<p>Job Description</p> <p>Overview</p> <p>Join Indiana's Leading Healthcare System: Exciting Career Opportunities at IU Health!</p> <p>IU Health is seeking a compassionate and dedicated Registered Nurse to join our Case Management Team at IU Fishers Hospital as a weekend only RN Case Manager. This role will work Saturday and Sunday, day, typically from 8:00 am to 4:30 pm. If you're a registered nurse looking to advance your career in a dynamic and supportive environment, we encourage you to apply today!</p> <p>Position Overview:</p> <p>As a Case Manager, you will coordinate and oversee patient care from pre-admission through post-discharge in collaboration with a multidisciplinary team. Your primary responsibilities will include:</p> <ul> <li>Assessing patient needs to determine appropriate levels of care and services </li><li>Facilitating seamless transitions to post-discharge care settings </li><li>Developing and executing effective discharge plans </li><li>Collaborating with insurance providers to secure appropriate coverage </li><li>Providing education and preventive care to patients </li></ul> <p>Qualifications:</p> <ul> <li>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. </li><li>Requires an active Registered Nurse (RN) license in the state of Indiana or an active Nurse Licensure Compact (NLC) RN license. </li><li>Certification in Case Management preferred. </li><li>Knowledge of InterQual Acute Level of Care Criteria and Federal guidelines outlining coverage of inpatient and outpatient hospital services, including observation is preferred. </li><li>Knowledge of Medicare/Medicaid, insurance and regulatory guidelines is preferred. </li><li>Ability to comprehend third party contractual arrangements is preferred. </li><li>Understanding of the third party denial and appeal process is preferred. </li><li>Requires knowledge of various software applications including Windows; Cerner; MCCM; and SMS. </li><li>3-5 years of experience required. </li><li>Requires strong clinical background in acute care. </li></ul>