RN Case Manager

Indiana University Health • Lafayette, IN

40d • Onsite

About The Position

As an RN Case Manager, you will play a critical role in planning and coordinating patient care from pre-admission through post-discharge. You will work collaboratively with a multidisciplinary team to ensure that patients are assigned the appropriate level of care and are seamlessly transitioned to their post-discharge plans. This involves performing accurate and timely discharge planning, liaising with third-party payers to secure coverage, and administering education and preventive care programs.

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

• Planning and coordinating patient care from pre-admission through post-discharge.
• Work collaboratively with a multidisciplinary team to ensure that patients are assigned the appropriate level of care
• Seamlessly transition patients to their post-discharge plans.
• Performing accurate and timely discharge planning
• Liaising with third-party payers to secure coverage
• Administering education and preventive care programs.

Benefits

• 401(k) retirement savings plan with employer match
• Tuition reimbursement for continuing education
• Student loan forgiveness program for qualifying participants, offering potential balance forgiveness after meeting specific criteria
• Employee Assistance Program providing no-cost counseling services
• Healthy Results wellness programs that allow you to earn points toward a biweekly financial incentive in your paycheck-participate more to earn more!

What This Job Offers

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