Registered Nurse-Transitional Case Management

IU Health • Lafayette, IN

1d • Hybrid

About The Position

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.

Requirements

• Requires an Associates of Nursing (ASN).
• 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.
• 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.

Nice To Haves

• Bachelors of Nursing (BSN) preferred.
• Phone triage experience is preferred.

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.

Benefits

• 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.

What This Job Offers

• Job Type: Full-time
• Career Level: Mid Level
• Education Level: Associate degree