RCS- Clinical Manager- Denial Management

Indiana University Health is unlike any other healthcare system and 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 motivated to do their best every day. People who are always ready to apply themselves. As one of Indiana's largest employers, our vision is to lead the transformation of healthcare through quality, innovation, and education, and make Indiana one of the nation's healthiest states.

This is a hybrid role reporting to our Shadeland Ave office 2-3 times per month. Ideal candidates will have a strong background in utilization management or clinical denials, as well as payer knowledge.

This position is responsible for leading Revenue Cycle clinical operations in order to support IU Health's clinical practice disciplines and ensuring optimal reimbursement for services provided. Provides departmental administrative decision making, leadership, and strategic planning, including the efficient and productive use of personnel and other financial resources. Ensures high quality standardized work processes that result in consistent outcomes that compare favorable with relevant national benchmarks. The incumbent must possess strong subject matter expertise and leadership in order to support a diverse and complex operative environment.

As part of an award-winning hospital system, our part-time and full-time team members have access to a comprehensive benefits package, which includes, Competitive pay, Development opportunities, Tuition reimbursement, Matching 401k, Paid medical leave, and health, dental and vision insurance. 

• Requires an Associate's Degree in Nursing. Bachelor's Degree in Nursing preferred.
• Requires an active Registered Nurse (RN) license in the state of Indiana or an active Nurse Licensure Compact (NLC) RN license.
• Requires that the RN has graduated from a nationally accredited nursing program.
• Requires 5-7 years of relevant experience.
• Experience in leadership is required. Management is preferred, but team lead, supervisor or coordinator roles are also accepted.
• Experience in Utilization, Case, or Denial Management is strongly preferred.

#LI-FR1

• Indiana University Health has nearly 40,000 team members, including more than 3,600 physicians and 1,200 advanced practice providers, and we’re home to the largest nursing network in Indiana with more than 9,000 nursing team members at over 800 sites of care.
• IU Health is ranked No. 1 in Indiana by U.S. News & World Report, Riley Children's Health is ranked among the top children's hospitals in the country by U.S. News & World Report.
• A unique partnership with the Indiana University School of Medicine – one of the nation’s largest medical schools – gives patients access to groundbreaking research and innovative treatments, and it offers team members access to the latest science and the very best training – advancing healthcare for all.
• With 15 hospitals, including seven with Magnet designation and eight with Pathways to Excellence designation, our team members are leading the way through excellence.
• At Indiana University Health, your personal and professional growth is a top priority. You will have access to many diverse opportunities to learn and develop in meaningful ways that matter most to you, such as advanced clinical training, leadership development, promotion opportunities and cross training development.
• Indiana University Health is invested in the lives of Hoosiers, leading the transformation of healthcare to make Indiana one of the nation’s healthiest states.