RN Case Manager

RN Case Manager at Riley Children's Health

Riley Children’s Health, Indiana’s largest pediatric healthcare provider with over 50 locations across the state, is seeking an RN Case Manager to join our dedicated team. As one of the nation’s leading pediatric healthcare networks, we offer comprehensive care through a multidisciplinary approach that covers all aspects of pediatric health. Our reputation for excellence is affirmed by our status as Indiana's only pediatric research hospital and our ranking among the top hospitals nationally, as recognized by U.S. News & World Report.

This part‑time position works 3 eight‑hour day shifts per week, rotating Monday–Friday. If you are ready to advance your nursing career with Indiana’s premier healthcare system, we encourage you to apply today!

• Competitive compensation
• Professional development opportunities
• Tuition reimbursement
• 401(k) match
• Paid medical leave
• Health, dental, and vision insurance

• Collaborating with a multidisciplinary team to assign appropriate levels of care.
• Ensuring patients receive necessary services and are transitioned smoothly to the right post‑discharge care.
• Conducting timely and effective discharge planning.
• Coordinating with third‑party payers to secure coverage.
• Implementing educational and preventive programs for patients.

• 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.

Join us at Riley Children’s Health, where your expertise will help shape the future of pediatric care!

We are an equal opportunity employer. IU Health does not discriminate on the basis of race, color, religion, sex, sexual orientation, age, disability, genetic information, veteran status, national origin, gender identity and/or expression, marital status or any other characteristic protected by federal, state or local law. We will ensure that individuals with disabilities are provided reasonable accommodation to participate in the job application or interview process, to perform essential job functions, and to receive other benefits and privileges of employment.

Please contact us to request accommodation.