Transition of Care RN - 235469

RN Transitions of CareWorking with members who have been in the hospital for 3+ days that have a potentially complex or unsafe discharge. They will be give up to 5 hospitals a week depending on volume of members admitted. They will be working with the members, members POCs and the teams at the facility to ensure the safest Discharge possible. They are working with Medicare or members while they are in the community. The daily list is split between the RNs and they need to prioritize these members (based on how recent their hospitalization was + how frequently they are admitted).All the work is telephonic and they are working with the charts and the discharge planning to make sure that the member is adhering to the plan and that they are reaching the milestones they need. They are also working with the CM team and the members PCPs. On average right now, they have 100 discharges a week.Location: Mainly remote but can be asked to come in up to 6 times a year but need flexibility (must be local to New York, DO NOT APPLY if you are not commutable to NYC) Hours: Monday-Friday, 8:30-4:30.Must be an RN in NY with hospital Discharge Planning experience.Pay: 48-51 an hour (some flexibility)JOB SUMMARYAssesses member needs from the time the Management Services Organization MSO is notified of a hospital admission, skilled nursing facility admission or an observation bed stay through the discharge or transfer to the next level of care. Identifies needs and solutions in concert with the facility staff, member and caregiver to develop a high quality safe discharge plan. Works with the authorization and utilization management teams to generate timely requests for medical services and renders clinical determinations in accordance with healthcare policies as well as applicable state and federal regulations.

Created: 2024-11-09