What are the responsibilities and job description for the RN Case Manager-PRN position at Indiana University Health System?
Job Info
Elevate Your Career with Indiana's #1 Healthcare System!
IU Health West, located in Avon, IN, is currently seeking a Supplemental RN Case Manager to join our Case Management and Social Services team. This role offers the opportunity for day shift work that includes some weekends.
Position Overview:
As a Case Manager, you will be responsible for planning and coordinating patient care from pre-admission to post-discharge. Collaborating closely with a multidisciplinary team, you will ensure that patients are assigned the appropriate level of care, receive necessary services, and are smoothly transitioned to their post-discharge plans. Your duties will include:
- Performing accurate and timely discharge planning.
- Liaising with third-party payers to secure coverage.
- Administering education and preventive care 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.
If you’re ready to advance your nursing career in a supportive and dynamic environment, we encourage you to apply today!
Job Category: Nursing
Posting Date: 2024-11-18T14:29:07 00:00
Job Schedule: Part time
Job Shift: Day
Locations: 1111 N Ronald Reagan Pkwy Avon IN 46123
