Avon, IN, USA
51 days ago
RN Case Manager-PRN

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!

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