RN Case Manager-PRN
1 week ago
Join Indiana's Leading Healthcare System: Exciting Career Opportunities at IU Health
IU Health is seeking a compassionate and dedicated Registered Nurse to join our Case Management Team at IU North Hospital as a Supplemental RN Case Manager. This role will work the day shift during the weekdays, no guaranteed hours, but there is a requirement to work 1 shift every 3 months.
If youre a registered nurse looking to advance your career in a dynamic and supportive environment, we encourage you to apply today
Position OverviewAs a Case Manager, you will coordinate and oversee patient care from pre?admission through post?discharge in collaboration with a multidisciplinary team. Your primary responsibilities will include:
- Assessing patient needs to determine appropriate levels of care and services
- Facilitating seamless transitions to post?discharge care settings
- Developing and executing effective discharge plans
- Collaborating with insurance providers to secure appropriate coverage
- Providing education and preventive care to patients
- Associates 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.
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