- Coordinates clinical and/or psycho-social activities with the Interdisciplinary Team and Physicians.
- Monitors all areas of patients' stay for effective care coordination and efficient care facilitation.
- Remains current from a knowledge base perspective regarding reimbursement modalities, community resources, case management, psychosocial and legal issues that affect patients and providers of care.
- Appropriately refers high risk patients who would benefit from additional support.
- Serves as a patient advocate. Enhances a collaborative relationship to maximize the patient's and family's ability to make informed decisions.
- Demonstrates knowledge of the principles of growth and development over the life span and the skills necessary to provide age appropriate care to the patient population served.
- Participates in interdisciplinary patient care rounds and/or conferences to review treatment goals, optimize resource utilization, provide family education and identified post hospital needs. Collaborates with clinical staff in the development and execution of the plan of care, and achievement of goals.
- Coordinates with interdisciplinary care team, physicians, patients, families, post-acute providers, payors, and others in the planning of the patients' care throughout the care continuum.
- Knowledge of government and non-government payor practices, regulations, standards and reimbursement.
- Knowledge of Medicare benefits and insurance processes and contracts.
- Knowledge of accreditation standards and compliance requirements.
- Ability to demonstrate critical thinking, appropriate prioritization and time management skills.
- Basic computer skills with working knowledge of Microsoft Office, word-processing and spreadsheet software.
- Excellent interpersonal, verbal and written skills in order to communicate effectively and to obtain cooperation/collaboration from hospital leadership, as well as physicians, payors and other external customers
- Demonstrates good interpersonal skills when working or interacting with patients, their families and other staff members.
- Approximate percent of time required to travel, 0%
- Must read, write and speak fluent English.
- Must have good and regular attendance.
- Performs other related duties as assigned.
- Graduate of an accredited program required for RN. BSN preferred; or MSW/BSW with licensure as required by state regulations
- Healthcare professional licensure required as Registered Nurse, or Licensed Clinical Social Worker (LCSW) or Licensed Social Worker (LSW) if required by state regulations.
- Certification in Case Management a plus.
- Two years of experience in a healthcare setting preferred.
- Prefer prior experience in case management, utilization review, or discharge planning.
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Case Manager
1 day ago
Pathways Health and Community Support, LLC. Indianapolis, United StatesDescription · About your Role: · As a Case manager, you will work with children, youth and their families involved in the Child Welfare system. You will provide support, education, and community resource links to necessary services. Meeting with the children and their families ...
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Medasource Indianapolis, United StatesPosition: Manager, Case Management · Client: Large Payer Client · Location: Hybrid (Indianapolis, IN) · Duration: 6-month contract with the possibility of going FTE · Start: ASAP · Overview: · This position is responsible for supervision and oversight of assigned Case Manag ...
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Manager of Case Management
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Medasource Indianapolis, United States*Position:* Manager, Case Manager · *Location*: Downtown Indy · *Duration:* 6 month contract to hire · *Start: June 3 * · This position is responsible for supervision and oversight of assigned Case Managers. Responsible for the frontline supervision and management of deployed ...
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OneAmerica Indianapolis, United StatesAt OneAmerica Financial, our purpose is to create more certainty for our customers that leads to better moments, every day. Our commitment is to advance stability and growth in every solution and relationship. We deliver financial strength that builds for generations, and we are ...
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Optum Indianapolis, United StatesFor those who want to invent the future of health care, here's your opportunity. We're going beyond basic care to health programs integrated across the entire continuum of care. Join us to start · Caring. Connecting. Growing together. · The Nurse Case Manager (NCM) is responsible ...
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OrthoIndy Hospital Northwest Indianapolis, United StatesFacility: OrthoIndy Hospital MAIN, Indianapolis, IN · Department: OIH Case Management · Shift Details:Full-time, 32 hours per week.Four weekday shifts from 8:30 am - 5:00 pm with one to two weekend shifts per six week schedule and some on-call.Full benefits, including pro-rated ...
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OrthoIndy Hospital Northwest Indianapolis, United StatesFacility: OrthoIndy Hospital MAIN, Indianapolis, IN Department: OIH Case ManagementShift Details:Full-time, 32 hours per week.Four weekday shifts from 8:30 am - 5:00 pm with one to two weekend shifts per six week schedule and some on-call.Full benefits, including pro-rated PTO, i ...
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Sedgwick Indianapolis, United StatesTaking care of people is at the heart of everything we do, and we start by taking care of you, our valued colleague. A career at Sedgwick means experiencing our culture of caring. It means having flexibility and time for all the things that are important to you. It's an opportuni ...
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Indiana University Health Indianapolis, United States Full timeAssists with case management and other related duties by working collaboratively with the multidisciplinary team to achieve desired clinical, service and cost outcomes. Interprets and abstracts clinical information from multiple sources including ele Management, Specialist, Shift ...
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State of Indiana Indianapolis, United StatesFamily Case Manager · Date Posted: May 29, 2024 · Requisition ID: 443884 · Location: · Indianapolis, IN, US, 46060 · Work for Indiana · Begin a fulfilling career with the State of Indiana by joining one of the largest employers in the state, offering a diverse range of opportunit ...
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Ascension Indianapolis, United StatesDetails · Department: Case Management · Schedule: PRN · Hospital: Ascension St Vincent Hospital · Location: Indianapolis, IN · Benefits · Paid time off (PTO) · Various health insurance options & wellness plans · Retirement benefits including employer match plans · Long-term & sho ...
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CareStar Indianapolis, United StatesA&D/TBI Case Manager- Marion CountyReady to join a growing company whose work profoundly impacts people's lives in their community, who offers an excellent learning environment, opportunities to advance and the ability to work alongside talented business leaders/professionals? Ca ...
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Case Manager
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Mindoula Health Inc Indianapolis, United StatesMindoula Health is seeking a Case Manager to work with us full-time in Evansville, IN / Indianapolis, IN / Valparaiso, IN. This is a hybrid position, working 50% from home, and requiring up to 50% travel (locally). Applicants must live in Evansville/ Indianapolis / Valparaiso or ...
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CareStar Indianapolis, United StatesA&D/TBI Case Manager- Marion County · Ready to join a growing company whose work profoundly impacts people's lives in their community, who offers an excellent learning environment, opportunities to advance and the ability to work alongside talented business leaders/professionals ...
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Case Manager
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Mindoula Health Inc Indianapolis, United StatesMindoula Health is seeking a Case Manager to work with us full-time in Evansville, IN / Indianapolis, IN / Valparaiso, IN. This is a hybrid position, working 50% from home, and requiring up to 50% travel (locally). Applicants must live in Evansville/ Indianapolis / Valparaiso or ...
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Case Manager
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Mindoula Health Inc Indianapolis, United StatesMindoula Health is seeking a Case Manager to work with us full-time in Evansville, IN / Indianapolis, IN / Valparaiso, IN. This is a hybrid position, working 50% from home, and requiring up to 50% travel (locally). Applicants must live in Evansville/ Indianapolis / Valparaiso or ...
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Case Manager
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Acadia Healthcare Indianapolis, United StatesProvide case management and care coordination services for clients/patients/residents in the facility. · Responsible for coordinating continuum of care activities for assigned clients and ensuring optimum utilization of resources, service delivery, and compliance with external a ...
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Case Manager
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Morgan & Morgan Indianapolis, United StatesAt Morgan & Morgan, the work we do matters. For millions of Americans, were their last line of defense against insurance companies, large corporations or defective goods. From attorneys to client support staff, creative marketing to operations teams, every member of our firm has ...
Case Manager - Indianapolis, United States - Kindred
Description
Case Manager - Registered Nurse:
Coordinates and facilitates the care of the patient population through effective collaboration and communication with the Interdisciplinary Care Transitions (ICT) team members. Follows patients throughout the continuum of care and ensures optimum utilization of resources, service delivery and compliance with external review agencies. Provides ongoing support and expertise through comprehensive assessment, care planning, plan implementation and overall evaluation of individual patient needs. Enhances the quality of patient management and satisfaction, to promote continuity of care and cost effectiveness through the integration of functions of case management, utilization review and management, and discharge planning.
Essential Functions
Care Coordination
Knowledge/Skills/Abilities/Expectations
Qualifications
Education
Licenses/Certification
Experience