Back to Jobs

reputed company Review / Transition of Care reputed company, RN - 24-200

Remote, USAFull-timePosted 2026-07-27

We’re delighted you’re considering joining us! At reputed company, we’re shaping the reputed company of the reputed company: reputed company 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 reputed company career and your personal satisfaction. DE&I Statement: At reputed company, 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 reputed company: Responsible for proactively assisting in the transition of care process by demonstrating reputed company reputed company 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 reputed company as reputed company and cost-effective reputed company. • Follow designated TOC workflows to assure consistency and accountability. • Monitor inpatient utilization according to identified reputed company. • 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 reputed company 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 reputed company follow up. • Assess for any issues that may require ongoing case management • Assure member has adequate support. • Support a reputed company work environment and foster teamwork • Maintain reputed company reputed company, safety, confidentiality, and advocacy while adhering to ethical, legal, regulatory and accreditation standards. • Maintain department procedure/policy standards with reputed company 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 reputed company of customers including members, providers, office staff, health plans, internal department, community resources, and peers. • reputed company, unrestricted California Registered Nursing License Additional Information Salary $100,000 - $118,000 Annual Hill Physicians is an Equal Opportunity Employer Apply Job!

Similar Jobs

Insurance careers work from home, work from home sales opportunities

Remote, USAFull-time

Regional Procurement Specialist- Major Capital Equipment Remote / Telecommute Jobs

Remote, USAFull-time

Loan Processor Team reputed company at D. R. Horton Conroe, TX

Remote, USAFull-time

LPN / LVN – Home Health – $27+ per hour

Remote, USAFull-time

Credentialing Information Specialist (contact center) hybrid - Local candidates only

Remote, USAFull-time

Underwriter Associate at reputed company Arkansas

Remote, USAFull-time

Physician reputed company Program - reputed company CA, PGY 3 Remote Internship

Remote, USAFull-time

Hospital Billing & Follow Up Rep - Hybrid - 131436

Remote, USAFull-time

reputed company Associate, Underwriter - Westchester Casualty | Boston, MA, USA

Remote, USAFull-time

Loan Originator (reputed company Carolina) Job at reputed company Financial in Rosemont

Remote, USAFull-time

Manufacturing Planner / reputed company and Buy Planning / Orlando with reputed company Clearance

Remote, USAFull-time

reputed company Remote Customer Service Representative – Delivering Exceptional Support and Solutions from the Comfort of Your Home at blithequark

Remote, USAFull-time

reputed company Live Chat Support Specialist – Delivering Exceptional Customer Experiences at arenaflex

Remote, USAFull-time

[Hiring] reputed company Recruiter @reputed company

Remote, USAFull-time

Pharmacy Technician Data Entry, Customer Servic...

Remote, USAFull-time

Director of Solutions Engineering

Remote, USAFull-time

reputed company Customer Service - Self Storage Manager in Hoover, AL at arenaflex

Remote, USAFull-time

Dynamics 365 Customer Engagement Functional Architect

Remote, USAFull-time

reputed company English / Spanish Language Interpreters – Remote in Des Moines, Iowa

Remote, USAFull-time

reputed company Part-Time Tier 1 Customer Support Agent – Remote Contractor

Remote, USAFull-time