RN Case Manager: Care Coordination & Discharge Specialist

Indiana University Health; Indianapolis (IN); On-site; USD 60,000 - 85,000; Part time

Job summary

Indiana University Health at Methodist Hospital is seeking an RN - Case Manager for a part-time 0.6 FTE position. The role focuses on planning and coordinating care from pre-admission through post-discharge, ensuring appropriate levels of care and timely discharge planning.

You will collaborate with a multidisciplinary team and work with third-party payers to verify coverage and approvals. Responsibilities include educating patients and families on post-discharge care, addressing denials and

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).
• Case Management certification preferred.
• 3-5 years of clinical experience in acute care required.
• 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.

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.

Skills

InterQual Criteria

Medicare/Medicaid knowledge

Discharge planning

Care coordination

Patient education

Communication skills

Regulatory compliance

Education

Associate's Degree in Nursing

BSN within 5 years

Tools

Windows

Cerner

MCCM

SMS

Job description

Indiana University Health at Methodist Hospital is seeking an RN - Case Manager for a part-time 0.6 FTE position. The role focuses on planning and coordinating care from pre-admission through post-discharge, ensuring appropriate levels of care and timely discharge planning.

You will collaborate with a multidisciplinary team and work with third-party payers to verify coverage and approvals. Responsibilities include educating patients and families on post-discharge care, addressing denials and