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Indiana University Health

Pediatric Case Manager GI

Riley Hospital
Date Posted
19 May, 2022
Schedule & Shift
Full Time
Day
Requisition Number
330727
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Pediatric Case Manager GI

Job Description

Overview

Looking to build your career at a growing company? Apply now - we can't wait to hear from you!

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 model allows the RN Case Manager to work collaboratively with their social work counterpart to work an effective discharge plan, while the consultant provides support to both disciplines.

One day a week remote offered with little to no after hours or weekend coverage.  While this position is offered at full time would consider part time for those interested.

 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-SL1

 

Safeguarding our patients and each other is an important part of how we deliver the best care possible to the communities we serve. As a condition of employment, IU Health requires all new hires to receive various vaccinations, including the influenza and COVID-19 vaccines, barring an approved exemption. New hires will also be provided the option to submit proof of previous vaccination.

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.

Qualifications for the Pediatric Case Manager GI Role

Overview

Looking to build your career at a growing company? Apply now - we can't wait to hear from you!

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 model allows the RN Case Manager to work collaboratively with their social work counterpart to work an effective discharge plan, while the consultant provides support to both disciplines.

One day a week remote offered with little to no after hours or weekend coverage.  While this position is offered at full time would consider part time for those interested.

  • qualifications__list
     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-SL1

Job Page Content image

Indiana University Health is Indiana’s most comprehensive health system, with 16 hospitals and more than 34,000 team members serving Hoosiers across the state. Our partnership with the Indiana University School of Medicine gives our team members access to the very latest science and the very best training, advancing care for all. We’re looking for team members who share the things that matter most to us. People 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. People who are always ready to apply themselves.

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