RN Case Manager

IU Health • Muncie, IN

2d • Onsite

About The Position

IU Health is seeking a compassionate and dedicated Registered Nurse to join our
Case Management Team at Ball Memorial Hospital as a full-time RN Case Manager
position. As a Case Manager, you will coordinate and oversee patient care from
pre-admission through post-discharge in collaboration with a multidisciplinary
team. Your primary responsibilities will include:

Assessing patient needs to determine appropriate levels of care and services
Facilitating seamless transitions to post-discharge care settings
Developing and executing effective discharge plans
Collaborating with insurance providers to secure appropriate coverage
Providing education and preventive care to patients

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 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

• Assessing patient needs to determine appropriate levels of care and services
• Facilitating seamless transitions to post-discharge care settings
• Developing and executing effective discharge plans
• Collaborating with insurance providers to secure appropriate coverage
• Providing education and preventive care to patients

Benefits

• 401(K) retirement savings with employer match
• Tuition reimbursement
• Student loan forgiveness - Government program that may allow qualifying participants to have the remainder of their student loan balance forgiven (after a set amount of time and specific qualifications have been met).
• Employee Assistance Program – Counseling at no cost to you
• Healthy Results - Participation in our team member wellness programs award points that contribute toward a biweekly financial incentive in your paycheck! The more you participate, the more you earn!

What This Job Offers

• Job Type: Full-time
• Career Level: Mid Level
• Education Level: Associate degree
• Number of Employees: 5,001-10,000 employees