What are the responsibilities and job description for the RN - Case Manager position at Indiana University Health System?
Job Info
Purpose, Kindness, Excellence and Team are the foundation which crafts our culture and are the guiding principles which build the framework for all our relationships at IU Health. Whether you are at Methodist Hospital a Level One Trauma Center or University Hospital which offers the latest advances in cancer research and leading-edge care, as a Clinical Operations Manager with IU Health you will have a uniquely exciting setting to apply your leadership skills.
IU Health is currently seeking an RN - Case Manager to support the Care Alliance Services at Methodist Hospitals (Remote). The schedule for this position is Monday-Friday, 8:00am-4:30pm, no call, no weekends, no holidays! If you are a Registered Nurse looking for the next step in your career, apply today!
Why Join IU Health?
As Indiana’s largest and most comprehensive healthcare system, and the number 1 ranked healthcare system in Indiana, we offer:
- 401(K) retirement savings with employer match
- Tuition reimbursement
- Student loan forgiveness - Government program that may allow qualifying participants to have the remainder of their student loan balance forgiven (after a set amount of time and specific qualifications have been met).
- Employee Assistance Program – Counseling at no cost to you
- Healthy Results - Participation in our team member wellness programs award points that contribute toward a biweekly financial incentive in your paycheck! The more you participate, the more you earn!
If you'd like to learn more about our benefits, please view our benefits website: careers.iuhealth.org/pages/benefits-designed-for-you
The RN - Case Manager 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.
Job Category: Nursing
Posting Date: 2024-12-26T20:07:22 00:00
Job Schedule: Full time
Job Shift: Day
Locations: 1633 N Capitol Ave Indianapolis IN 46202