RN - Case Manager

IU Health; Indianapolis (IN); On-site; USD 42,000 - 62,000; Part time

Benefits offered by this job

Competitive salary

Comprehensive benefits

Growth opportunities

Collaborative environment

Job summary

IU Health, located at Methodist Hospital, is seeking an RN - Case Manager for a part-time 0.6 FTE role. The position focuses on discharge planning, care coordination, and effective communication with patients, families, providers, and payers to ensure smooth transitions.

This role requires an Associate degree in Nursing, Indiana RN license, and 3–5 years of acute care experience with familiarity in Medicare/Medicaid guidelines. BSN within 5 years of hire is expected for newer RNs.

Qualifications

• Associate degree in Nursing required; BSN must be completed within 5 years for hires after Jan 1, 2013.
• Active Indiana RN license or NLC is required.
• Case Management certification is preferred.

Responsibilities

• Plan and coordinate patient care from pre-admission through post-discharge.
• Develop comprehensive discharge plans and communicate with the care team.
• Coordinate with third-party payers for coverage and authorization.
• Educate patients and families on post-discharge care and safety.
• Ensure compliance with Medicare, Medicaid, and regulatory guidelines.

Skills

Discharge planning

Care coordination

Clinical assessment

Communication

Regulatory knowledge

Education

Associate degree in nursing

BSN within 5 years of hire

Tools

Cerner

MCCM

SMS

Windows

Job description

Overview

Location: Methodist Hospital

Shift: Part-time 0.6 FTE (24 hours Weekly) Monday – Friday

Position: RN - Case Manager

The Case Manager plans and coordinates care for patients from pre-admission through post-discharge by working collaboratively with the multidisciplinary team. Ensures that patients are assigned the appropriate level of care, receive the necessary services, and transition smoothly to the appropriate post-discharge setting. Performs accurate, timely, and effective discharge planning. Works with third-party payers to ensure coverage and administer education and prevention programs.

Position Overview:

The RN-Case Manager plays a critical role in ensuring seamless patient transitions across care settings. This position involves assessment, care coordination, and communication with patients, families, providers, and payers. The nurse develops individualized discharge plans, manages insurance coverage, and facilitates patient education and safety.

Key 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 various software applications including Windows, Cerner, MCCM, and SMS for documentation and communication.

Qualifications & Requirements:

• Education:
  • Associate's Degree in Nursing required.
  • RNs hired after January 1, 2013, must complete their BSN within 5 years of hire.
• Licensure:
  • Active RN license in Indiana or Nurse Licensure Compact (NLC).
• Certifications:
  • Case Management certification preferred.
• Experience:
  • 3-5 years of clinical experience in acute care required.
• Knowledge & Skills:
  • Knowledge of InterQual Acute Level of Care Criteria and federal coverage guidelines is preferred.
  • Familiarity with Medicare/Medicaid, insurance, and regulatory guidelines is preferred.
  • Ability to understand third-party contractual arrangements and denial/appeal processes is advantageous.
  • Proficiency with Windows, Cerner, MCCM, SMS, and other relevant software applications.
  • Strong clinical background with excellent assessment and communication skills.

Core Competencies:

Connect to Promise:

Demonstrates commitment to IU Health’s mission, vision, and values by exhibiting behaviors and delivering results aligned with the organization’s strategic goals. Focuses on improving the health of all Hoosiers through purpose, excellence, compassion, and teamwork.

Collaboration:

Coordinates activities with team members and leaders. Seeks out and shares best practices to improve performance.

Relationship Building & Customer Care:

Maintains respectful, courteous, and helpful relationships with internal and external customers. Demonstrates appreciation for customer needs and expectations. Reflects an attitude of responsiveness and service.

Communication:

Clearly expresses ideas and opinions both verbally and in writing. Listens attentively, responds appropriately, and follows instructions carefully. Asks relevant questions to clarify needs and information.

Training & Patient Education:

Acts as a preceptor, sharing knowledge and fostering learning. Develops individualized education plans for patients and families and evaluates their effectiveness.

Ethical Practice:

Upholds high confidentiality standards in handling sensitive information, including medical records and HIPAA compliance. Demonstrates trustworthiness and ethical behavior in all interactions.

Why IU Health?

As part of Indiana’s largest healthcare system, we offer:

• Competitive salary and comprehensive benefits
• Opportunities for professional growth and development
• A collaborative, innovative environment committed to excellence

To learn more about our benefits, visit: ( https://careers.iuhealth.org/pages/benefits-designed-for-you )