RN Case Manager

1 week ago


Indianapolis, Indiana, United States Indiana University Health Full time
About the Role

We are seeking a skilled RN Case Manager to join our team at Indiana University Health. As a RN Case Manager, you will play a critical role in ensuring that patients receive the highest level of care and support throughout their healthcare journey.

Key Responsibilities
  • Plan and coordinate care for patients from pre-admission through post-discharge
  • Work collaboratively with the multidisciplinary team to ensure seamless care transitions
  • Ensure patients receive the appropriate level of care and services
  • Perform accurate, timely, and effective discharge planning
  • Work with third-party payers to ensure coverage
  • Administer education and prevention programs
Requirements
  • Associate's Degree in Nursing required
  • 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
  • Knowledge of Medicare/Medicaid, insurance, and regulatory guidelines
  • Ability to comprehend third-party contractual arrangements
  • Understanding of the third-party denial and appeal process
  • Requires knowledge of various software applications, including Windows, Cerner, MCCM, and SMS
  • 3-5 years of experience required
About Us

Indiana University Health is a comprehensive health system with 15 hospitals and nearly 40,000 team members. We are committed to providing exceptional patient care and advancing healthcare through innovation and research.

We offer a range of benefits, including a substantial benefits package, PTO, 401k with a match, and opportunities for professional growth and development.


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