Sign up to access all features of our service.
  • Job search
  • Favorites
  • Create a CV
    New
  • Salaries
  • Subscriptions

Case Mgmt Specialist - BSN

Parkview North Hospital

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.

Vacancy posted 5 days ago
Similar jobs that could be interesting for youBased on the Case Mgmt Specialist - BSN in Fort Wayne, IN vacancy
  •  ...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... 
    Suggested
    Flexible hours

    Parkview Health

    Fort Wayne, IN
    4 days ago
  •  ...continuous process improvement as related to care coordination and case management. Works collaboratively with the health care team to...  ...yearly appraisals. Education Bachelor of Science in Nursing (BSN) required. Licensure/Certification Must be an RN with... 
    Suggested
    Flexible hours
    Weekend work

    Parkview North Hospital

    Fort Wayne, IN
    4 days ago
  • $250k

     ...Support You Deserve At Indian Creek Veterinary Hospital, we believe specialists should be empowered, not micromanaged. That’s why we’re...  ...thriving Internal Medicine department Diagnose and manage complex cases across a wide range of conditions Collaborate with our surgical... 
    Suggested
    Full time
    Private practice
    Local area
    Flexible hours

    Indian Creek Veterinary Hospital

    Fort Wayne, IN
    12 days ago
  •  ...Eligibility Specialist Working Lead Knowledge Services has an opportunity with the FSSA/Division of Family Resources as an Eligibility...  ...to Eligibility Specialist staff Provide training support for case reviews for Eligibility Specialist staff Provide coaching... 
    Suggested
    Work at office
    Local area
    Immediate start

    Knowledge Services

    Fort Wayne, IN
    3 days ago
  • $78.48k

     ...Federal Services Unit and is seeking a proven Senior Marketing Specialist with strong proposal experience supporting environmental remediation...  ...States will vary based on country statutory law but in no case, will the background check precede an interview. CDM Smith will... 
    Suggested
    Full time
    Contract work
    H1b
    Work at office
    Remote work
    Overseas

    CDM Smith

    Fort Wayne, IN
    2 days ago
  •  ...This position, under the leadership of the Dr. Bill Lewis Center manager and the COO, will assist in the case coordination, data management using NCAtraks. This person will also conduct Forensic Interviews half of their time. Essential Functions Create and maintain... 
    Work at office
    Afternoon shift

    Iris Family Support Center

    Fort Wayne, IN
    3 days ago
  •  ...mobility enhancement, strength building, balance improvement, and functional restoration Cooperate closely with nurses, physicians, case managers, and multidisciplinary rehab teams to maximize patient outcomes Guide patients and their families in understanding... 
    Local area

    MLee Medical Employment

    Fort Wayne, IN
    5 days ago
  •  ...Job Description Job Title: Legal Specialist Job Type: Contractor Location: Remote Job Summary: Join our customer's team as an expert Legal...  ...to optimize business outcomes while managing risk. Analyze cases and perform in-depth legal research to provide actionable insights... 
    Contract work
    For contractors
    Remote work

    Micro1

    Fort Wayne, IN
    2 days ago
  •  ...COVID-19, etc. Any requests to be exempted from these requirements will be reviewed by Datavant Human Resources and determined on a case-by-case basis. Depending on the state in which you will be working, exemptions may be available on the basis of disability, medical... 
    Full time
    Work experience placement
    Work at office

    Datavant

    Fort Wayne, IN
    5 days ago
  •  ...Focuses on quality, cost effective outcomes for nursing, patients, and the organization. Education Bachelor of Science in Nursing (BSN) required. MSN preferred. Licensure/Certification Must have a valid Indiana RN license. Professional nursing certification... 

    Parkview Health

    Fort Wayne, IN
    2 days ago
  • $51.48k

     ...others (as well as yourself)? Position: Out of School Youth (OSY) Specialist Location: Brightpoint, IN (Adams, Allen , Wells)...  ...___________________________ JOB DUTIES Provide one-on-one case management. Perform initial client assessment with emphasis on... 
    Temporary work
    Work at office
    Monday to Friday
    Weekend work
    Afternoon shift

    Children's Home + Aid

    Fort Wayne, IN
    1 day ago
  •  ...JOB SUMMARY The Youth Evolvement ISY Specialist is responsible for recruiting, enrolling, and supporting eligible youth to achieve...  ...readiness, and long-term self-sufficiency. This position provides case management, career guidance, and program coordination in... 
    Apprenticeship
    Work experience placement
    Internship
    Work at office

    Children's Home + Aid

    Fort Wayne, IN
    2 days ago
  •  ...domains in the interest of national security. Job Title: Senior Specialist, Electrical Engineering Job Code: 37143 Job Location: Fort...  ...for electrical work products Experience performing Worst Case Circuit analysis Experience with DOORs, SPICE, MathCAD,... 
    Local area

    L3Harris Technologies

    Fort Wayne, IN
    4 days ago
  •  ...therapy interventions that enhance mobility, strength, balance, and overall function. Work collaboratively alongside nurses, doctors, case managers, and interdisciplinary teams to achieve optimal patient outcomes. Provide education to patients and families about... 
    Local area
    Immediate start
    Flexible hours

    MLee Medical Employment

    Fort Wayne, IN
    4 days ago
  •  ...interventions aimed at improving mobility, strength, balance, and overall functionality Engage in teamwork with nurses, physicians, case managers, and other rehabilitation professionals to enhance patient outcomes Inform patients and their families about therapeutic... 
    Local area
    Immediate start
    Flexible hours
    Weekend work

    MLee Medical Employment

    Fort Wayne, IN
    5 days ago
  •  ...Research marketing and advertising trends in the recruiting industry. The Recruitment Marketing Performance & Optimization Associate Specialist Skillbridge trainee will support Maximus recruitment marketing teams by improving performance visibility, data accuracy, and... 
    Minimum wage
    Full time
    Contract work
    Temporary work
    Traineeship
    Work experience placement

    Maximus

    Fort Wayne, IN
    3 days ago
  • $53.5k - $96.3k

     ...a job opportunity that seems suspicious. The Role at a Glance We are looking for a detail-oriented, experienced Project Support Specialist , committed to continuous improvement supporting the RPS Operations Plan Level Services team in a work from home environment. Background... 
    Work experience placement
    Remote work
    Work from home
    Flexible hours

    Lincoln Financial Group

    Fort Wayne, IN
    1 day ago
  • $25 - $35 per hour

     ...Job Description Job Description Journeyman Plumber – Residential Specialist Company: Stivey's Plumbing Location: Office in Hamilton, IN | Service Area: 50 mile radius of Hamilton, majority of work done in Fort Wayne / Allen County Job Type: Full-Time... 
    Hourly pay
    Full time
    Apprenticeship
    Work at office
    Local area

    Stiveys plumbing

    Fort Wayne, IN
    29 days ago
  • Summary Summary Reporting to PPG Call Center Manager and working in the Centralized Refill group, assists patients with medication management, refills and other duties as assigned. Works with other teams within the Access Center, to include the PPG Schedulers...
    Internship

    Parkview Health

    Fort Wayne, IN
    3 days ago
  •  ...graduate of a respiratory therapy program.   Must have successfully completed the Registered Respiratory Therapist and Perinatal Specialist Exam (NPS Credential) administered by the National Board for Respiratory Care (NBRC). New hires into this position have one year... 
    Relocation package

    Parkview Health

    Fort Wayne, IN
    1 day ago
  • $13.5 - $14 per hour

     ...community! Responsibilities The Jorgensen Family YMCA is seeking an enthusiastic and attentive part-time Membership Enrollment Specialist to guide prospective members through the enrollment process, give tours, and foster relationships that connect them to the YMCA,... 
    Hourly pay
    Part time
    Flexible hours

    YMCA of Greater Fort Wayne

    Fort Wayne, IN
    11 days ago
  •  ...technology solutions connecting the space, air, land, sea and cyber domains in the interest of national security. Job Title: Specialist, Program Finance Job Code: 35997 Job Location: Fort Wayne, IN Job Schedule: 9/80 Job Description: The Spectral Solutions... 
    Local area

    L3Harris

    Fort Wayne, IN
    5 days ago
  •  ...customers, and we are looking for a talented Travel Planner to join our team as a remote employee.Job DescriptionAs a Destination Specialist, you will be responsible for designing and organizing travel itineraries for our clients. You will work closely with our clients... 
    Remote work

    Next Stops travel

    Fort Wayne, IN
    1 day ago
  • Summary Responsible for age appropriate exercise selection and programming for PSM's 31 partnered schools and 10 youth sports clubs. Organizes, implements, and supervises large group training sessions which may include adult fitness classes, medical fitness classes ...

    Parkview North Hospital

    Fort Wayne, IN
    5 days ago
  •  ...centered casework services to families and children involved with DCS/Probation. Includes pre-adoption and post-adoption services. Case Manager should help to safely maintain children in their homes (or foster home); prevent children’s initial placement or reentry into... 
    Full time
    Part time
    Work at office
    Work from home
    Trial period
    Flexible hours
    Weekend work
    Day shift
    Afternoon shift

    WHITINGTON HOMES AND SERVICES

    Fort Wayne, IN
    1 day ago
  •  ...institutional, healthcare, pharmaceutical, and bio-fuel projects. Job Summary: Shambaugh & Son L.P. looking for a Reconciliation Specialist for our EMCOR National Agreement Group. This position will reconcile national agreement incentive purchases for EMCOR, quarterly... 
    For contractors
    Weekend work

    Emcor UK

    Fort Wayne, IN
    3 days ago
  • $13.5 - $14 per hour

     ...community! Responsibilities The Parkview Family YMCA is seeking an enthusiastic and attentive part-time Membership Enrollment Specialist to guide prospective members through the enrollment process, give tours, and foster relationships that connect them to the YMCA,... 
    Hourly pay
    Part time
    Summer work
    Flexible hours

    YMCA of Greater Fort Wayne

    Fort Wayne, IN
    2 days ago
  •  ...Senior Therapeutic Area Specialist, Oncology - Indianapolis North Working with Us Challenging. Meaningful. Life-changing. Those aren't words that are usually associated with a job. But working at Bristol Myers Squibb is anything but usual. Here, uniquely interesting... 
    Private practice
    Work at office

    Bristol-Myers Squibb

    Fort Wayne, IN
    2 days ago
  •  ...As a Remote Travel Specialist, you will be an essential part of our team, guiding clients through every stage of their journey—from the moment they plan their trip to their safe return home. Your role is to ensure a seamless, stress-free experience by assisting with travel... 
    Remote work
    Work from home

    Jones Express Travel

    Fort Wayne, IN
    1 day ago
  •  ...Spray Foam Specialist Momper Insulation Fort Wayne is currently seeking a highly skilled and experienced Spray Foam Specialist to join our team. In this role, you will be responsible for the precise and efficient installation of spray foam insulation across both residential... 
    Temporary work

    Momper Insulation

    Fort Wayne, IN
    2 days ago

Do you want to receive more vacancies?

Subscribe and receive similar vacancies to Case Mgmt Specialist - BSN. Be the first to apply!