RN Case Manager: Seamless Care & Discharge Planning

Indiana University Health; Indianapolis (IN); On-site; USD 70,000 - 95,000; Part time

Job summary

Indiana University Health is seeking an RN - Case Manager (PRN) for on-site work at the university hospital in Indianapolis. You will assess patients, coordinate care with a multidisciplinary team, and develop individualized discharge plans to ensure smooth transitions and appropriate post-discharge settings.

Responsibilities include working with payers for coverage and authorizations, educating patients and families on post-discharge care, and ensuring compliance with Medicare/Medicaid

Qualifications

• Associate's Degree in Nursing is required.
• BSN must be completed within 5 years for RNs hired after Jan 1, 2013.
• Active Indiana RN license or NLC required.
• Case Management certification preferred.
• 3-5 years of clinical experience in acute care is 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.
• Proficiency with Windows, Cerner, MCCM, SMS and other relevant software applications.
• Strong clinical background with excellent assessment and communication skills.

Responsibilities

• 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

Communication

Collaboration

Patient Education

HIPAA Compliance

InterQual/Medicare knowledge

Care coordination

Documentation

Education

Associate's Degree in Nursing

BSN within 5 years of hire

Active Indiana RN license or NLC

Case Management certification preferred

Tools

Windows

Cerner

MCCM

SMS

Job description

Indiana University Health is seeking an RN - Case Manager (PRN) for on-site work at the university hospital in Indianapolis. You will assess patients, coordinate care with a multidisciplinary team, and develop individualized discharge plans to ensure smooth transitions and appropriate post-discharge settings.

Responsibilities include working with payers for coverage and authorizations, educating patients and families on post-discharge care, and ensuring compliance with Medicare/Medicaid