Top 16 Rn utilization review Jobs in South Bend, In

Care Transition RN MHO
Beacon Health System —South Bend, IN
- Overtime
- CPR Certification
- Nursing
- RN License
Transfer Center Spec RN
Beacon Health System —Granger, IN
- Overtime
- CPR Certification
- Nursing
- RN License
Behavioral Health Advocate - South Bend, IN
Optum —South Bend, IN
- $60,200 - $107,400 a year
- Full-time
- Master of Social Work
- Nursing
- RN License
Quick Apply
13d
Oncology Nurse Navigator – Physician Aligned, BMG Oncology Elkhart, Full-time Days
Beacon Health System —Elkhart, IN
- Full-time
- Nursing
- RN License
- Mid-level
- 403(b) matching
- Health insurance
Quick Apply
Registered Nurse Manager - Surgery Center
South Bend Clinic —South Bend, IN
- Full-time
- CPR Certification
- Nursing
- RN License
- Disability insurance
- Health insurance
Quick Apply
6d
Medical Records Coordinator - RN
Elkhart Meadows —Elkhart, IN
- Nursing
- Mid-level
- LPN
- Paid holidays
- Health insurance
Quick Apply
Nursing Assistant (CHB)
Beacon Health System —Bremen, IN
- Overtime
- CPR Certification
- Hospital
- Ability to walk for extended periods
Oncology Nurse Navigator – Physician Aligned
Beacon Health System —South Bend, IN
- Overtime
- CPR Certification
- Nursing
- RN License
Quick Apply
Utilization Management Reviewer
Amerihealth Caritas —United States
- Full-time
- Hybrid work
- Nursing
- Microsoft Outlook
- RN License
- Paid holidays
- Health insurance
Claims Nurse (Utilization Management / Claims Review) Must have CALIFORNIA license
Dragonfly Global —United States
- $100,000 - $105,000 a year
- Full-time
- Remote
- LVN
- RN License
- Mid-level
- Travel reimbursement
- Health savings account
Quick Apply

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Transfer Center Spec RN
Beacon Health System —Granger, IN
Maintains license/certification, registration in good standing throughout fiscal year. Receives telephone calls in a courteous and professional manner.

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RN Case Manager - Case Management
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Graduate of an accredited school of nursing and licensed in the state of Ohio. The case manager is responsible for individualized management of hospital and…
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Graduate of an accredited school of nursing and licensed in the state of Ohio. Conduct comprehensive clinical and psychosocial assessments of patients and…
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Care Transition RN MHO

Beacon Health System -
South Bend, IN

Apply Now

Job Details

Full-time

Qualifications

CPR Certification
Inpatient experience
RN License
BLS Certification
Acute care experience

Full Job Description

Reports to the Length of Stay Manager. The Care Transition Nurse is responsible for actively facilitating timely, safe, and efficient patient progression toward discharge by identifying, addressing, and escalating barriers to care transitions. This role functions as a hands-on clinical coordinator, working in real time with physicians, nursing, case management, ancillary departments, and procedural areas to expedite diagnostics, procedures, consults, and discharge readiness. The Care Transition Nurse supports hospital length of stay (LOS) optimization by ensuring plans of care move forward without avoidable delay while maintaining high standards of patient safety and quality.

MISSION, VALUES and SERVICE GOALS

MISSION: We deliver outstanding care, inspire health, and connect with heart.
VALUES: Trust. Respect. Integrity. Compassion.
SERVICE GOALS: Personally connect. Keep everyone informed. Be on their team.

Responsibilities

Facilitates care transitions and discharge readiness to ensure highquality, efficient patient flow by:

Facilitating multidisciplinary walking rounds on assigned unit(s), ensuring clear daily plans of care and anticipated discharge timelines
Attending and actively participating in the daily Barrier Review meeting, identifying and escalating unresolved barriers impacting length of stay
Attending case management afternoon review meetings to coordinate discharge planning and align nextday priorities
Coordinating care among multiple physicians and consulting services involved in a patient’s hospitalization to promote timely decisionmaking
Following up on pending laboratory results, diagnostic tests, and procedures to prevent delays in clinical progression
Prioritizing and coordinating diagnostic services (including but not limited to echocardiograms, MRI, EEG) in collaboration with ancillary departments based on LOS impact
Assisting with expediting operating room time slots when clinically appropriate, or facilitating transition of procedures to outpatient settings when indicated
Collaborating with interventional radiology and other procedural departments to prioritize patients whose length of stay is impacted by procedural delays
Supporting earlier engagement of specialty consultants when delays are identified, including assisting teams in navigating access and scheduling barriers
Following up on incidental findings identified during hospitalization (e.g., pulmonary nodules) to ensure appropriate outpatient followup appointments are scheduled prior to discharge
Partnering with case management, nursing, and providers to ensure discharge plans are executable and barriers are resolved proactively
Following up on recently discharged patients to ensure discharge orders are completed in the electronic health record and patient rooms are released for environmental services and bed turnover

Performs other functions to maintain personal competence and contribute to the overall effectiveness of the department by:

Completing other jobrelated duties and special projects as assigned

Associate complies with the following organizational requirements:

Attends and participates in department meetings and is accountable for all information shared.
Completes mandatory education, annual competencies and department specific education within established timeframes.
Completes annual employee health requirements within established timeframes.
Maintains license/certification, registration in good standing throughout fiscal year.
Direct patient care providers are required to maintain current BCLS (CPR) and other certifications as required by position/department.
Consistently utilizes appropriate universal precautions, protective equipment, and ergonomic techniques to protect patient and self.
Adheres to regulatory agency requirements, survey process and compliance.
Complies with established organization and department policies.
Available to work overtime in addition to working additional or other shifts and schedules when required.

Education and Experience

Current license to practice as a Registered Nurse in Indiana required
Minimum of three years of acute care hospital experience required
Experience in care coordination, throughput, case management collaboration, or utilization review preferred

Knowledge & Skills

Strong understanding of inpatient clinical workflows, discharge processes, and care transitions
Demonstrated ability to identify and resolve barriers impacting patient progression and length of stay
Strong interpersonal and communication skills with the ability to work effectively across disciplines
Ability to prioritize competing demands in a fastpaced, highacuity environment
Proficiency in electronic health records (EHRs) and clinical documentation workflows
Familiarity with CMS guidelines, payer requirements, and regulatory standards impacting discharge and LOS preferred
Experience with Oracle/Cerner or similar EHR platforms preferred

Working Conditions

Works in a patient care environment requiring physical exertion, frequent changes in job demands, and possible exposure to biohazards
Requires schedule flexibility due to hospital operations occurring 24 hours per day, 7 days per week
At risk for occupational exposure to bloodborne pathogens

Physical Demands

Requires the physical ability and stamina to perform the essential functions of the position

Location: Beacon Health System · Resource Services
Schedule: Full-time, Day, 8-4:30, weekend rotation

Apply Now

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rn utilization review jobs in south bend, in

Care Transition RN MHO

Transfer Center Spec RN

Behavioral Health Advocate - South Bend, IN

Oncology Nurse Navigator – Physician Aligned, BMG Oncology Elkhart, Full-time Days

Registered Nurse Manager - Surgery Center

Medical Records Coordinator - RN

Nursing Assistant (CHB)

Oncology Nurse Navigator – Physician Aligned

Utilization Management Reviewer

Claims Nurse (Utilization Management / Claims Review) Must have CALIFORNIA license

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