Job Description Overview Elevate Your Career with Indiana's #1 Healthcare System! IU Health West, located in Avon, IN, is currently seeking a Supplemental RN Case Manager to join our Case Management and Social Services team. This role offers the opportunity for day shift work that includes some weekends. Position Overview: As a Case Manager, you will be responsible for planning and coordinating patient care from pre-admission to post-discharge. Collaborating closely with a multidisciplinary team, you will ensure that patients are assigned the appropriate level of care, receive necessary services, and are smoothly transitioned to their post-discharge plans. Your duties will include: * Performing accurate and timely discharge planning. * Liaising with third-party payers to secure coverage. * Administering education and preventive care programs for patients. Qualifications: * 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!