Overview

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Organization Description

As an employee of Indiana’s most comprehensive health system, we are excited to support team members who are inspired by challenging and meaningful work for the good of every patient. People who are compassionate and serve with a purpose. People who aspire to excellence every day. Your personal and professional growth is our top priority.

Employer Description

IU Health is invested in the lives of Hoosiers, leading the transformation of healthcare to make Indiana one of the nation’s healthiest states.

Job Description

The pediatric case manager plan and coordinates care for patients from admission through post-discharge by working collaboratively with the multidisciplinary team. Ensures patients are assigned the appropriate level of care, receives the necessary services, and transitioned to the appropriate level of care post-discharge. Performs accurate, timely and effective discharge planning for patients. Works with payers and/or IU Health revenue cycle to ensure coverage. Provides education and support to patients/caregivers.

This position is part of the Integrated Care Management department that includes MSW Social Workers and CM Consultants. This is not a traditional “weekend option” due to PTO and remote flexibility. Position does offer $4.5/hr premium, 6a-6p with every other Sunday remote!

• 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.

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