Req : 177289
Summary
Position eligible for a sign-on bonus for those who qualify
Summary: Continuously evaluates the quality, care, treatment and outcomes of complex patient populations. Collaborates with the patient/family and caregivers to facilitate necessary resources and options for post-discharge services to support a safe discharge. Provides consultation with physicians and other members of the interdisciplinary healthcare team to facilitate patient progression to discharge. Ensures clinical documentation supports medical necessity criteria and meets regulatory requirements. Communicates the clinical status of patients related to medical necessity criteria to the physician advisor (internal or external) and/or the Inpatient Care Transitions leadership team as needed. Monitors length of stay and documents avoidable days for delay of discharge. Reviews payer source for potential negative financial liabilities to the patient.
Education: Bachelor of Science in Nursing (BSN) required.
Licensure/Certification: Valid Indiana Registered Nurse license required. Certification in Case Management highly desirable.
Experience: Required at least 2 years of experience in acute care setting. Preferred experience in Case Management activities. Preferred experience or knowledge of InterQual criteria.
Other Qualifications: Demonstrates knowledge of DRGs managed care initiatives, payment methods, and statistical analysis. Demonstrates competency at completion of InterQual training program and ongoing Inter-reliability testing. Demonstrates understanding of managed care concepts. Demonstrates ability to engage in complex clinical decision-making. Demonstrates a strong commitment to interdisciplinary collaboration and communication. Demonstrates critical thinking and analysis and conflict resolution skills. Must have good verbal and written communication skills. Must have excellent people skills and the ability to problem solve efficiently and effectively. Must be available to work flexible hours, including weekends and other times when deemed necessary.
Be your best. Be a Parkview nurse.
You wanted to help others, so you chose a career in nursing. Now choose the health system that can help you be your best Parkview. We re the healthcare leader in northeast Indiana, with 10 hospitals, Magnet status and everything you need to launch or grow a great career in nursing. Our team, comprised of over 13,000 co-workers, is dedicated to improving the health and inspiring the well-being of individuals and families in communities throughout northeast Indiana and northwest Ohio.
Great compensation and benefits.
At Parkview, we provide a Total Rewards program that includes great compensation and benefits, a work/life balance and learning opportunities to enhance your career and personal life.
- Compensation Great compensation package, sign-on bonus (Up to $40,000 for critical needs areas), relocation bonus
- Benefits Competitive benefit discounts and plan flexibility through Signature Care PPO network, Parkview Employee Assistance Program, Parkview Workplace Wellness
Tuition Assistance If you want to go back to school, whether for personal or professional reasons, Parkview wants to help. We offer tuition assistance to any eligible co-worker after just six months of continuous employment with Parkview.
Student Loan Payback Program Have large student loans to pay back? As a Parkview nurse, you re eligible to receive student loan payback dollars from Parkview.
Nursing Residency Program - At Parkview we offer an environment focused on personal and professional growth, while supporting our nurses as they transition from student to professional nurse. Our Nurse Residency Program is designed to give you the confidence and skills you need to grow a successful career, providing excellent care to every person, every day.
Creative employment opportunities.
Parkview Travel Program We understand there are many seasons in life, and your career should reflect your desire to grow when and where it s right for you. That s why our Travel RN program offers assignments lasting three to nine months, giving you the opportunity to expand your career while also providing the flexibility you desire.
Parkview RN Hotel Program We know the thought of relocating to a new community can be a hard decision. Parkview offers lodging assistance to RNs who live over 50 mile from their Parkview hospital location allowing you to see what it s like to be part of our team before relocating to northeast Indiana.
A culture that just feels right.
At Parkview, we are known for our quality of care, innovation and collaboration among all care team members. Our culture can be seen and felt when walking through our front door and continues into the clinical care areas and administrative offices. Our nurses and leadership display shared values, friendliness, genuine compassion and a dedication to providing excellent care to every person, every day. But this caring continues beyond our doors as well. As a mission-driven, not-for-profit health system, Parkview also gives back to the community. Each year, we sponsor numerous outreach initiatives to address the health priorities of our region. Because at Parkview, we believe in better not just for patients, but for the entire community.