Healthcare - Care Review Clinician II

APN Consulting Inc; Canada; Remote; CAD 70,000 - 95,000; Full time

Job summary

An established industry player is seeking a compassionate and skilled RN to assist in discharge planning. This remote position requires a minimum of 5 years of clinical experience, with a focus on ensuring safe transitions to appropriate care levels. The ideal candidate will have a strong understanding of Medi-Cal benefits and MCG criteria, along with excellent communication skills. Join a company committed to fostering a diverse and inclusive workplace, where your expertise can make a significant impact in healthcare delivery.

Qualifications

• Minimum 5 years of clinical experience as an acute care nurse.
• At least 2 years as a hospital-based discharge planner.

Responsibilities

• Collaborate with CA hospitals for safe discharges.
• Ensure appropriate care level transfers for members.

Skills

Clinical experience as an acute care nurse

Discharge planning experience

Understanding of Medi-Cal post-acute care benefits

MCG inpatient criteria knowledge

Experience reviewing facility contracts

Compassionate communication skills

Job description

APN Consulting, Inc. is a progressive IT staffing and services company offering innovative business solutions to improve client business outcomes. We focus on high impact technology solutions in ServiceNow, Fullstack, Cloud & Data, and AI / ML. Due to our globally expanding service offerings, we are seeking top talent to join our teams and grow with us.

Position Details

1. Duration: 3 Months
2. Location: Remote
3. Type: Temp to hire

Job Description

Client Healthcare of CA requires 1 RN to assist with discharge planning. This is a remote role with an exception allowing the candidate to reside in CA and be a licensed RN in CA.

Work Schedule: M-F, 8:30 AM - 5:30 PM PST

These RNs will work with CA hospitals, SNFs, and other lower-level care entities to safely discharge members to appropriate care levels, utilizing MCG criteria.

Must Have Skills

• Minimum 5 years of clinical experience as an acute care nurse in med-surg, tele, ICU, or ER
• At least 2 years (within the 5 years) as a hospital-based discharge planner for discharges to home, SNF, custodial care, LTAC, or ARU, with understanding of services in these settings
• Strong understanding of Medi-Cal post-acute care benefits
• Strong understanding of MCG inpatient criteria
• Experience reviewing facility contracts related to post-acute care levels
• High accountability in transferring members to appropriate care levels safely and efficiently
• Compassionate communication skills for member and provider interactions

Day-to-Day Responsibilities

Collaborate with CA hospitals and care facilities to ensure safe discharges to lower care levels.

Experience & Licensure

Minimum 5 years clinical experience as an acute care nurse; minimum 3 years discharge experience; managed care experience.

Licensure: CA licensed RN, residing in CA

Our Commitment

We are dedicated to fostering a diverse, inclusive, and equitable workplace. We encourage applications from all backgrounds to contribute to our culture of belonging.