RN Case Manager – Geriatric Care & Care Coordination

American Health Partners; Connersville (IN); On-site; USD 65,000 - 90,000; Full time

Benefits offered by this job

Annual raises

401k with match

Medical/dental/vision insurance

Life insurance

Paid time off

UKG Wallet pay

Holiday pay

Telehealth

Continuing Education

Career advancement

Job summary

American Health Partners is seeking a RN Case Manager to oversee daily management and care coordination for Medicare Advantage members. You will visit patients in person or by phone, interview physicians, and collaborate with the care team to implement and evaluate care plans.

The role requires self-motivation, teamwork, and the ability to manage multiple priorities with strong communication and presentation skills. Growth opportunities and ongoing education are available.

Qualifications

• 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 preferred.

Responsibilities

• 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
• 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.

Skills

Nursing

Case management

Communication

Coordination

Education

Education

RN license

Bachelor's degree preferred

CCM certification preferred

Tools

MS Office

Job description

American Health Partners is seeking a RN Case Manager to oversee daily management and care coordination for Medicare Advantage members. You will visit patients in person or by phone, interview physicians, and collaborate with the care team to implement and evaluate care plans.

The role requires self-motivation, teamwork, and the ability to manage multiple priorities with strong communication and presentation skills. Growth opportunities and ongoing education are available.