RN Case Manager — Discharge & Care Coordination

OrthoIndy Northwest; Indianapolis (IN); On-site; USD 60,000 - 90,000; Full time

Job summary

OrthoIndy Hospital MAIN in Indianapolis, IN is seeking a Case Manager in the OIH Case Management department. This PRN position supports weekdays with one weekend on-call every six weeks, requiring a minimum of three shifts per six weeks.

You will conduct psychosocial assessments, coordinate discharge planning, arrange post-hospital services, and work with payer sources to verify benefits and expedite reimbursement, while ensuring Medicare and payer requirements are met.

Qualifications

• Associate's Degree in Nursing required; Bachelor of Science in Nursing preferred.
• 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.

Responsibilities

• Initiate discharge planning with patient and family.
• Perform psychosocial assessment and identify support resources.
• Arrange post-hospital services with treatment team.
• Liaise with payer sources to review benefits and authorize services.
• Document payer contacts, authorizations, and days approved.
• Coordinate with admissions, billing, medical records and auditing to facilitate reimbursement.
• Review status and progress toward goals with treatment team and physician.
• Monitor financial resources and service scope for cost effectiveness.

Skills

Discharge planning

Payer liaison

Clinical assessment

Documentation

Education

Associate's Degree in Nursing

BSN preferred

Job description

OrthoIndy Hospital MAIN in Indianapolis, IN is seeking a Case Manager in the OIH Case Management department. This PRN position supports weekdays with one weekend on-call every six weeks, requiring a minimum of three shifts per six weeks.

You will conduct psychosocial assessments, coordinate discharge planning, arrange post-hospital services, and work with payer sources to verify benefits and expedite reimbursement, while ensuring Medicare and payer requirements are met.