Case Manager

We are hiring a Full-Time permanent Case Manager to work onsite in a Hospital setting near Indianapolis, IN near 46222.

Hours are Monday-Friday onsite. Somewhat flexible hours, but generally 8:00 AM – 4:30.

No weekends.

Adult LTAC patients

Responsibilities:

• Coordinate and facilitate patient care with the ICT team.
• Monitor patients throughout their care journey, ensuring optimal resource use and compliance.
• Provide support through assessment, care planning, implementation, and evaluation.
• Enhance patient management and satisfaction by integrating case management, utilization review, and discharge planning.

Qualifications:

• Education: Graduate of an accredited program required:
• RN, BSN preferred; or
• Master of Social Work with licensure as required by state regulations; or
• Bachelor of Social Work with licensure as required by state regulations
• Licenses/Certification: 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 preferred.

Experience:

• Two years of experience in an inpatient setting preferred.
• Prefer prior experience in case management, utilization review, or discharge planning.

Essential Functions:

• Care Coordination: Coordinate clinical and psycho-social activities with the Interdisciplinary Team and Physicians.
• Monitor patient stays for effective care coordination and facilitation.
• Stay updated on reimbursement, community resources, case management, psychosocial, and legal issues.
• Refer high-risk patients for additional support.
• Advocate for patients, enhancing collaborative relationships for informed decision-making.
• Provide age-appropriate care based on growth and development principles.
• Participate in interdisciplinary rounds/conferences to review goals, optimize resources, educate families, and identify post-hospital needs.
• Collaborate with clinical staff on care plans and goal achievement.
• Coordinate care planning with the interdisciplinary team, physicians, patients, families, post-acute providers, payors, and others.

Discharge Planning:

• Conduct ongoing patient assessments for timely and safe discharge planning.
• Develop and execute effective discharge plans using critical thinking.
• Coordinate and communicate efficiently with patients and families.

Knowledge/Skills/Abilities/Expectations:

• Knowledge of payor practices, regulations, standards, reimbursement, Medicare benefits, insurance processes, and accreditation standards.
• Critical thinking, prioritization, and time management skills.
• Fluent in English (reading, writing, speaking).
• Basic computer skills, including Microsoft Office.
• Excellent interpersonal, verbal, and written communication skills.
• Good interpersonal skills with patients, families, and staff.
• No travel required.
• Performs other related duties as assigned.