Healthcare Careers

Transitions of Care (TOC) Nurse

California, California | Permanent

THE HEALTHCARE INITIATIVE

Where Talent Meets Opportunity

 

Transitions of Care (TOC) Nurse

West Coast

 

 

Type of Work: Full time, must reside within the state of California

Join a California Healthcare organization looking for a Transitions of Care (TOC) Nurse to conducts onsite and/or telephonic concurrent review of inpatient activities. Additionally, the TOC Nurse is responsible for ensuring that member care is rendered at the most appropriate level, for the requisite length of time, in compliance with the organizations, regulatory and contractual requirements.  Makes timely and appropriate recommendations regarding transfers, determination of level of care and discharge planning.  Escalates non-standard requests to Medical Director for review; approves or denies services as directed.  Tracks data as required; compiles data for, produces and submits routine reports.  The Transitions of Care (TOC) Nurse reports to the TOC Nurse Manager.

Compensation:  Competitive Salary DOE, Generous Benefit Package and Perks.

 

The Ideal candidate will be:

  • Bachelor’s degree in nursing, required.
  • Unrestricted California registered nurse license, required
  • 3+ years of clinical nursing experience as a nurse in a hospital, required.
  • 2+ years case management, utilization review or discharge Planning experience in an Acute care or home Health setting, required
  • Recent experience working with Medi-Cal and/or Medicare populations or any other state/federally sponsored programs, required.
  • Experience working in a managed care setting.
  • Valid California driver license and reliable transportation required.  Must live in California – hybrid remote opportunity.

 

This west coast location offers many outdoors areas to explore and enjoy while being centrally located to re-known universities, a wide variety of sporting events, a variety of museums and some of the best dining in the United States.

 

We look forward to an opportunity to speak to you. To apply or schedule a confidential phone conversation, please send your resume (MS WORD format preferred) to

alison@thi-search.com or call 720-735-9739

  • Max. file size: 300 MB.

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