RN Case Manager-PRN

Indiana University Health System • Avon, OH

1d

About The Position

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.

Requirements

• 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.
• 3-5 years of experience required.
• Requires strong clinical background in acute care.
• Requires knowledge of various software applications including Windows; Cerner; MCCM; and SMS.

Nice To Haves

• 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.

Responsibilities

• 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

What This Job Offers

• Education Level: Associate degree