Registered Nurse-Transitional Case Manager

Job description

Job Title: Registered Nurse - Ambulatory Case Manager Location: IU Ball Memorial Hospital: Schedule: Monday – Friday, Day Shift, Onsite Position Summary: IU Ball Memorial Hospital is seeking a dedicated and experienced Registered Nurse - Ambulatory Case Manager 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. Qualifications: - 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 ensur...