RN Case Manager

Riley Children's Health; Indianapolis (IN); On-site; USD 70,000 - 90,000; Full time

Job summary

Join a leading pediatric healthcare provider in Indianapolis as an RN Case Manager. This full-time role supports patient care coordination through collaboration with a multidisciplinary team, requiring an active nursing license and relevant experience. Enjoy a comprehensive benefits package, including competitive compensation and professional development opportunities.

Benefits

Competitive compensation

Professional development opportunities

Tuition reimbursement

401(k) match

Paid medical leave

Health, dental, and vision insurance

Qualifications

• Requires an active RN license in Indiana or an NLC RN license.
• 3-5 years of experience in nursing is required.
• Ability to comprehend third-party contractual arrangements is preferred.

Responsibilities

• Plan and coordinate patient care from pre-admission to post-discharge.
• Collaborate with the medical team for care assignments.
• Conduct timely discharge planning and secure coverage with payers.

Skills

Clinical background in acute care

Knowledge of Medicare/Medicaid

Knowledge of InterQual Criteria

Education

Associate's Degree in Nursing

Certification in Case Management

Tools

Windows

Cerner

Job description

Join to apply for the RN Case Manager role at Riley Children's Health

1 day ago Be among the first 25 applicants

Join to apply for the RN Case Manager role at Riley Children's Health

RN Case Manager at Riley Children's Health

Overview

RN Case Manager at Riley Children's Health

Riley Children's Health, Indiana’s largest pediatric healthcare provider with over 50 locations across the state, is seeking an RN Case Manager to join our dedicated team. As one of the nation’s leading pediatric healthcare networks, we offer comprehensive care through a multidisciplinary approach that covers all aspects of pediatric health. Our reputation for excellence is affirmed by our status as Indiana's only pediatric research hospital and our ranking among the top hospitals nationally, as recognized by U.S. News & World Report.

Riley Children's Hospital in Indianapolis has an amazing opportunity for the right candidate. While prior pediatric experience is helpful, it is not a strict requirement. This full-time position works Monday-Friday, day shift with the ability to work remotely on Wednesdays upon completion of training and onboarding. If you are ready to advance your nursing career with Indiana's premier healthcare system, we encourage you to apply today!

Benefits: As part of our renowned healthcare system, both part-time and full-time employees enjoy a diverse benefits package, which includes:

• Competitive compensation
• Professional development opportunities
• Tuition reimbursement
• 401(k) match
• Paid medical leave
• Health, dental, and vision insurance
  
  
  

Key Responsibilities: The RN Case Manager plays a critical role in planning and coordinating patient care from pre-admission through post-discharge. Responsibilities include:

• Collaborating with a multidisciplinary team to assign appropriate levels of care.
• Ensuring patients receive necessary services and are transitioned smoothly to the right post-discharge care.
• Conducting timely and effective discharge planning.
• Coordinating with third-party payers to secure coverage.
• Implementing educational and preventive programs for patients.
  
  
  

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.
• Requires strong clinical background in acute care.
  
  
  

Join us at Riley Children's Health, where your expertise will help shape the future of pediatric care!

We are an equal opportunity employer and value diversity and inclusion at IU Health. 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.

Seniority level

• Seniority level

  Mid-Senior level

Employment type

• Employment type

  Full-time

Job function

• Job function

  Health Care Provider

• Industries

  Hospitals and Health Care

Referrals increase your chances of interviewing at Riley Children's Health by 2x

Get notified about new Case Management Nurse jobs in Indianapolis, IN.

Registered Nurse - Occupational Health Center

Registered Nurse CASE MANAGER Home Health. $38-plus

Registered Nurse - Primary Care Triage (Remote)

Registered Nurse-Outpatient-Primary Care-Mooresville

Endoscopy Registered Nurse - Indianapolis - $43-$52/hr

Indianapolis, IN $43.00-$52.00 1 month ago

Registered Nurse RN / Licensed Practical Nurse LPN

Registered Nurse RN / Licensed Practical Nurse LPN

Indianapolis, IN $80,000.00-$90,000.00 1 week ago

Registered Nurse-Full-time-OB/GYN-Ambulatory Procedural

School Registered Nurse Ambulatory (RN) - Noblesville Schools

Indianapolis, IN $1,899.09-$1,899.09 1 week ago

Indianapolis, IN $2,305.56-$2,305.56 1 week ago

Remote Hospice Triage RN- PT 1-2 shifts 3:30p-12a +rotating Sat & Sun 3:30p-12a

Indianapolis, IN $85,000.00-$95,000.00 2 weeks ago

Travel PCU Registered Nurse - $1,966 per week

We’re unlocking community knowledge in a new way. Experts add insights directly into each article, started with the help of AI.