Overview
Elevate Your Nursing Career with Indiana’s Premier Healthcare System!
Join IU Health West in Avon, IN, and become a vital part of Indiana’s largest and most comprehensive healthcare network. We are actively seeking a dedicated PRN RN Case Manager to join our dynamic Case Management and Social Services team. This is an excellent opportunity to make a meaningful impact while supporting the team on a supplemental basis.
Position Overview:
As an RN Case Manager, you will play a pivotal role in coordinating seamless patient care from pre-admission through post-discharge. Working collaboratively with a multidisciplinary team, you will ensure that each patient receives personalized, appropriate care plans, timely discharges, and smooth transitions to post-acute services. Your responsibilities will include:
- Conducting thorough and timely discharge planning to optimize patient outcomes
- Collaborating with third-party payers to secure coverage and authorizations
- Educating patients and families on preventive care, medication management, and community resources
- Facilitating effective communication among healthcare providers to ensure continuity of care
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.
If you’re ready to advance your nursing career in a supportive and dynamic environment, we encourage you to apply today!
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