Demo

Transitions of Care (TOC) RN Manager

MRINetwork Jobs
Sanger, CA Temporary
POSTED ON 1/28/2025
AVAILABLE BEFORE 4/26/2025

Job Description

Job Description

THE HEALTHCARE INITIATIVE

Where Talent Meets Opportunity

Interim : Transitions of Care (TOC) Nurse

Telecommuting opportunity, Remote opportunity for

California Residents.

Join a California Healthcare organization looking for an Interim Transitions of Care (TOC) Nurse to conduct telephonic remote concurrent review of inpatient activities. Additionally, the TOC Nurse is responsible for ensuring that member care is rendered at the most appropriate level, for the requisite length of time, in compliance with the organization’s regulatory and contractual requirements. Makes timely and appropriate recommendations regarding transfers, determination of level of care and discharge planning. Escalates non-standard requests to Medical Director for review; approves or denies services as directed. Tracks data as required; compiles data for, produces and submits routine reports. The Interim Transitions of Care (TOC) Nurse reports to the TOC Nurse Manager.

Interim details :

Must be a current resident of California, required.

  • 3–4-month Interim assignment position to begin with. Position could go permanent, but there is NO guarantee that this will occur.
  • Able to work remotely from California, required.
  • Basic knowledge of computers required.

Compensation : $55.00 Per / Hr.

The Ideal candidate will be :

  • Bachelor’s degree in nursing, required.
  • Unrestricted California registered nurse license , required.
  • 3 years of clinical nursing experience as a nurse in a hospital, required.
  • 1-2 years case management, utilization review or discharge Planning experience in an Acute care or home Health setting,  required.
  • Recent experience working with Medi-Cal and / or Medicare populations or any other state / federally sponsored programs, required.
  • Experience working in a managed care setting required.
  • Valid California driver license and reliable transportation required.
  • This west coast location offers many outdoors areas to explore and enjoy while being centrally located to re-known universities, a wide variety of sporting events, a variety of museums and some of the best dining in the United States.

    To apply or schedule a confidential phone conversation , please send your resume (MS WORD format preferred) to alison@thi-search.com or schedule a conversation at https : / / calendly.com / alison -5_h

    Salary : $55

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