CASE MANAGER RN - BURN

HHC•Indianapolis, IN

About The Position

The Case Manager RN – Burn manages patients’ plans of care, monitors appropriate resource utilization, and coordinates discharge planning. The role serves as an overall coordinator of care and patient advocate, collaborating with physicians, nursing, social work, the interdisciplinary team, and patients and families to provide efficient, quality care. It supports Eskenazi Health’s mission to advocate, care, teach, and serve, with particular emphasis on Marion County’s vulnerable population, and models the organization’s values of professionalism, respect, innovation, development, and excellence. The position coordinates care across the continuum, identifies and resolves barriers to treatment and discharge, and helps reduce length of stay and resource consumption. It assesses patients’ medical, social, and financial needs through interviews and other relevant sources; develops and monitors action-oriented care plans; and documents avoidable days and quality indicators as appropriate. The role also conducts or oversees initial admission reviews within 24 hours, evaluates funding and financial barriers, addresses payer denials when appropriate, and educates care teams about payer sources and discharge planning. The Case Manager RN oversees discharges for assigned patients and works closely with Social Work to arrange post-acute services, home health care, and durable medical equipment. Eskenazi Health is a 327-bed public hospital with outpatient facilities and health center sites throughout Indianapolis. Its programs include Indiana’s first verified adult burn center and first adult Level I trauma center.

Requirements

Current Indiana RN license.
At least 2 years of health care experience.
Knowledge of case management, patient education, and managed care processes.
Effective communication skills and knowledge of disease processes and normal growth and development across all age groups to understand patient symptoms.
Interpersonal, written and verbal communication, and negotiation skills.
Diplomacy, flexibility, and professionalism.
Ability to network cohesively with the interdisciplinary team.

Nice To Haves

2 years of clinical nursing experience preferred.

Responsibilities

Contribute to Eskenazi Health’s mission and model its organizational values.
Coordinate patient care with Social Work, physicians, the interdisciplinary team, nursing, and patients and families.
Manage each assigned patient’s plan of care, monitor resource utilization, and coordinate discharge planning.
Advocate for patients and deliver quality, efficient health care.
Coordinate care across the continuum and maintain communication to support timely progression through the plan of care.
Identify and resolve problems that impede diagnostic or treatment progress and proactively address discharge delays.
Use conflict resolution, critical thinking, and negotiation to resolve issues and identify strategies to reduce length of stay and resource consumption.
Interview patients and use other relevant sources to assess individual medical, social, and financial needs and develop a comprehensive care plan.
Collaborate with Transition Support Leadership and the Physician Advisor on cases requiring special intervention.
Document avoidable days, quality indicators, case management processes, and discharge-planning information as appropriate.
Participate in creating action-oriented, time-specific plans of care and continually reassess patients for changes requiring a clinical pathway, revised care plan, or change in care acuity.
Conduct or oversee initial admission reviews using appropriate criteria within 24 hours of hospital admission to assess level-of-care appropriateness and timely treatment-plan implementation.
Educate physicians, the interdisciplinary team, and nursing about payer sources and their role in discharge planning.
Communicate as needed with on-site private-payer or managed-care case managers and address private-payer denials as appropriate.
Evaluate each patient’s active funding and work with Financial Counseling or Med Assist to initiate appropriate funding applications.
Address financial barriers to health care or medical compliance with patients and families when indicated.
Oversee discharges for assigned patients and collaborate closely with Social Work on discharge planning.
Facilitate discharge to post-acute services, including LTACs, skilled nursing facilities, and nursing homes, and arrange for home health care and durable medical equipment.