Description
- Home
- Search Jobs
- Job Description
Care Review Clinician I
Contract : Los Angeles, California, US
Salary Range : 40.00 - 42.00 | Per Hour
Job Code : 358826
End Date : 2025-03-15
Days Left : 28 days, 2 hours left
Apply
Position Details : Industry Healthcare
Job Title Care Review Clinician I
Work Location CA - Remote
Duration 3 months
PayRange $40 / hr - $42.01 / hr
Job Description :
Healthcare of CA requires two Registered Nurse roles to assist the Plan with discharge planning.This is a remote role and an exception has been provided for the candidate to reside in CA and be a licensed RN in CA.These RN's will be working daily with CA hospitals, SNF's, and other lower level of care entities to discharge CA Health Plan members safely to a lower level of care. Utilization of MCG criteria.Must Have Skills :
Minimum 5 years of clinical experience as an acute care nurse in med-surg / tele, ICU or ER settingMinimum of 2 years (can be part of the 5 years above) as a hospital based discharge planner for patient discharges to home, SNF, custodial care, LTAC and ARU and an in-depth understanding of what services are available in each of these settingsStrong understanding of Medi-Cal post-acute care benefits- what is and is not a benefitStrong understanding of MCG inpatient criteriaExperience with reviewing and interpreting facility contracts relating to post-acute levels of care (ie. SNF contract language)Must demonstrate a high level of accountability to the process of safely, effectively and efficiently transferring members that no longer meet acute care criteria to the most appropriate lower level of careMust demonstrate a compassionate communication style with members and providers to create seamless transitions in a member's careDay to Day Responsibilities :
Working with CA hospitals, Skilled Nursing, and other lower level of care settings to discharge Health Plan members safely to a lower level of care.Required Years of Experience :
Minimum 5 years of clinical experience as an acute care nurse in med surg / tele, ICU or ER setting.Minimum 3 years discharge experience. Managed care experience.Required Licensure / Education : CA licensed RN, Located in CA
Job Requirement
registered nursedischarge planningmedical surgicalManaged careReach Out to a Recruiter
RecruiterEmailPhoneSrividhya Msrividhya.m@collabera.comApply Now
Salary : $40 - $42
