RN Case Manager-Weekends

IU HealthMuncie, IN
7d

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-Weekends 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. 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

  • 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!
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