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Medicare Case Manager Jobs in Indiana (NOW HIRING)

American Health Partners

RN Case Manager

Muncie, IN · On-site

The RN Case Manager is primarily responsible for the daily management and support of the Case Management strategies for care coordination for a group of members who are associated with a Medicare ...

TruHealth

RN Case Manager

Connersville, IN · On-site

$65 - $90/hr

... with a Medicare Advantage plan. Visit (in person and/or telephonic) patients to ensure proper ... Minimum of 3-5 years' experience doing case management in a managed care environment preferably ...

New

TruHealth

RN Case Manager

Indianapolis, IN · On-site

$65 - $85/hr

... with a Medicare Advantage plan. Visit (in person and/or telephonic) patients to ensure proper ... Minimum of 3-5 years' experience doing case management in a managed care environment preferably ...

BoldAge PACE

Social Work Case Manager

Evansville, IN · On-site

$20.75 - $27.25/hr

... and Medicare applications and renewals. * Assist participants in maintaining housing and ... Provide case management services and coordinate appointments between social service staff and ...

Socket.dev

Social Work Case Manager

Evansville, IN · On-site

$52 - $75/hr

... and Medicare applications and renewals. * Assist participants in maintaining housing and ... Provide case management services and coordinate appointments between social service staff and ...

OrthoIndy

Case Manager RN - PRN

Indianapolis, IN · On-site

OIH Case Management Shift Details : PRN weekdays with one weekend per six week schedule (Saturday 8 ... Promotes compliance with Medicare and payer source requirements. Responsible for contacting payer ...

Heart to Heart Hospice

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 ...

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Medicare Case Manager information

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.

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 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.

Is Medicare Case Manager a good career path?

Medicare Case Managers coordinate healthcare services for Medicare beneficiaries, requiring knowledge of insurance policies, healthcare regulations, and strong communication skills. The role offers stable employment with opportunities for advancement and typically requires relevant certifications or experience in healthcare or social services.

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 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 August 2026, with employment types broken down into 100% Full Time. Highlights an 100% In-person job distribution.

RN Case Manager

American Health Partners

Indianapolis, IN • On-site

Full-time

Medical, Dental, Vision, Life, Retirement, PTO

Posted 8 days ago

Key responsibilities

  • Manage and support care coordination strategies for members in a Medicare Advantage plan, including visiting patients and ensuring proper nursing care.

  • Collaborate with healthcare team members to assess, plan, implement, and evaluate patient care plans, and update care plans as needed.

  • Coordinate outpatient discharge planning, participate in audits, and respond to clinical questions related to care management.

Job description

The RN Case Manager is primarily responsible for the daily management and support of the Case Management strategies for care coordination for a group of members who are associated with a Medicare Advantage plan. Visit (in person and/or telephonic) patients to ensure proper nursing care. Interview or correspond with physicians to correct errors or omissions and to investigate questionable claims. Consult and coordinate with health care team members to assess, plan, implement and evaluate patient care plans.
This position requires an individual who is a self-starter and team player, has the ability to manage multiple priorities, work with minimal supervision on assigned projects and activities, and demonstrates excellent communication and presentation skills. This individual must be able to adapt quickly to change and be able to collaborate with multiple teams
Here are a few of our benefits:
  • Annual performance wage increases
  • 401k retirement plan with a company match
  • Medical, dental and vision insurance
  • $50,000 basic life insurance - paid by the company
  • Paid time off
  • UKG Wallet - access your pay faster!
  • Holiday pay
  • Telehealth through 98point6 - free to all employees
  • Continuing Education opportunities
  • Career Advancement Opportunities

Qualifications/Requirements:
  • Minimum of 2 years of experience in clinical nursing or rehabilitation for the geriatric population.
  • 2-years managed care experience required.
  • Minimum of 3-5 years' experience doing case management in a managed care environment preferably with a managed care organization or like facility, Preferred.

Essential Functions:
  • Complete Health Risk Assessments for members as assigned.
  • Initiate, update and/or revise care plans as needed.
  • Maintain a case load of patient as assigned.
  • Evaluates, coordinates, and plans patient care in collaboration with an interdisciplinary health team; reassesses and revises plans of care in collaboration with other members of the health care team.
  • Provides patient/family education based on identified learning needs utilizing available teaching resources
  • Provides education based on identified learning needs utilizing available teaching resources to members of the Home/Facility staff as needed.
  • Coordinates outpatient discharge planning based on patient needs, clinical circumstances and benefit coverage.
  • Participates in all Managed Care related audits; generates, maintains and tracks periodic and annual reports/documents via MS Office program, e-mails to support Care Coordination program.
  • Performs improvement projects involving development of monitoring/collection tools, review of medical records, data entry, analysis, and preparation of audit findings and reports.
  • Participates in patient care conferences, committee meetings, staff development and educational programs to increase or maintain professional competency.
  • Correctly applies medical management criteria.
  • Researches clinical questions from employers, members and payers as required.
  • Educate members on health access options.
  • Responds, manages, and resolves day-to-day problems presented in care coordination and communicates effectively with the Facility/Home.
  • Other duties as assigned.

Education:
  • Graduate of an accredited RN program.
  • Bachelor's Degree preferred.

Licensure/Certifications:
  • Current license to practice as a register nurse in assigned state.
  • Current CCM license, Preferred
  • CPR for Healthcare Professionals certification.
  • Current valid driver's license.
  • Current motor vehicle insurance.

Equal Opportunity Employer
This employer is required to notify all applicants of their rights pursuant to federal employment laws.
For further information, please review the Know Your Rights notice from the Department of Labor.
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About American Health Partners

Sourced by ZipRecruiter

American Health Partners is a family of six divisions staffed by outstanding employees who care deeply about others. Since our inception more than 45 years ago, we have been committed to bringing the highest quality healthcare available to our communities. That commitment continues to serve us, our patients, our customers and our partners well. Today, our diverse healthcare offerings serve nearly 12,000 individuals annually across multiple states. We operate in both urban and rural communities where people need healthcare close to home. By working closely with hospitals and other providers, we offer cost-effective options that give individuals greater control over their healthcare.

Industry

Health care and social assistance

Company size

1,001 - 5,000 Employees

Headquarters location

Franklin, TN, US

Year founded

1976

Social media

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