RN Case Manager

IU Health•Avon, IN

14d•Onsite

About The Position

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 Indiana University Health has nearly 40,000 team members, including more than 3,600 physicians and 1,200 advanced practice providers, and we’re home to the largest nursing network in Indiana with more than 9,000 nursing team members at over 800 sites of care. IU Health is ranked No. 1 in Indiana by U.S. News & World Report, Riley Children's Health is ranked among the top children's hospitals in the country by U.S. News & World Report. A unique partnership with the Indiana University School of Medicine – one of the nation’s largest medical schools – gives patients access to groundbreaking research and innovative treatments, and it offers team members access to the latest science and the very best training – advancing healthcare for all. With 15 hospitals, including seven with Magnet designation and eight with Pathways to Excellence designation, our team members are leading the way through excellence. At Indiana University Health, your personal and professional growth is a top priority. You will have access to many diverse opportunities to learn and develop in meaningful ways that matter most to you, such as advanced clinical training, leadership development, promotion opportunities and cross training development. Indiana University Health is invested in the lives of Hoosiers, leading the transformation of healthcare to make Indiana one of the nation’s healthiest states. Indiana University Health is Indiana’s most comprehensive health system, with 15 hospitals and nearly 40,000 team members serving Hoosiers across the state. We’re looking for team members who are inspired by challenging and meaningful work for the good of every patient. People who are compassionate and serve with a purpose. People who aspire to excellence every day.

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.
3-5 years of experience required.
Requires strong clinical background in acute or emergency care.
Requires knowledge of various software applications including Windows; Cerner; and SMS. We also utilize Microsoft Team and Diagnotes.

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.