RN Case Manager-PRN

apartment IU Health location_onCarmel, IN 46032, US

Overview

Join Indiana’s Leading Healthcare System: Exciting Career Opportunities at IU Health!

IU Health is seeking a compassionate and dedicated Registered Nurse to join our Case Management Team at IU North Hospital as a Supplemental RN Case Manager. This role will work the day shift during the weekdays, no guaranteed hours, but there is a requirement to work 1 shift every 3 months.

f you’re a registered nurse looking to advance your career in a dynamic and supportive environment, we encourage you to apply today!

Position Overview:

As a Case Manager, you will coordinate and oversee patient care from pre-admission through post-discharge in collaboration with a multidisciplinary team. Your primary responsibilities will include:

Assessing patient needs to determine appropriate levels of care and services
Facilitating seamless transitions to post-discharge care settings
Developing and executing effective discharge plans
Collaborating with insurance providers to secure appropriate coverage
Providing education and preventive care to 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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