RN Case Manager

Riley Children's Health; Indianapolis (IN); Hybrid; USD 65,000 - 85,000; Full time

Job summary

Riley Children's Health is seeking an RN Case Manager to join their dedicated team. This full-time role involves coordinating pediatric patient care, ensuring smooth transitions from hospital to home. Candidates should have an Associate's Degree in Nursing and an active RN license in Indiana. The position offers competitive compensation and a comprehensive benefits package, including tuition reimbursement and health insurance. Join us to shape the future of pediatric care!

Benefits

Competitive compensation

Professional development opportunities

Tuition reimbursement

401(k) match

Paid medical leave

Health, dental, and vision insurance

Qualifications

• 3-5 years of experience required.
• Requires an active RN license in Indiana or NLC.

Responsibilities

• Plan and coordinate patient care from pre-admission to post-discharge.
• Collaborate with a multidisciplinary team for care assignments.
• Conduct timely discharge planning.

Skills

Clinical Background

Patient Care Coordination

Communication

Education

Associate's Degree in Nursing

BSN (if hired after 2013)

Tools

Cerner

Windows

MCCM

SMS

Job description

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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 presents a remarkable opportunity for the right candidate. While prior pediatric experience is advantageous, 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.
• 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.