293754 - Case Manager

Purpose, Kindness, Excellence and Team are the foundation which crafts our culture and are the guiding principles which build the framework for all our relationships at IU Health. Whether you are at Methodist Hospital a Level One Trauma Center or University Hospital which offers the latest advances in cancer research and leading-edge care, as a RN Case Manager with IU Health you will have a uniquely exciting setting to apply your nursing skills.
This role will be full time Monday-Friday working 8:00am-4:30pm at our University Hospital location in Indianapolis.
The RN-Case Manager plans and coordinates care for patients from pre-admission through post-discharge by working collaboratively with the multidisciplinary team. This Case Manager ensures that patients are assigned the appropriate level of care, receive the appropriate services and are transitioned to the appropriate post-discharge level of care and performs accurate, timely and effective discharge planning for patients, along with working with third party payers to ensure coverage. This Case Manager will also administer education and prevention programs. Strong clinical background preferred along with Case Management certification preferred.
As the most comprehensive medical system in Indiana, IU Health offers many different career opportunities as you grow professionally. IU Health also offers a substantial benefits package, PTO, 401k with a match and several other programs to meet your needs. This is just a few reasons why applying for your career with IU Health is a good choice.
- 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 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.