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 Registered 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.