Integrated Transitional Care Nurse

Job description:

"" California residents only. CA Driver’s License copy RN License issued by the California BRN required prior to interview ""

Job Title: Integrated Transitional Care Nurse
Location: US-CA-Rancho Cucamonga
Pay: $43.87/hr on 1099

Overview:
6 Month Assignment
Hybrid Position

What you can expect:
Find joy in serving others with IEHP! We welcome you to join us in healing and inspiring the human spirit and to pivot from a job opportunity to an authentic experience!

Under the direction of the Integrated Transition Care Department Leadership, the incumbent will work with Hospitals and Independent Physician Association (IPA) with their assigned Team Center, that may include an LCSW, CHW, Pharmacist, Pharmacy Technician, Coordinator, Care Transition, and Transportation to initiate coordinated and continuous cost-effective quality healthcare to ensure the continuity of the Member’s care needs are met timely throughout the continuum of care and readmission prevention for our high-risk Members.

This will be accomplished through concurrent review processes using nationally recognized criteria. The Integrated Transitional Care Nurse, RN will participate in providing transitional care services to the Members with each transition from one care setting to the next.

Commitment to Quality
The IEHP Team is committed to incorporate IEHP’s Quality Program goals including, but not limited to, HEDIS, CAHPS, and NCQA Accreditation.

Responsibilities, Qualifications, Education & Requirements:
Two (2) or more years of Utilization Management/Case Management in a health care delivery setting in Acute or Skilled nursing, with an emphasis on Concurrent Review and Utilization Management
High school diploma or GED required
Bachelor's degree in Nursing from an accredited institution preferred
Possession of an active, unrestricted, and unencumbered Registered Nurse (RN) license issued by the California BRN required

Key Qualifications:
Must have a valid California Driver’s license and valid automobile insurance
Must qualify and maintain driving record to drive company vehicles based on IEHP insurance standards of no more than three (3) points
Knowledge of evidence based clinical criteria and California Children Services (CCS)
Must have analytical skills
Excellent communication, interpersonal and organizational skills
Self-starter and a team player