OIH Case Management Shift Details : Part-time, 24 hours per week, three 8 hour weekday shifts, 8:00 ... Promotes compliance with Medicare and payer source requirements. Responsible for contacting payer ...
OIH Case Management Shift Details : Part-time, 24 hours per week, three 8 hour weekday shifts, 8:00 ... Promotes compliance with Medicare and payer source requirements. Responsible for contacting payer ...
RN Case Manager
Muncie, IN · On-site
... RN Case Manager What You Must Have: * Graduate of an accredited Diploma, Associate or ... Ensure overall compliance with local, state and federal laws, Medicare regulations, and established ...
RN Case Manager
Muncie, IN · On-site
... RN Case Manager What You Must Have: * Graduate of an accredited Diploma, Associate or ... Ensure overall compliance with local, state and federal laws, Medicare regulations, and established ...
RN Case Manager
Muncie, IN · On-site
... RN Case Manager What You Must Have: * Graduate of an accredited Diploma, Associate or ... Ensure overall compliance with local, state and federal laws, Medicare regulations, and established ...
RN Case Manager
Muncie, IN · On-site
... RN Case Manager What You Must Have: * Graduate of an accredited Diploma, Associate or ... Ensure overall compliance with local, state and federal laws, Medicare regulations, and established ...
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Fishers, IN · On-site
SIGN ON BONUS - $5,000** RN Case Manager What You Must Have: * Graduate of an accredited Diploma ... Ensure overall compliance with local, state and federal laws, Medicare regulations, and established ...
RN Case Manager
Fishers, IN · On-site
SIGN ON BONUS - $5,000** RN Case Manager What You Must Have: * Graduate of an accredited Diploma ... Ensure overall compliance with local, state and federal laws, Medicare regulations, and established ...
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Fort Wayne, IN · On-site
... RN Case Manager What You Must Have: * Graduate of an accredited Diploma, Associate or ... Ensure overall compliance with local, state and federal laws, Medicare regulations, and established ...
RN Case Manager
Fort Wayne, IN · On-site
... RN Case Manager What You Must Have: * Graduate of an accredited Diploma, Associate or ... Ensure overall compliance with local, state and federal laws, Medicare regulations, and established ...
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Indianapolis, IN · On-site
RN Case Manager You can make a difference in the lives of others! At Heart to Heart Hospice, we ... Ensure overall compliance with local, state and federal laws, Medicare regulations, and established ...
New
RN Case Manager
Indianapolis, IN · On-site
RN Case Manager You can make a difference in the lives of others! At Heart to Heart Hospice, we ... Ensure overall compliance with local, state and federal laws, Medicare regulations, and established ...
New
RN Case Manager
Valparaiso, IN · On-site
... RN Case Manager What You Must Have: * Graduate of an accredited Diploma, Associate or ... Ensure overall compliance with local, state and federal laws, Medicare regulations, and established ...
RN Case Manager
Valparaiso, IN · On-site
... RN Case Manager What You Must Have: * Graduate of an accredited Diploma, Associate or ... Ensure overall compliance with local, state and federal laws, Medicare regulations, and established ...
RN Case Manager
Evansville, IN · On-site
... RN Case Manager What You Must Have: * Graduate of an accredited Diploma, Associate or ... Ensure overall compliance with local, state and federal laws, Medicare regulations, and established ...
RN Case Manager
Evansville, IN · On-site
... RN Case Manager What You Must Have: * Graduate of an accredited Diploma, Associate or ... Ensure overall compliance with local, state and federal laws, Medicare regulations, and established ...
RN Case Manager
Evansville, IN · On-site
... RN Case Manager What You Must Have: * Graduate of an accredited Diploma, Associate or ... Ensure overall compliance with local, state and federal laws, Medicare regulations, and established ...
RN Case Manager
Evansville, IN · On-site
... RN Case Manager What You Must Have: * Graduate of an accredited Diploma, Associate or ... Ensure overall compliance with local, state and federal laws, Medicare regulations, and established ...
RN Case Manager
Lafayette, IN · On-site
... RN Case Manager What You Must Have: * Graduate of an accredited Diploma, Associate or ... Ensure overall compliance with local, state and federal laws, Medicare regulations, and established ...
RN Case Manager
Lafayette, IN · On-site
... RN Case Manager What You Must Have: * Graduate of an accredited Diploma, Associate or ... Ensure overall compliance with local, state and federal laws, Medicare regulations, and established ...
OIH Case Management Shift Details : Part-time, 24 hours per week, three 8 hour weekday shifts, 8:00 ... Promotes compliance with Medicare and payer source requirements. Responsible for contacting payer ...
OIH Case Management Shift Details : Part-time, 24 hours per week, three 8 hour weekday shifts, 8:00 ... Promotes compliance with Medicare and payer source requirements. Responsible for contacting payer ...
RN Case Manager
Valparaiso, IN · On-site
... RN Case Manager What You Must Have: * Graduate of an accredited Diploma, Associate or ... Ensure overall compliance with local, state and federal laws, Medicare regulations, and established ...
RN Case Manager
Valparaiso, IN · On-site
... RN Case Manager What You Must Have: * Graduate of an accredited Diploma, Associate or ... Ensure overall compliance with local, state and federal laws, Medicare regulations, and established ...
RN Case Manager
Fort Wayne, IN · On-site
RN Case Manager You can make a difference in the lives of others! At Heart to Heart Hospice, we ... Ensure overall compliance with local, state and federal laws, Medicare regulations, and established ...
RN Case Manager
Fort Wayne, IN · On-site
RN Case Manager You can make a difference in the lives of others! At Heart to Heart Hospice, we ... Ensure overall compliance with local, state and federal laws, Medicare regulations, and established ...
RN Case Manager
Fishers, IN · On-site
RN Case Manager You can make a difference in the lives of others! At Heart to Heart Hospice, we ... Ensure overall compliance with local, state and federal laws, Medicare regulations, and established ...
RN Case Manager
Fishers, IN · On-site
RN Case Manager You can make a difference in the lives of others! At Heart to Heart Hospice, we ... Ensure overall compliance with local, state and federal laws, Medicare regulations, and established ...
RN Case Manager -
Fort Wayne, IN · On-site
... RN Case Manager What You Must Have: * Graduate of an accredited Diploma, Associate or ... Ensure overall compliance with local, state and federal laws, Medicare regulations, and established ...
RN Case Manager -
Fort Wayne, IN · On-site
... RN Case Manager What You Must Have: * Graduate of an accredited Diploma, Associate or ... Ensure overall compliance with local, state and federal laws, Medicare regulations, and established ...
RN Case Manager
Lafayette, IN · On-site
... RN Case Manager What You Must Have: * Graduate of an accredited Diploma, Associate or ... Ensure overall compliance with local, state and federal laws, Medicare regulations, and established ...
RN Case Manager
Lafayette, IN · On-site
... RN Case Manager What You Must Have: * Graduate of an accredited Diploma, Associate or ... Ensure overall compliance with local, state and federal laws, Medicare regulations, and established ...
RN Case Manager
Muncie, IN · On-site
... RN Case Manager What You Must Have: * Graduate of an accredited Diploma, Associate or ... Ensure overall compliance with local, state and federal laws, Medicare regulations, and established ...
RN Case Manager
Muncie, IN · On-site
... RN Case Manager What You Must Have: * Graduate of an accredited Diploma, Associate or ... Ensure overall compliance with local, state and federal laws, Medicare regulations, and established ...
RN Case Manager
Bloomington, IN · On-site
... RN Case Manager What You Must Have: * Graduate of an accredited Diploma, Associate or ... Ensure overall compliance with local, state and federal laws, Medicare regulations, and established ...
RN Case Manager
Bloomington, IN · On-site
... RN Case Manager What You Must Have: * Graduate of an accredited Diploma, Associate or ... Ensure overall compliance with local, state and federal laws, Medicare regulations, and established ...
RN Case Manager
Bloomington, IN · On-site
... RN Case Manager What You Must Have: * Graduate of an accredited Diploma, Associate or ... Ensure overall compliance with local, state and federal laws, Medicare regulations, and established ...
RN Case Manager
Bloomington, IN · On-site
... RN Case Manager What You Must Have: * Graduate of an accredited Diploma, Associate or ... Ensure overall compliance with local, state and federal laws, Medicare regulations, and established ...
RN Case Manager
Lafayette, IN · On-site
RN Case Manager You can make a difference in the lives of others! At Heart to Heart Hospice, we ... Ensure overall compliance with local, state and federal laws, Medicare regulations, and established ...
RN Case Manager
Lafayette, IN · On-site
RN Case Manager You can make a difference in the lives of others! At Heart to Heart Hospice, we ... Ensure overall compliance with local, state and federal laws, Medicare regulations, and established ...
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?
| Aspect | Medicare Case Manager | Medical Social Worker |
|---|---|---|
| Credentials | RN, LPN, or licensed healthcare professional | Master's in Social Work (MSW) or equivalent, licensure required |
| Work Environment | Hospitals, clinics, insurance companies, home health | Hospitals, community clinics, patient homes, social service agencies |
| Employer & Industry | Healthcare providers, insurance companies, government programs | Hospitals, 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 are the key skills and qualifications needed to thrive as a Medicare case manager?
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.
Is CMS a good career path?
A Medicare Case Manager is a healthcare professional who coordinates Medicare-related services, often requiring knowledge of insurance policies and patient advocacy. The role offers stable employment with opportunities for advancement and typically requires relevant certifications and strong communication skills. It can be a rewarding career for those interested in healthcare administration and patient support.
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:
Part-time
Retirement, PTO
Re-posted 18 days ago
Job description
Facility: OrthoIndy Hospital MAIN, Indianapolis, IN
Department: OIH Case Management
Shift Details: Part-time, 24 hours per week, three 8 hour weekday shifts, 8:00 am - 4:30 pm with 1-2 weekend shifts per six week schedule (Saturday 8:00 am - 4:30 pm and Sunday on-call). This position carries two benefits - pro-rated PTO accrual and eligibility to join our 401K program with generous match after 90 days of service.
At OrthoIndy everything we do is about creating a caring, connected and committed workforce that directly improves the quality of life for our employees and customers.
Be part of something great!
At OrthoIndy, we provide leading-edge bone, joint, spineand muscle care from 22 locations throughout Central Indiana, staying true toour mission and our patients by offering a full range of procedures andtreatment options. We have over 100physicians in our practice and we continue to be one of the most highlyrespected and trusted orthopedic practices in the Midwest. OrthoIndy has received national recognitionfor patient safety and orthopedic excellence and our philosophy is aphysician-owned hospital model where patients experience superior service,safety and patient satisfaction because physicians are involved in every aspectof your care. OrthoIndy is also theofficial orthopedic provider for the Indiana Pacers and Indiana Fever.
OrthoIndy Hospital Northwest, located in Indianapolis, Indiana,provides outpatient care and inpatient care, with 10 operating rooms, 2procedure rooms and a 42-bed inpatient unit for patients undergoing moreinvasive procedures, such as disc replacement, spinal fusion or total hip andknee joint replacement. Other services include an urgent care,clinics, pre-op clinic, imaging and physical therapy.
General Statement of Duties:
The Case Manager supports patients, families, and payer representatives, medical and allied health team personnel. The position aims to achieve optimal, timely, and durable patient outcomes, customer satisfaction, and management of resources and costs for the patient. The Case Manager serves as a patient advocate to ensure needs and communicated to the appropriate staff.
Essential Duties:
Requirements:
OrthoIndy is an Equal Opportunity Employer
Department: OIH Case Management
Shift Details: Part-time, 24 hours per week, three 8 hour weekday shifts, 8:00 am - 4:30 pm with 1-2 weekend shifts per six week schedule (Saturday 8:00 am - 4:30 pm and Sunday on-call). This position carries two benefits - pro-rated PTO accrual and eligibility to join our 401K program with generous match after 90 days of service.
At OrthoIndy everything we do is about creating a caring, connected and committed workforce that directly improves the quality of life for our employees and customers.
Be part of something great!
At OrthoIndy, we provide leading-edge bone, joint, spineand muscle care from 22 locations throughout Central Indiana, staying true toour mission and our patients by offering a full range of procedures andtreatment options. We have over 100physicians in our practice and we continue to be one of the most highlyrespected and trusted orthopedic practices in the Midwest. OrthoIndy has received national recognitionfor patient safety and orthopedic excellence and our philosophy is aphysician-owned hospital model where patients experience superior service,safety and patient satisfaction because physicians are involved in every aspectof your care. OrthoIndy is also theofficial orthopedic provider for the Indiana Pacers and Indiana Fever.
OrthoIndy Hospital Northwest, located in Indianapolis, Indiana,provides outpatient care and inpatient care, with 10 operating rooms, 2procedure rooms and a 42-bed inpatient unit for patients undergoing moreinvasive procedures, such as disc replacement, spinal fusion or total hip andknee joint replacement. Other services include an urgent care,clinics, pre-op clinic, imaging and physical therapy.
General Statement of Duties:
The Case Manager supports patients, families, and payer representatives, medical and allied health team personnel. The position aims to achieve optimal, timely, and durable patient outcomes, customer satisfaction, and management of resources and costs for the patient. The Case Manager serves as a patient advocate to ensure needs and communicated to the appropriate staff.
Essential Duties:
- Makes contact with family or patient representative and performs introductory function and initiates discharge planning. Performs psychosocial assessment to determine pre-morbid history, human supports and available financial and community resources, cultural characteristics and interests, what the patient and family expectations for discharge.
- In conjunction with the patient, family and treatment team arranges post hospital services such as home care or rehabilitation placement.
- Promotes compliance with Medicare and payer source requirements. Responsible for contacting payer source to review accuracy of information, providing clinical update and discharge information as indicated by the payer source. Functions as liaison with payer representatives to manage financial resources, including verification of benefits for this and future settings Advocates with the payer on behalf of the patient to obtain needed services.
- Documents payer source contact, including authorization, contacts, and days approved. Works in conjunction with admissions, billing, medical records, coding, and auditing to facilitate reimbursement.
- Reviews medical documentation. Ensures completeness and accuracy of information, including appropriate admission orders.
- Provides patient and family with overview of his/her rehabilitation program, and works in conjunction with the patient and treatment team to determine treatment goals and estimated length of time for completion.
- Determines available financial resources and directs team planning to ensure conservation of funds and appropriate scope, intensity and duration of service delivery.
- Works with the physician to determine and maintain appropriate patient status. Responsible for contacting the attending physician to request clarification of documentation or continued stay review questions. Responsible for informing Admissions and other departments of changes in patient status.
- Reviews status, goals, and outcome barriers with the patient and treatment team and physician, monitors and facilitates progress towards goals. Ensures scope and intensity of services, financial coverage and alternative resources are appropriate to patient needs.
- Reviews and monitors treatment plan and use of treatment resources, collaborates with treatment team and physician to determine cost effective means of obtaining an optimal patient outcome.
Requirements:
- Associate's Degree in Nursing required; Bachelor of Science in Nursing preferred from a nationally accredited nursing program
- 1-2 years clinical experience in an acute care hospital environment, surgical center, or rehabilitation setting required; 2-4 preferred
- Registered Nurse license required; Certified Case Manager preferred
OrthoIndy is an Equal Opportunity Employer