RN Case Manager

IU Health • Full-time • Bloomington, Indiana, United States • 3w ago

Overview

Indiana University Health is unlike any other healthcare system and we're looking for team members who share the things that matter most to us. People who are inspired by challenging and meaningful work for the good of every patient. People motivated to do their best every day. People who are always ready to apply themselves. As one of Indiana's largest employers, our vision is to lead the transformation of healthcare through quality, innovation, and education, and make Indiana one of the nation's healthiest states. 24/hr per week (preferably 2- 12hr shifts) Monday - Firday day shift with a weekend rotation

Plans and coordinates care for patients from pre-admission through post-discharge by working collaboratively with the multidisciplinary team. Ensures that patients are assigned the appropriate level of care, receive the appropriate services and are transitioned to the appropriate post-discharge level of care. Performs accurate, timely and effective discharge planning for patients. Works with third party payers to ensure coverage. Administers education and prevention programs.

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.

As part of an award-winning hospital system, our part-time and full-time team members have access to a comprehensive benefits package, which includes, Competitive pay, Development opportunities, Tuition reimbursement, Matching 401k, Paid medical leave, and health, dental and vision insurance.

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