Description
Indiana Health Centers, Inc. (IHC) is a mission-driven organization providing high-quality, affordable healthcare to underserved and uninsured populations since 1977. At IHC, a Federally Qualified Health Center, we specialize in integrated care which means having access to essential services to meet the needs of patients we serve in the community. With ten healthcare centers and eight Women, Infants, and Children nutrition program locations throughout Indiana, we offer primary medical, dental, and behavioral healthcare services to community-based patient populations that are diverse in age, educational background, and income level.
Exciting Opportunity: MSSP Clinical Case Manager
IHC in Indianapolis, Indiana, seeks an experienced RN/LPN for the MSSP Clinical Case Manager position. The ideal candidate will have excellent communication and interpersonal skills, a solid clinical background, and experience working with MSSP. They should also be organized, detail-oriented, and able to work independently. If you meet these qualifications, we encourage you to apply for this exciting opportunity!
Overview:
The MSSP Clinical Case Manager contributes to IHC’s mission and goals of client satisfaction, quality of care, and productivity. The Case Manager facilitates communication between patients, their families, caregivers, providers, and other healthcare team members. Their focus is to offer individualized assistance to patients with complex disease states and multiple comorbidities, as well as their families and caregivers, to overcome healthcare system and community barriers and facilitate consistent and timely medical care across the continuum of care. The Case Manager is integral to the Patient-Centered Medical Home and Patient Care Team.
Operations functions:
- Perform social determinant of health (SDoH) assessments and link patients with appropriate resources
- Provide general care coordination orientation to patients and communicate the goals/objectives of the program
- Assist patients referred to/from providers, care managers, and other points of entry
- Guide patients through transitions of care from inpatient settings to home.
- Contact patients to facilitate continuity of care and escalate issues to appropriate team members
- Compile and distribute educational material per patient need
- Assist patients with adherence to existing self-management goals or development of new goals (in collaboration with practice clinical staff)
- Assist in identifying individual and/or community needs that encourage healthy lifestyles and environments (i.e., community resources, transportation assistance, exercise programs, etc.).
- Interact with the multidisciplinary team on behalf of the patient to resolve barriers. Communicate outcomes to patient/family/caregivers
- Maintain timely and appropriate documentation of patient interactions in the care management system.
- Provide disease-specific and preventive care patient education
- Executes effective interventions to reduce inappropriate ER visits or length of hospital to improve care and reduce costs
Quality and administrative functions:
- Assist in the collection and assembly of quality improvement information to track and trend
- Participate in cross-functional team meetings aimed at improving patient outcomes or operational processes
- Regularly participate in care team huddles with care managers to identify priorities, tasks, and interventions
- Compile and distribute educational material based on patient need
- Perform follow-up activities with patients as needed after emergency department visits
- Assist with scheduling medical and specialty appointments. Provide reminder phone calls for appointments and/or follow-up calls post-appointment
- Retrieve discharge summaries and copies of medical records
Recruitment Package includes but is not limited to:
- Hourly position (Pay based on level of education - RN or LPN and overall experience)
- $2000.00 retention bonus paid after one year of employment
- Health, life, dental, and vision insurance
- 403(b)/403(b) matching
- Flexible spending account
- Health savings account
- Generous PTO
- Employee referral program
- Tuition reimbursement and much more!
Join us at IHC and impact patient care meaningfully while enjoying a supportive and rewarding work environment. Apply today to become a vital part of our Patient-Centered Medical Home and Patient Care Team!
Requirements
- Education: A valid LPN or RN license in the state of Indiana required
- Licensure: Currently licensed as a registered nurse in the state of Indiana
- Certification: Care coordinator certification is strongly preferred
- Experience: 2 years overall experience providing patient care in a community or hospital setting is required
- 1 year of case management experience or experience providing health education outreach
- Proficient in computer skills, including typing and using Microsoft Word, Excel, Outlook, Access, eCW, SharePoint, Azara, etc.
- Excellent interpersonal and customer service skills
- Bilingual preferred but not required
- Occasional travel is required to participate in offsite IHC meetings (10-15%)
- Must currently reside in Indiana
We are an equal-opportunity employer. All applicants will be considered for employment without regard to race, color, religion, sex, sexual orientation, gender identity, national origin, veteran status, or disability status.
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