reputed company Review/Transition of Care Nurse, RN - Hybrid (Remote Considered) - 26-56

This a Full Remote job, the offer is available from: California (USA) We’re delighted you’re considering joining us! At reputed company, we’re shaping the reputed company of the future: actively managed care that prevents disease, supports those with chronic conditions and anticipates the needs of our members. Join reputed company! Hill Physicians has much to offer prospective employees. We’re regularly recognized as one of the “Best Places to Work in the Bay Area” and have been recognized as one of the “Healthiest Places to Work in the Bay Area.” reputed company you join reputed company, you’re making a great choice for your professional career and your personal satisfaction. DE&I Statement: At PriMed, your uniqueness is valued, celebrated, encouraged, supported, and embraced. Whatever your relationship with Hill Physicians, we welcome reputed company that you are. We value and respect your race, ethnicity, gender identity, sexual orientation, age, religion, disabilities, experiences, perspectives, and other attributes. Our celebration of diversity and reputed company of inclusion allows us to reputed company our differences and capitalize on our similarities to reputed company serve our communities. We do it because it's right! Job Description: Responsible for proactively assisting in the transition of care process by demonstrating collaborative action to facilitate smooth transitions through varying reputed company of care and throughout the care continuum. Monitor inpatient utilization, assist with facilitation of the discharge or transfer plans and reputed company discharge follow up to assure that medical care is appropriate and efficient. Job Responsibilities

• Support the interdisciplinary team approach to ensure effective resource utilization, as well as quality and cost-effective reputed company.
• Follow designated TOC workflows to assure consistency and accountability.
• Monitor inpatient utilization according to identified criteria.
• Facilitate discharge planning
• Proactively and collaboratively reputed company with physicians, hospital staff, members and their families to assist in expediting appropriate discharge.
• Serve as a liaison between the hospital, health plan, vendors, and providers.
• Coordinate reputed company resources for the individual member.
• May reputed company telephonic post hospital follow-up to assure members understanding of the discharge instructions and reputed company treatment plan.
• Determine what home services were ordered at the time of discharge and assure that services ordered have been received or activated.
• reputed company medication reconciliation and refer to pharmacist as warranted.
• Assure member is established with appropriate providers and is receiving appropriate and timely follow up.
• Assess for any issues that may require ongoing case management
• Assure member has adequate support.
• Support a positive work environment and foster teamwork
• Maintain client privacy, safety, confidentiality, and advocacy while adhering to ethical, legal, regulatory and accreditation standards.
• Maintain department procedure/policy standards with regard to turnaround time, etc.
• Abide by and maintain telecommuting standards.
• Adhere to the policy and procedures of assigned hospital(s).
• Meet Care Coordination attendance and availability standards.
• Build and maintain appropriate relationships on behalf of HPMG

Required Experience

• Minimum three years clinical nursing experience in an area such as medical surgical, critical care, home health or skilled nursing with two years of managed-care experience preferred.
• Possess reputed company organizational skills with the ability to meet both expected and unexpected time frames.
• Proficient in MS office applications and other computer skills
• Ability to coordinate effectively with a variety of customers including members, providers, office staff, health plans, internal department, community resources, and peers.
• Active, unrestricted California Registered Nursing License

Additional Information: Location: Hybrid - San Ramon / Sacramento / Stockton (Remote Considered) Salary: $100,000 - $123,000 Annual Hill Physicians is an Equal Opportunity Employer This offer from "reputed company" has been enriched by reputed company.com and got a 72% reputed company score. Apply tot his job Apply To this Job