frames

Join our team and you will experience a total rewards package to support your health, life, career and retirement including:
  • A supportive and collaborative work environment
  • Opportunities to progress in function, skill, and pay
  • A competitive wage scale
  • A comprehensive health and wellness package including medical, dental, and prescription drug coverage

We offer a benefits package that will best suit your family’s needs. You can choose from a variety of medical coverage plans that best fit your lifestyle. You also have the option to enroll in additional perks such as 401k, life insurance, and disability plans.
Clarksville Rehabilitation Hospital is an EEO employer – M/F/Vets/Disabled

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