RN High Level of Care Transfers REMOTE
RN High Level of Care Transfers REMOTE
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$ 40 - 42
1 Vacancy
Job Description
Job Title: Remote RN High Level of Care Transfers (TemptoPerm)
Pay Rate: $40$42/hr
Schedule: Monday Friday 8:00 AM 5:00 PM PST
Location: Remote but candidate must reside in California and hold a valid CA RN license
Job Description:
A Managed Care Organization is seeking an experienced Registered Nurse to assist with high level of care (HLOC) reviews and complex discharge planning. The RN will work closely with hospital staff to facilitate seamless transfers of complex care members to appropriate higherlevel care facilities. The role requires strong clinical expertise knowledge of MCG inpatient criteria and experience navigating hospital networks provider groups and delegation agreements. This is a temptohire opportunity with the potential for longterm placement based on performance and business needs.
Key Responsibilities:
Review high level of care transfers for complex care members.
Assist the Complex Discharge Unit in ensuring appropriate member placements.
Collaborate with transferring and receiving hospital staff including nurses attending physicians and administrative personnel.
Utilize MCG inpatient criteria to assess transfer needs and ensure the highest quality of care.
Work with Independent Physician Associations (IPAs) and delegated provider networks to facilitate transitions.
Identify innetwork hospitals for transfers whenever possible to optimize plan resources.
Assist in the repatriation of members back into the network.
Communicate effectively with all stakeholders ensuring clarity and efficiency in the transfer process.
Maintain high accountability in ensuring safe effective and efficient member transitions.
Required Skills & Qualifications:
Active CA Registered Nurse (RN) license.
Reside in California.
Minimum of 5 years of clinical experience in an ICU or ER setting.
Strong clinical skills to assess member acuity and transfer needs.
Comprehensive understanding of MCG inpatient criteria for critical care diagnoses.
Experience with managed care hospital networks and provider delegations preferred.
Prior experience in repatriation and hospital transfers is highly desirable.
Strong communication skills and ability to interact with a variety of healthcare professionals.
High level of accountability in managing complex care transitions.
Preferred Experience:
Prior experience working within a managed care organization.
Experience in hospital case management or discharge planning.
Additional Information:
This is a temptoperm position based on performance and business needs.
Candidates must demonstrate efficiency in complex discharge planning and transfer coordination.
Employment Type
Hourly
