RN Case Manager
Company: Indiana University Health
Posted on: January 25, 2023
Overview IU Health has an outstanding opportunity available for
a Case Manager to join our team!An RN 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 appropriate services and are
transitioned to the appropriate post-discharge level of care.
Performs accurate, timely and effective discharge planning for
patients. Works with third party payers to ensure coverage.
Administers education and prevention programs. 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 current state of Indiana license as a Registered Nurse.
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.LI-SL1REQNUMBER:
Keywords: Indiana University Health, Bloomington , RN Case Manager, Executive , Bloomington, Indiana
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