Registered Nurse-Transitional Case Management

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!