Join Indiana's Leading Healthcare System as a Case Manager!

Are you ready to elevate your nursing career with Indiana University Health, recognized as the state's top healthcare provider? We are seeking a dedicated Case Manager to join our team at North Hospital in Carmel, IN, with additional training opportunities at IU Health Saxony in Fishers, IN, and IU Health Tipton in Tipton, IN.

This is a supplemental (PRN) position providing support during the day shift, from 8 AM to 4:30 PM.

Role Overview: As a Case Manager, you will play a crucial role in orchestrating comprehensive patient care from pre-admission through post-discharge. You will work closely with a multidisciplinary team to ensure patients receive the appropriate level of care, quality services, and seamless transitions to post-discharge plans. Your responsibilities will include effective discharge planning, liaising with third-party payers for coverage confirmation, and promoting educational and prevention initiatives.

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.