Registered Nurse Case Manager

IU Health • Full-time • Muncie, Indiana, United States • 1m ago

Overview

Join the #1 Healthcare System in Indiana: Careers Await at IU Health!

IU Health is on the lookout for a dedicated Registered Nurse to step into the role of Case Manager within the Case Management Department at Ball Memorial Hospital. This full-time position offers a flexible Monday to Friday, day shift schedule, typically running from 8:30 am to 4:30 pm. If you’re a Registered Nurse eager to advance your career, we invite you to apply today!

At IU Health, we prioritize your personal and professional growth. You'll have access to a variety of opportunities for learning and development, including training programs, leadership training, promotional prospects, and cross-training options tailored to your interests. Our comprehensive benefits package is designed with you in mind, featuring medical, dental, and vision coverage, a matching 401(k), paid time off, a tuition reimbursement program, a wellness initiative, and more!

As a Case Manager, you will be responsible for planning and coordinating patient care from pre-admission through to post-discharge in collaboration with a multidisciplinary team. Your key responsibilities will include:

Ensuring patients are assigned the appropriate level of care and receive the necessary services.
Facilitating smooth transitions to the correct post-discharge care levels.
Conducting accurate and timely discharge planning.
Coordinating with third-party payers to ensure coverage.
Administering education and prevention programs for patients.

Qualifications:

Associate's Degree in Nursing required. New ASN RNs hired after January 1, 2013, will be required to complete their BSN within 5 years of hire date.
Requires an active Registered Nurse (RN) license in the state of Indiana or an active Nurse Licensure Compact (NLC) RN license.
Certification in Case Management preferred.
Knowledge of InterQual Acute Level of Care Criteria and Federal guidelines outlining coverage of inpatient and outpatient hospital services, including observation is preferred.
Knowledge of Medicare/Medicaid, insurance and regulatory guidelines is preferred.
Ability to comprehend third party contractual arrangements is preferred.
Understanding of the third party denial and appeal process is preferred.
Requires knowledge of various software applications including Windows; Cerner; MCCM; and SMS.
3-5 years of experience required.
Requires strong clinical background in acute care.

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