RN Case Manager-PRN

Job Description

Overview

Elevate Your Nursing Career with Indiana's Premier Healthcare System!

Join IU Health West in Avon, IN, and become a vital part of Indiana's largest and most comprehensive healthcare network. We are actively seeking a dedicated PRN RN Case Manager to join our dynamic Case Management and Social Services team. This is an excellent opportunity to make a meaningful impact while supporting the team on a supplemental basis.

Position Overview:

As an RN Case Manager, you will play a pivotal role in coordinating seamless patient care from pre-admission through post-discharge. Working collaboratively with a multidisciplinary team, you will ensure that each patient receives personalized, appropriate care plans, timely discharges, and smooth transitions to post-acute services. Your responsibilities will include:

* Conducting thorough and timely discharge planning to optimize patient outcomes

* Collaborating with third-party payers to secure coverage and authorizations

* Educating patients and families on preventive care, medication management, and community resources

* Facilitating effective communication among healthcare providers to ensure continuity of care

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 Inter Qual 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!