RN Case Manager

Elevate Your Nursing Career with Indiana's Premier Healthcare SystemJoin IU Health West in Avon, IN, and become a vital part of Indiana's largest and most comprehensive healthcare network. We are actively seeking a dedicated RN Case Manager to join our dynamic Case Management and Social Services team. This is an excellent opportunity to make a meaningful impact while enjoying a balanced Monday–Friday, day shift schedule with rotating weekends and holidays.At IU Health, we're committed to delivering exceptional patient care and supporting our team members' professional growth. As Indiana's top healthcare provider, we offer a comprehensive benefits package designed to promote your well-being and career development:Competitive 401(k) Retirement Plan with employer matchingTuition Reimbursement and ongoing educational supportStudent Loan Forgiveness Opportunities (per government program criteria)Employee Assistance Program with confidential, free counseling servicesHealthy Results Wellness Program with biweekly financial incentives for participationOpportunities for continuous learning and career advancement in a thriving health systemPosition Overview:As an RN Case Manager, you will play a pivotal role in coordinating seamless patient care from pre-admission through post-discharge. Working collaboratively with a multidisciplinary team, you will ensure that each patient receives personalized, appropriate care plans, timely discharges, and smooth transitions to post-acute services. Your responsibilities will include:Conducting thorough and timely discharge planning to optimize patient outcomesCollaborating with third-party payers to secure coverage and authorizationsEducating patients and families on preventive care, medication management, and community resourcesFacilitating effective communication among healthcare providers to ensure continuity of careQualifications: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.If you're ready to advance your nursing career in a supportive and dynamic environment, we encourage you to apply today!