What are the responsibilities and job description for the Care Review Clinician II 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 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. You will be 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. You will also be processing the utilization of MCG criteria.
Responsibilities of the Care Review Clinician:
- Minimum 5 years of clinical experience as an acute care nurse in med-surg/ tele, ICU or ER setting
- Minimum 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 settings
- Strong understanding of Medi-Cal post-acute care benefits- what is and is not a benefit
- Strong understanding of MCG inpatient criteria
- Experience 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 care
- Must demonstrate a compassionate communication style with members and providers to create seamless transitions in a member’s care
Job Types: Full-time, Contract, Temporary
Pay: $46.00 per hour
Expected hours: 40 per week
Experience:
- MCG: 2 years (Required)
- Discharge planning: 2 years (Required)
- med-surg/ tele, ICU or ER setting: 2 years (Required)
License/Certification:
- CA RN License (Required)
Work Location: Remote
Salary : $42 - $46
