Overview

Exciting opportunity for an RN Case Manager at Riley Children's Health!

Riley Children's Health, Indiana's leading provider of pediatric healthcare, boasts over 50 locations throughout the state. As a trusted authority in child-centric healthcare, our multidisciplinary team of pediatric primary care professionals and specialists is committed to offering comprehensive care across all facets of pediatric health. We are home to Indiana's only pediatric research hospital and have earned recognition as one of the country's top hospitals by U.S. News & World Report. Our esteemed collaborations with the Indiana University School of Medicine, the Indiana University School of Nursing, and the Indiana University School of Health and Human Sciences place us among the top 10 sites in the U.S. for pediatric health research, attracting significant funding for biomedical research annually.

We are thrilled to invite applications for the position of RN Case Manager at Riley Children's Hospital in Indianapolis. While prior pediatric experience is beneficial, it is not mandatory. This weekend role requires working two 12-hour shifts on Saturdays and Sundays, offering flexible start times. Following the training period, there is the potential for remote work every other Sunday. This position is also fully benefit eligible! If you are looking to elevate your nursing career within Indiana's top healthcare system, we warmly invite you to apply!

Why Choose IU Health?

As Indiana's largest and most comprehensive healthcare system, recognized as the top healthcare provider in the state, we offer an array of benefits, including:

• 401(K) retirement savings plan with employer matching
• Tuition reimbursement opportunities
• Student loan forgiveness program – A government initiative that may allow eligible participants to have their student loans reduced or forgiven after meeting certain criteria.
• Employee Assistance Program – Access to free counseling services
• Healthy Results – Participate in our wellness programs to earn biweekly financial incentives based on your engagement!

Key Responsibilities:

• Plan and coordinate patient care throughout the continuum, from pre-admission to post-discharge, in collaboration with a multidisciplinary team.
• Ensure patients receive the appropriate level of care, access essential services, and transition smoothly to post-discharge care.
• Perform accurate and timely discharge planning for all patients.
• Liaise with third-party payers to facilitate coverage and reimbursement.
• Implement educational programs and preventive care initiatives 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.

Start your career at IU Health and make a difference in patient care today!

We are an equal opportunity employer and value diversity and inclusion at IU Health. IU Health does not discriminate on the basis of race, color, religion, sex, sexual orientation, age, disability, genetic information, veteran status, national origin, gender identity and/or expression, marital status or any other characteristic protected by federal, state or local law. We will ensure that individuals with disabilities are provided reasonable accommodation to participate in the job application or interview process, to perform essential job functions, and to receive other benefits and privileges of employment. Please contact us to request accommodation.