What are the responsibilities and job description for the Care Review Clinician I position at Workpath Partners?
We are looking for a Care Review Clinician to join our growing team. You will be offered a competitive hourly rate of $42.02/hour. We will also provide you a comprehensive benefits package.
As a Care Review Clinician you will review high level of care transfers. You will also assist the Complex Discharge Unit on Complex Care Members. You will work with transferring hospital staff and the higher level of care receiving hospital.
Responsibilities of the Care Review Clinician:
- Ideal candidate will have 5 years of clinical experience as an ICU or ER nurse
- Must demonstrate strong clinical skills in order to decipher the acuity of a member’s HLOC transfer needs
- Strong understanding of MCG inpatient criteria across a broad spectrum of critical care diagnosis
- Must be familiar with IPA’s, delegation, and working with providers
- Must be able to quickly understand the health plan’s hospital network in order to ensure that PAR hospitals are utilized for HLOC transfers whenever possible
- Experience with repatriation of members back into network
- Strong communication skills and ability to interact effectively with hospital nurses, attending physicians, hospital administrative staff, and medical directors responsible for transferring and receiving members
- Must demonstrate a high level of accountability to the process of safely, effectively and efficiently transferring members to higher level of care facilities
Job Types: Full-time, Contract, Temporary
Pay: $46.00 per hour
Expected hours: 40 per week
Schedule:
- 8 hour shift
- Monday to Friday
Experience:
- ICU, ED, or ER: 3 years (Required)
- Discharge planning: 3 years (Required)
License/Certification:
- California RN License (Required)
Work Location: Remote
Salary : $42 - $46
