RN Case Manager-Weekends

Indiana University Health; India; On-site; INR 600,000 - 900,000; Full time

Job summary

Indiana University Health is seeking a Registered Nurse Case Manager for the Weekend Program to coordinate patient care from admission through discharge. The role emphasizes ensuring appropriate care levels, timely access to services, and safe transitions with a collaborative care team.

The ideal candidate has clinical experience, strong critical thinking, and a passion for patient advocacy and care coordination, with weekend coverage on Friday to Monday.

Qualifications

• Associate's Degree in Nursing is required; BSN preferred.
• Active RN license in Indiana or equivalent license required.
• Case management certification preferred.
• Knowledge of Medicare/Medicaid and regulatory guidelines is preferred.
• 3–5 years of clinical experience with strong acute care background.

Responsibilities

• Coordinate patient care throughout hospitalization and discharge process.
• Conduct assessments to determine appropriate level of care and resources.
• Facilitate discharge planning for safe transitions across care settings.
• Collaborate with physicians, nurses, social workers, and resources to optimize outcomes.
• Assist with authorizations and appeals when necessary.
• Educate patients and families about transitions and available resources.
• Maintain compliance with regulatory requirements for case management.

Skills

Clinical coordination

Care planning

Discharge planning

Critical thinking

Patient advocacy

Education

Associate's Degree in Nursing

BSN preferred

Tools

Cerner

CarePort

SMS

Windows

Job description

Registered Nurse Case Manager (RN) - Weekend Program

• Friday: 8:00 AM - 4:30 PM
• Saturday: 8:00 AM - 8:30 PM
• Sunday: 8:00 AM - 8:30 PM
• Monday: 8:00 AM - 4:30 PM

Overview

Registered Nurse Case Manager (RN) - Weekend Program

Schedule

Friday through Monday

• Friday: 8:00 AM - 4:30 PM
• Saturday: 8:00 AM - 8:30 PM
• Sunday: 8:00 AM - 8:30 PM
• Monday: 8:00 AM - 4:30 PM

Position Summary

The Registered Nurse Case Manager serves as an integral member of the interdisciplinary care team, coordinating and facilitating patient care across the continuum from pre-admission through post-discharge. This role is responsible for ensuring patients receive the appropriate level of care, timely access to services, and safe, effective transitions to the next level of care.

The RN Case Manager collaborates closely with physicians, nursing staff, social workers, and community resources to promote optimal patient outcomes, effective resource utilization, and regulatory compliance. The ideal candidate is a clinically experienced nurse with strong critical thinking skills and a passion for patient advocacy and care coordination.

Key Responsibilities

Previous inpatient hospital case management experience is strongly preferred.

• Coordinate and manage patient care throughout the hospitalization and discharge process.
• Conduct comprehensive assessments to determine appropriate level of care and resource needs.
• Facilitate timely and effective discharge planning to ensure safe transitions across the continuum of care.
• Collaborate with multidisciplinary teams to develop and implement patient-centered care plans.
• Monitor patient progression and identify barriers to discharge, proactively coordinating solutions.
• Partner with insurance providers and third-party payers to obtain authorizations, ensure coverage, and promote appropriate utilization of healthcare services.
• Review clinical documentation and patient status utilizing established criteria and regulatory guidelines.
• Participate in denial prevention efforts and assist with appeals when necessary.
• Provide patient and family education related to care transitions, available resources, and prevention initiatives.
• Maintain compliance with federal, state, payer, and organizational requirements related to case management and utilization review.

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 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; CarePort; and SMS.
• 3-5 years of experience required.
• Requires strong clinical background in acute care.

We are an equal opportunity employer. IU Health does not discriminate on the basis of race, color, religion, sex, sexual orientation, age, disability, genetic information, veteran status, national origin, gender identity and/or expression, marital status or any other characteristic protected by federal, state or local law. We will ensure that individuals with disabilities are provided reasonable accommodation to participate in the job application or interview process, to perform essential job functions, and to receive other benefits and privileges of employment. Please contact us to request accommodation.