Admission and Discharge RN

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🌽 Illinois – Remote

🌽 Illinois – Remote

💵 $50 - $65 / hour

⏳ Contract/Temporary

🟡 Mid-level

🟠 Senior

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HireOps

WebsiteLinkedInAll Job Openings

11 - 50 employees

Founded 2021

👥 HR Tech

🎯 Recruiter

☁️ SaaS

HR Tech • Recruitment • SaaS

HireOps is a company that provides software and services to optimize recruitment operations for employers. The platform centralizes applicant tracking, interview scheduling, candidate sourcing and collaborative hiring workflows, and offers reporting and integrations with HR systems to reduce time-to-hire and improve hiring quality.

📋 Description

• Responsible for discharge care coordination, episodic case management and pre-admission/post-discharge counseling for an acute condition. • Establish relationships with the member through the immediate post discharge follow-up period or until all short-term care needs are met. • Provide education/local resource information and encourage member (self) education. • Determine case complexity and refer to other internal departments as needed. • Consult with physicians, coordinators, and facility discharge planners to determine other resources and appropriate disposition of such cases. • Perform additional ongoing functions to support the member in the transition of care process including more than one of the following: a. Consult with physicians, providers, members, and other resources, as appropriate, to assess, plan, facilitate implementation, coordinate, monitor and evaluate options and services required to meet an individual’s acute health needs, using communication and available resources to promote quality health outcomes. • Personalize outreach/engagement based upon attitudes/behaviors/risk assessment. Outreach to provider to coordinate the member’s care or to notify of risks/new conditions. • Reconcile, educate and monitor adherence to medication safety. • Reinforce provider post-operative instructions for care, diet, activity level etc. • Address barriers to keeping follow-up appointments with appropriate provider and assistance with appointment scheduling. • Assistance finding a primary or specialist provider, a Blue Distinction Center, or any needed coordination with Customer Service. • Provide onsite face to face intervention in select cases. • Education and recommendations to resolve conditions and risks, and support for behavior change/ self-management. • Collaborate with the provider and member when appropriate to develop alternate plans of care if needed. • Assist members/providers to navigate the health care system. • Assess cases for quality-of-care issues and refer cases to the QA/QI department for review and follow up. • Perform Transition of Care services for all assigned lines of business. • Practice within the scope of licensure. • Participate as preceptor for orientation of new employees. • Maintain licensure and maintain and enhance knowledge for designated area of licensure and regulatory standards by attending seminars, training sessions, etc. • Communicate and interact effectively and professionally with co-workers, management, customers, etc. • Comply with HIPAA, Diversity Principles, Corporate Integrity, Compliance Program policies and other applicable corporate and departmental policies. • Maintain complete confidentiality of company business. • Maintain communication with management regarding development within areas of assigned responsibilities and perform special projects as required or requested.

🎯 Requirements

• Registered Nurse (RN) or Licensed Master Social Worker (LMSW) with current, active, unrestricted license in the state of operations (or reciprocity if applicable). • 2 years clinical experience. • 1 year health insurance/managed care experience. • Knowledge of medical management policies and procedures. • PC and database experience. • Verbal and written communication skills. • Customer service skills and interpersonal skills to discuss pre/post admission care with physicians, hospital staff and members. • Ability and willingness to occasionally travel within assigned location. Possess transportation and current, valid driver’s license for applicable state. • Incumbents with nursing licenses in positions/departments requiring multi-state licenses are required to obtain and maintain additional current, valid, and unrestricted applicable nursing licenses in other states as determined by management. Multi-state license fees will be provided.