Registered Nurse- Transitional Care Unit

Cross Country Healthcare, Inc. is a leading tech-enabled workforce solutions and advisory firm with 36 years of industry experience and insight. We solve complex labor-related challenges for customers while providing high-quality outcomes and exceptional patient care. As a multi-year Best of Staffing® award winner, we are committed to an exceptionally high level of service to our clients, our homecare, education, and clinical and non-clinical healthcare professionals. Our locum tenens line of business, Cross Country Locums, has been certified by the National Committee for Quality Assurance (NCQA), the leader in healthcare accreditation, since 2001. We are the first publicly traded staffing firm to obtain The Joint Commission Certification, which we still hold with a Letter of Distinction. Cross Country Healthcare was awarded by Comparably, Best Company Outlook and Best Marketing Team. For four consecutive years, Cross Country has received the Top Workplaces USA award from Energage and has also been received Top Workplaces Culture Excellence recognition for Leadership, Innovation, Work-Life Flexibility, and Purpose & Values. We have a history of investing in diversity, equality, and inclusion as a key component of the organization’s overall corporate social responsibility program, closely aligned with its core values to create a better future for its people, communities, and its stockholders. Cross Country has achieved the great accomplishment of being named by Newsweek Magazine as a Most Loved Workplace! Newsweek's most Loved Workplaces® certification includes companies where employees are the happiest and most satisfied at work backed by the research and analysis of Best Practice Institute (BPI).

Position Title: Integrated Transitional Care Nurse, RN Location: Rancho Cucamonga, CA Schedule: 8a-5p Monday through Friday, some days working from home Pay: $43/hour Job Type: 6 month contract Position Summary: Join our dynamic team in the Integrated Transition Care Department! Under visionary leadership, you’ll collaborate with hospitals and Independent Physician Associations to deliver continuous, quality healthcare to our high-risk Members. As the Integrated Transitional Nurse, Rn, you’ll lead risk assessments, oversee reviews, and ensure seamless transitions between care settings. Dive into collaboration with various departments, identifying outliers, and ensuring compliance. Be the liaison between stakeholders, contributing to effective communication and goal achievement. Join us and be a part of revolutionizing transitional healthcare!

Conduct Integrated Transition Care discharge risk assessment for high risk/ high acuity Members. Oversee and perform concurrent and retrospective reviews for medical necessity per evidenced based criteria, appropriateness of service and level of care, either through Telephonic review, clinical documentation submitted by respective facilities and/or electronic medical records (EMR) access. Conduct reviews to ensure treatment plan is consistent with Diagnosis(es), specifically initial review within twenty-four (24) hours to ensure Members meet specified criteria for the respective admission(s). Work in collaboration with the coordinator to ensure timely arrangements for transitions to higher or lower level of care and assist with transfer orders as needed. Ensure the concurrent or retrospective review process include referring cases that require clinical consultation with the medical director in a timely manner. Ensure cases are appropriately referred to Care Management, Behavioral health, Health Education, Housing, community health. Identify outliers and prepare documentation as well as report on potential quality of care issues as identified. Process timely completion of denials process per policy.