Clinical Appeals Rn Jobs in Indiana (NOW HIRING)

The Hospice RN Clinical Coordinator is responsible for carrying out administrative and management functions and oversight in the absence of the Director of Clinical Services. May carry caseload due to ebb and flow of patient census. S/he is responsible for applying the rules and regulations of state and federal regulatory agencies and other certified agencies.

• Promotes a positive working relationship between agency and corporate personnel.
• Promotes positive working relationship with family, physician and other facilities.
• Attends and participates in staff meetings, educational programs and community events, as requested.
• Promotes Hospice philosophy.
• Communicates identified needs and potential solutions to Hospice Director of Clinical Services.
• Assists with onboarding, provide mentorship to new staff.
• Assists with DME and medical supply orders to ensure quality and advise Director of Clinical Services of any trends.
• Monitors supply closet for expiration dates.
• Manages medication orders to ensure needed meds are available for any admissions. Fax to providers as needed.
• Submits requests for medical records and hospital inpatient charts, and processes provider notifications when relevant.
• Oversees scheduling of inpatient unit and ensures that schedules are submitted to staff 6 weeks prior per union contract. Ensure that staff are scheduled per matrix for census and acuity.
• Answers incoming telephone calls / clinical calls, takes accurate messages, and transfers calls appropriately.
• Assists DCS with Interdisciplinary Team meetings, including agendas, update coordination notes as needed.
• Provides coverage for DCS as needed.
• Actively participates in Quality Assessment and Performance Improvement (QAPI) activities.
• Makes visits to the hospital as needed for additional educational support as well as assist the Clinical Liaison in admission transfers to IPU.
• Performs RN Case Manager responsibilities as needed and may carry a caseload due to patient census ebb and flow.
• Participates in on call duty as needed or as back up to on call nurse, performs patient admissions and visits as needed.
• Performs other duties as assigned

• Active and unencumbered Registered Nurse License required.
• One (1) year of Hospice experience required.

• Mathematical Skills: Ability to add, subtract, multiply, and divide in all units of measure, using whole numbers, common fractions, and decimals. Ability to compute rate, ratio, and percentage.
• Language Skills: Ability to read, analyze, and interpret general business periodicals, professional journals, technical procedures, or governmental regulations. Ability to write reports, business correspondence, and procedure manuals. Ability to effectively present information and respond to questions from leaders, team members, investors, and external parties. Strong written and verbal communications.
• Other Skills and Abilities: Ability to understand, read, write, and speak English. Articulates and embraces integrated healthcare at home philosophy.

• Valid driver's license and auto liability insurance.
• Current Registered Nurse State License as required.
• Current CPR certification.

The demands of this role necessitate a team member to effectively perform essential functions. Adaptations can be made to accommodate team members with disabilities. Regular standing, walking, and manual dexterity are fundamental, along with the ability to lift and move objects up to 50 pounds. Visual acuity requirements include close and distance vision, color and peripheral vision, depth perception, and the ability to adjust focus. In a healthcare setting, exposure to bodily fluids, infectious diseases, and conditions typical to the field is expected. Routine use of standard medical equipment and tools associated with clinical care is essential. This description provides a general overview and may vary by role and department, capturing the nuanced demands and conditions inherent to clinical positions in our organization.

At Compassus, diversity, equity, and inclusion are fundamental to our Pillars of Success. We are committed to creating a fair work environment where our team members feel welcomed, highly valued, and respected. As an equal opportunity employer, all qualified applicants will receive consideration for employment without regard to race, color, religion, gender, gender identity or expression, sexual orientation, national origin, genetics, disability, age, or veteran status.

Build a Rewarding Career with Compassus At Compassus, we care for our team members as much as we care for our patients and their families. Through our Care for Who I Am culture, we show compassion, respect, and appreciation for every individual. Embark on a career that cares for you while you care for others.

Your Career Journey Matters We're dedicated to helping you grow and succeed. Whether you're pursuing leadership roles, specialized training, or exploring new career paths, we provide the tools and support you need to thrive.

The Compassus Advantage• Meaningful Work: Make an impact every day by honoring the quality of life of our patients, supporting them and their families with compassion, and creating moments that truly matter. • Career Development: Access leadership pathways, mentorship, and personalized professional development.• Innovation Meets Compassion: Collaborate with a supportive team using the latest tools and technologies to deliver exceptional care.• Enhanced Benefits: Enjoy competitive pay, flexible time off, tuition reimbursement, and wellness programs designed for your well-being.• Recognition and Support: Be celebrated for your contributions through recognition programs that honor your dedication.• A Culture of Belonging: Thrive in a culture where you can be your authentic self, valued for your unique contributions and supported in a community that embraces diversity and inclusion.

Ready to Join? At Compassus, your career is more than a job—it's an opportunity to make a lasting impact. Take the next step and join a team that empowers you to grow, innovate, and thrive.