Job Description
Job Title: Registered Nurse - Transitional Case Management
Location: IU Health Arnett
Schedule: Monday – Friday, Day Shift, Hybrid Remote (25-50% in office requirement)
Position Summary:
IU Arnett Hospital is seeking a dedicated and experienced Registered Nurse - Transitional Case Management to join our team. In this pivotal role, you will coordinate care for high-risk patients post-discharge, with a focus on reducing readmissions and ensuring seamless transitions across care settings. This position offers an excellent opportunity to make a meaningful impact on patient outcomes through comprehensive discharge planning, patient education, and collaborative care management.
Key Responsibilities:
- Collaborate with multidisciplinary teams to develop and implement individualized care plans for patients from pre-admission through post-discharge.
- Identify high-risk patients and implement targeted interventions to prevent readmission, ensuring smooth transitions of care.
- Conduct thorough phone triage to assess patient needs, provide education, and coordinate necessary services.
- Demonstrate strong problem-solving skills by identifying barriers, collaborating on solutions, offering alternatives, and following up to ensure resolution.
- Utilize positive reinforcement techniques by recognizing patient achievements, encouraging progress, and providing specific praise to foster engagement.
- Ensure patients are appropriately assigned to the correct level of care and receive necessary services, including post-discharge support and follow-up.
- Perform accurate, timely discharge planning and documentation, facilitating effective communication with patients, families, and healthcare team members.
- Demonstrate accountability and follow-through by providing timely reminders, ensuring the delivery of necessary materials, and maintaining ongoing patient engagement.
- Work with third-party payers to secure coverage and approvals, ensuring financial clearance for services.
- Administer patient education and prevention programs to promote health and wellness.
- Monitor, evaluate, and modify care plans as necessary to optimize patient outcomes.
- Maintain compliance with medical record documentation, healthcare regulations, and organizational policies.
Qualifications:
- Requires an Associates of Nursing (ASN).
- Bachelors of Nursing (BSN) 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.
- Minimum of 3-5 years of relevant experience, preferably in ambulatory care, home health, or care management.
- Phone triage experience is preferred.
- Requires Basic Life Support certification through the AHA.
- Other advanced life support certifications may be required per unit/department specialty according to patient care policies.
- Requires proficiency in Microsoft Office and applications.
- Requires understanding of medical record requirements, regulations and policies.
Skills and Competencies:
- Excellent communication, organizational, and critical-thinking skills.
- Proven problem-solving skills, including the ability to:
- Identify barriers
- Collaborate on solutions
- Offer alternatives
- Follow up effectively
- Ability to utilize positive reinforcement strategies:
- Recognize achievements
- Encourage progress
- Provide specific praise
- Demonstrated accountability and follow-through:
- Provide reminders
- Ensure materials are delivered
- Maintain ongoing engagement with patients
Why Join IU Ball Memorial Hospital?
At IU Health, we are dedicated to providing outstanding patient care and fostering a collaborative, supportive work environment. This role offers a rewarding opportunity to make a meaningful difference in patients’ lives while advancing your nursing career. Join our team and be part of a community committed to excellence, innovation, and compassionate care. Apply today, we would love to hear from you!
