On-site RN Case Manager: Patient Care & Transitions

IU Health; Indianapolis (IN); On-site; USD 65,000 - 90,000; Part time

Benefits offered by this job

Competitive salary

Professional development opportunities

Collaborative work environment

Job summary

IU Health is seeking an RN - Case Manager (PRN) for on-site work at University Hospital in Indianapolis. The role focuses on assessment, coordination, and communication with patients, families, providers, and payers to develop individualized discharge plans and ensure appropriate coverage and safety.

The successful candidate will manage insurance coverage, educate patients, and navigate third-party denials or appeals.

Qualifications

• Associate's Degree in Nursing required.
• RNs hired after January 1, 2013 must complete their BSN within 5 years of hire.
• Active RN license in Indiana or Nurse Licensure Compact (NLC) preferred.

Responsibilities

• Plan and coordinate patient care from pre-admission through post-discharge, ensuring appropriate levels of care and services.
• Perform accurate and timely discharge planning, including documentation and communication.
• Collaborate with the multidisciplinary team to develop comprehensive care plans.
• Work with third-party payers to verify coverage and facilitate authorization for services.
• Educate patients and families on post-discharge care, safety, and prevention strategies.
• Assist with third-party denials, appeals, and understanding contractual arrangements.
• Ensure compliance with Medicare, Medicaid, insurance, and regulatory guidelines.
• Utilize software applications including Windows, Cerner, MCCM, and SMS for documentation and communication.

Skills

Clinical assessment

Communication skills

Team collaboration

InterQual criteria knowledge

HIPAA/compliance awareness

Education

Associate's Degree in Nursing

BSN within 5 years of hire

Tools

Cerner

MCCM

SMS

Windows

Job description

IU Health is seeking an RN - Case Manager (PRN) for on-site work at University Hospital in Indianapolis. The role focuses on assessment, coordination, and communication with patients, families, providers, and payers to develop individualized discharge plans and ensure appropriate coverage and safety.

The successful candidate will manage insurance coverage, educate patients, and navigate third-party denials or appeals.