RN Case Manager

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 RN Case Manager to join our dynamic Case Management and Social Services team. This is an excellent opportunity to make a meaningful impact while enjoying a balanced Monday-Friday, day shift schedule with rotating weekends and holidays.

• Competitive 401(k) Retirement Plan with employer matching
• Tuition Reimbursement and ongoing educational support
• Student Loan Forgiveness Opportunities (per government program criteria)
• Employee Assistance Program with confidential, free counseling services
• Healthy Results Wellness Program with biweekly financial incentives for participation
• Opportunities for continuous learning and career advancement in a thriving health system

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.

• 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

• 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.