RN Case Manager

apartment IU Health location_onIndianapolis, IN 46202, US

Overview

RN Case Manager at Riley Children's Health

Riley Children's Health, Indiana’s largest pediatric healthcare provider with over 50 locations across the state, is seeking an RN Case Manager to join our dedicated team. As one of the nation’s leading pediatric healthcare networks, we offer comprehensive care through a multidisciplinary approach that covers all aspects of pediatric health. Our reputation for excellence is affirmed by our status as Indiana's only pediatric research hospital and our ranking among the top hospitals nationally, as recognized by U.S. News & World Report.

Riley Children's Hospital in Indianapolis has an amazing opportunity for the right candidate. While prior pediatric experience is helpful, it is not a strict requirement. This part-time position works 3, 8-hour day shifts per week rotating Monday-Friday. If you are ready to advance your nursing career with Indiana's premier healthcare system, we encourage you to apply today!

Benefits: As part of our renowned healthcare system, both part-time and full-time employees enjoy a diverse benefits package, which includes:

Competitive compensation
Professional development opportunities
Tuition reimbursement
401(k) match
Paid medical leave
Health, dental, and vision insurance

Key Responsibilities: The RN Case Manager plays a critical role in planning and coordinating patient care from pre-admission through post-discharge. Responsibilities include:

Collaborating with a multidisciplinary team to assign appropriate levels of care.
Ensuring patients receive necessary services and are transitioned smoothly to the right post-discharge care.
Conducting timely and effective discharge planning.
Coordinating with third-party payers to secure coverage.
Implementing educational and preventive programs for patients.

Qualifications:

Associate's Degree in Nursing required. New ASN RNs hired after January 1, 2013, will be required to complete their BSN within 5 years of hire date.
Requires an active Registered Nurse (RN) license in the state of Indiana or an active Nurse Licensure Compact (NLC) RN license.
Certification in Case Management preferred.
Knowledge of InterQual Acute Level of Care Criteria and Federal guidelines outlining coverage of inpatient and outpatient hospital services, including observation is preferred.
Knowledge of Medicare/Medicaid, insurance and regulatory guidelines is preferred.
Ability to comprehend third party contractual arrangements is preferred.
Understanding of the third party denial and appeal process is preferred.
Requires knowledge of various software applications including Windows; Cerner; MCCM; and SMS.
3-5 years of experience required.
Requires strong clinical background in acute care.

Join us at Riley Children's Health, where your expertise will help shape the future of pediatric care!

Share this job

Related Jobs

Part-time

Acute Rehab Unit Registered Nurse (Night Shift/Part Time)

apartment Riverview Health location_onNoblesville, IN

Job Summary Acute Rehab Unit Registered Nurse (Night Shift) provides direct nursing care to patients with temporary, progressive or permanent physical disabilities, trauma and or chronic illness. Working together with a multidisciplinary team, the Rehab nurse through careful assessment creates and implements a plan of care, and interventions to assist patients in adapting to an altered lifestyle, and to attain and maintain maximum function while providing a therapeutic environment for both the patients and their family members development. Schedule: 2,12-hour shifts, 5pm-5:30am. Job Responsibilities The Staff Nurse, Acute inpatient Rehab services, is a Nurse that provides direct nursing care to patients with temporary, progressive or permanent physical disabilities, trauma and or chronic illness. Create and implement a written plan of care that addresses the specific needs and goals of each individual patient, making referrals to other professional services as required. Modifies the plan of care based on reassessment of the patient including observed patient response to treatment/care and evaluation of patient's progress toward goal completion and delegates tasks to team members, as appropriate within their scope of practice. Observe, document, address, and implement planned interventions/care, communicating the plan to all members of the team through accurate and timely documentation in the electronic medical record and, when needed, through verbal reports. Documents accurate patient information in compliance with policies and regulatory requirements. Provide patient care through the performance of selective procedures that include but are not limited to IV starts and restarts, blood administration and phlebotomy tasks, answering call lights and serving as testing personnel under CLIA1988 regulations as they relate to point of care testing. Administer medications, accurately and timely according to physician orders and organizational policy and procedure. Maintains knowledge of medication actions and side effects, recognizing allergic reactions and documenting patients’ response to drugs. Successfully transition patients, communicating the most current plan of care, through walking rounds and providing accurate, timely report to incoming staff. Advise physicians, other disciplines, family/significant others of changes in patient's condition or abnormal findings. Communicate clearly and concisely. Provide clear, specific educational and discharge information to each patient and/or patient family member. May precept new employees and oversee other members of the care team. Other duties as assigned. Education Requirements Minimum: Graduate from an accredited school of nursing by date of hire to the position. Preferred: BSN Experience Requirements Minimum: None Preferred: One year as a Licensed Nurse in a hospital setting. License/Certification Requirements Minimum: Nursing license in the state of Indiana by date of hire to the position Advanced Cardiac Life Support within 6 months of hire (American Heart Association) Basic Life Support (American Heart Association) Preferred: Certification in Rehab/CRRN, QI Credentialed

Med-Surg

Part-time

Registered Nurse- Medical/Surgical, Part-Time Noc, Weekend Option

apartment Riverview Health location_onNoblesville, IN

This position is eligible for $2,500 sign on bonus. Friday/Saturday nights Job Summary The Registered Nurse in the Medical and Post-Surgical Units provides direct nursing care to patients through assessment, the creation of individualized plans of care, and implementation, coordination, and delivery of care within the hospital system. Job Responsibilities Creates, and implements, a written plan of care that addresses the specific needs and goals of each individual patient, making referrals to other professional services as required. Modifies the plan of care based on reassessment of the patient including observed patient response to treatment/care and evaluation of patient's progress toward goal completion and delegates tasks to team members, as appropriate within their scope of practice. Observes, documents, addresses, and implements planned interventions/care, communicating the plan to all members of the team through accurate and timely documentation in the electronic medical record and, when needed, through verbal reports. Documents accurate patient information in compliance with policies and regulatory requirements. Provides patient care through the performance of selective procedures that include but are not limited to IV starts and restarts, blood administration and phlebotomy tasks, answering call lights and serving as testing personnel under CLIA1988 regulations as they relate to point of care testing. Administers medications, accurately and timely according to physician orders and organizational policy and procedure. Maintains knowledge of medication actions and side effects, recognizing allergic reactions and documenting patients’ response to drugs. Successfully transitions patients, communicating the most current plan of care, through walking rounds and providing accurate, timely report to incoming staff. Advises physicians, other disciplines, family/significant others of changes in patient's condition or abnormal findings. Communicates clearly and concisely. Provides clear, specific educational and discharge information to each patient and/or patient family member. May precept new employees and oversee other members of the care team. Other duties as assigned. Education Requirements Minimum: Graduate from an accredited school of nursing by date of hire to the position. Preferred: BSN Experience Requirements Minimum: None Preferred: one (1) year as a Registered Nurse in a hospital setting. License/Certification Requirements Minimum: Registered Nurse License eligible to practice in the state of Indiana Basic Life Support (BLS) - American Heart Association Advanced Cardiac Life Support (ACLS) through AHA within six (6) months of hire Specialty - Telemetry within six (6) months of hire Preferred: Certification in Medical Surgical Care, Orthopedics or Chemotherapy

Full-time

Registered Nurse Emergency

apartment Riverview Health location_onNoblesville, IN

Job Summary The Registered Nurse, Emergency Department is responsible for handling initial patient assessments, performing laboratory work, point of care testing and administrative tasks associated with the delivery of patient care. The Emergency Department Registered Nurse collaborates with physicians regarding discharge plans, creates and educates patients upon discharge from the Emergency Department and works effectively in transferring patients who are admitted to the hospital. Job Responsibilities Triages patients who present to the Emergency Department, prioritizing care based on the critical nature and severity of a patient’s condition. Assesses patient condition through visual evaluation, medication reconciliation, and vital sign measurements such as: blood pressure reading pulse rate, respiration, and temperature throughout the course of a patient’s stay in the Emergency Department. Administers medication and assists with medical procedures as prescribed by the treating physician. Monitors patients for changes in condition and communicates timely and effectively with those involved in the welfare, care or treatment of the patient in compliance with applicable policies and regulations. Partners with other members of the patient care treatment team in the provision of procedures, interventions, discharge or admission processes. Charts all patient medical history, contact information, condition, medications, and treatment as well as update the electronic medical record throughout the patient stay in the Emergency Department. Charting is accurate and consistent with applicable department and organization standards. Discharges patients from the Emergency Room post treatment. Completes discharge instructions, educates the patient and/or caregiver ensuring understanding of the instructions, answers questions, and confirms transportation from the Emergency Department. Other duties as assigned or required. Education Requirements Minimum: Graduate of an accredited Registered Nurse Program by date of hire. Experience Requirements Minimum: Two (2) years of Critical Care experience. Preferred: Two (2) years of Emergency Department experience. License/Certification Requirements Minimum: American Heart Association Certifications of: Basic Life Support (BLS) – upon date of hire Advanced Cardiac Life Support (ACLS) – within 90 days of hire or transfer to position Pediatric Advanced Life Support (PALS) – within 90 days of hire or transfer to position Registered Nurse – licensed to practice in the state of Indiana upon hire date Preferred: CEN, TNCC, ENPC, NRP

Full-time

Registered Nurse Emergency

apartment Riverview Health location_onNoblesville, IN

ICU

Per Diem

RN Critical Care - PRN

apartment Riverview Health location_onNoblesville, IN

Job Summary The Critical Care staff RN provides direct and indirect care to patients through assessment, plan of care creation and implementation and coordination with other care providers within the hospital system. This position provides guidance of support to personnel and guides nursing care in the critical care departments. Job Responsibilities : Creates, and implements, a written plan of care that addresses the specific needs and goals of each individual patient, making referrals to other professional services as required. Modifies the plan of care based on reassessment of the patient including observed patient response to treatment/care and evaluation of patient's progress toward goal completion and delegates tasks to team members, as appropriate within their scope of practice. Observes, documents, addresses, and implements planned interventions/care, communicating the plan to all members of the team through accurate and timely documentation in the electronic medical record and, when needed, through verbal reports. Documents accurate patient information in compliance with policies and regulatory requirements. Assist with medical procedures as prescribed by the treating physicians. Maintain working knowledge of equipment and procedures utilized in critical care setting. Administers medications, accurately and timely according to physician orders and organizational policy and procedure. Maintains knowledge of medication actions and side effects, recognizing allergic reactions and documenting patients’ response to drugs. Successfully transitions patients, communicating the most current plan of care, through walking rounds and providing accurate, timely report to incoming staff. Advises physicians, other disciplines, family/significant others of changes in patient's condition or abnormal findings. Communicates clearly and concisely. Provides clear, specific educational and discharge information to each patient and/or patient family member. May precept new employees and oversee other members of the care team. Attends department meetings. Education Requirements: Minimum: Associate of Science from an accredited school of nursing by date of hire to the position. Preferred: Bachelor of Science in Nursing Experience Requirements: Minimum: One (1) year critical care/progressive care experience Preferred: Two (2) years License / Certification Requirements: Registered Nurse license valid to practice in Indiana Basic Life Safety (American Heart Association) Advanced Cardiac Life Support within six (6) months of hire into the position (AHA)