At Indiana University Health, we are dedicated to providing exceptional care and transforming healthcare for the betterment of all patients. As one of the state's largest employers, we believe in quality, innovation, and education, striving to make Indiana one of the healthiest states in the nation. We are seeking passionate individuals who thrive in meaningful and challenging environments and are committed to delivering their best every day.
Position Summary:
We are currently seeking a compassionate RN Case Manager to join our team at IU Health Tipton Hospital. This is a supplemental (PRN) that will assist with covering day-shifts Monday-Friday, as needed.
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.