RN Case Manager

Indiana University Health System•Avon, OH

13d

About The Position

Join Our Team as a Part-Time Emergency Department RN Case Manager at IU West! Are you a compassionate, adaptable RN looking to make a meaningful impact in a fast-paced emergency setting? We’re seeking a dedicated nurse to support our Emergency Department at IU West in Avon, IN. This is a unique opportunity to work 24 hours a week—just two 12-hour shifts from 8:00am to 8:30pm - Shifts would fall during the weekdays (Monday-Friday). Benefits: As part of our renowned healthcare system, both part-time and full-time employees enjoy a diverse benefits package, which includes: Competitive compensation Professional development opportunities Tuition reimbursement 401(k) match Paid medical leave Health, dental, and vision insurance Key Role Responsibilities: Coordinate seamless care for ED patients from pre-admission through post-discharge, collaborating effectively with the multidisciplinary team. Ensure patients receive the appropriate level of care, services, and smooth transitions to post-discharge settings. Lead accurate, timely discharge planning and work with third-party payers to secure coverage. Provide education and prevention programs to empower patients in managing their health. Qualifications: Associate's Degree in Nursing required. BSN preferred. 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; and SMS. We also utilize Microsoft Team and Diagnotes. 3-5 years of experience required. Requires strong clinical background in acute or emergency care.

Requirements

Associate's Degree in Nursing required. BSN preferred.
Requires an active Registered Nurse (RN) license in the state of Indiana or an active Nurse Licensure Compact (NLC) RN license.
Requires knowledge of various software applications including Windows; Cerner; and SMS. We also utilize Microsoft Team and Diagnotes.
3-5 years of experience required.
Requires strong clinical background in acute or emergency care.

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

Coordinate seamless care for ED patients from pre-admission through post-discharge, collaborating effectively with the multidisciplinary team.
Ensure patients receive the appropriate level of care, services, and smooth transitions to post-discharge settings.
Lead accurate, timely discharge planning and work with third-party payers to secure coverage.
Provide education and prevention programs to empower patients in managing their health.