RN Case Manager-PRN
1 month ago
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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