RN Case Manager

apartment IU Health location_onLafayette, IN, US

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Overview

Advance Your Nursing Career with Indiana's #1 Healthcare System!

Indiana University Health is looking for a dedicated Case Manager to join our team at Arnett Hospital in Lafayette, IN!

Why Choose IU Health?

As Indiana's largest and highest-ranked healthcare system, we are proud to offer a range of benefits designed to support your professional development and well-being, including:

401(k) retirement savings plan with employer match
Tuition reimbursement for continuing education
Student loan forgiveness program for qualifying participants, offering potential balance forgiveness after meeting specific criteria
Employee Assistance Program providing no-cost counseling services
Healthy Results wellness programs that allow you to earn points toward a biweekly financial incentive in your paycheck—participate more to earn more!

Position Overview:

As an RN Case Manager, you will play a critical role in planning and coordinating patient care from pre-admission through post-discharge. You will work collaboratively with a multidisciplinary team to ensure that patients are assigned the appropriate level of care and are seamlessly transitioned to their post-discharge plans. This involves performing accurate and timely discharge planning, liaising with third-party payers to secure coverage, and administering education and preventive care programs.

Schedule: Monday-Friday; Day shift (8am-4:30pm).

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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