RN Case Manager

Socket.dev; Avon (IN); On-site; USD 65,000 - 90,000; Full time

Benefits offered by this job

Competitive 401(k) with employer match

Tuition reimbursement

Student loan forgiveness opportunities

Employee assistance program

Wellness program with incentives

Job summary

IU Health West in Avon, IN is seeking an RN Case Manager to coordinate patient care from pre-admission through post-discharge. You will work with a multidisciplinary team to ensure personalized care plans, timely discharges, and smooth transitions to post-acute services.

Responsibilities include discharge planning, collaborating with third-party payers for coverage and authorizations, educating patients and families on preventive care and medications, and facilitating clear communication among

Qualifications

• ASN/RN required; BSN within 5 years if hired as ASN after 2013.
• Active RN license in Indiana or NLC license.
• Certification in Case Management preferred.

Responsibilities

• Coordinate discharge planning to optimize outcomes.
• Collaborate with third-party payers for coverage and authorizations.
• Educate patients and families on preventive care, medications, and resources.
• Facilitate effective communication among healthcare providers for continuity of care.

Skills

Discharge planning

Payer coordination

Communication skills

Education

Associate's Degree in Nursing

BSN within 5 years

Tools

Cerner

MCCM

SMS

Windows

Job description

Overview

Elevate Your Nursing Career with Indiana's Premier Healthcare System! Join IU Health West in Avon, IN, and become a vital part of Indiana's largest and most comprehensive healthcare network. We are actively seeking a dedicated RN Case Manager to join our dynamic Case Management and Social Services team. This is an excellent opportunity to make a meaningful impact while enjoying a balanced Monday-Friday, day shift schedule with rotating weekends and holidays.

Why Choose IU Health?

• Competitive 401(k) Retirement Plan with employer matching
• Tuition Reimbursement and ongoing educational support
• Student Loan Forgiveness Opportunities (per government program criteria)
• Employee Assistance Program with confidential, free counseling services
• Healthy Results Wellness Program with biweekly financial incentives for participation
• Opportunities for continuous learning and career advancement in a thriving health system

Position Overview

As an RN Case Manager, you will play a pivotal role in coordinating seamless patient care from pre-admission through post-discharge. Working collaboratively with a multidisciplinary team, you will ensure that each patient receives personalized, appropriate care plans, timely discharges, and smooth transitions to post-acute services.

• Conducting thorough and timely discharge planning to optimize patient outcomes
• Collaborating with third-party payers to secure coverage and authorizations
• Educating patients and families on preventive care, medication management, and community resources
• Facilitating effective communication among healthcare providers to ensure continuity of care

Qualifications

• 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.
• 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.
• Requires knowledge of various software applications including Windows; Cerner; MCCM; and SMS.
• 3-5 years of experience required.