Schedule: Hybrid | Remote on Mondays and Fridays; onsite Tuesday, Wednesday, and Thursday in Rancho Cucamonga, CA
Description:
The Non-Routine Placement Nurse, RN is responsible for leading the coordination of complex and non-routine patient placements and transitions across the continuum of care. Reporting to the Supervisor, Non-Routine Placement, this role works closely with hospitals, Independent Physician Associations (IPAs), Skilled Nursing Facilities (SNFs), Congregate Living Health Facilities (CLHFs), and other post-acute providers to ensure timely, cost-effective, and high-quality care transitions.
This position serves as a clinical and operational liaison, facilitating appropriate level-of-care determinations, resolving placement barriers, and ensuring continuity of care for high-risk members. The Non-Routine Placement Nurse collaborates with transitional care management, discharge planning, and readmission prevention teams to oversee complex cases, maintain regulatory compliance, and support optimal patient outcomes.
What You Will Do:
- Lead the coordination of complex or non-routine patient placements and discharges across facilities, service lines, and levels of care, ensuring timely and appropriate transitions.
- Serve as the primary point of contact for escalated or complex cases, ensuring timely follow-up, resolution, and communication of placement status and decisions.
- Facilitate transitions to higher or lower levels of care, including SNFs, CLHFs, and other post-acute settings, while supporting early discharge planning and transition readiness.
- Act as a senior advisor and liaison between internal teams and external partners to ensure effective communication, coordination, and alignment on member care needs and treatment plans.
- Review and assess clinical information received from the ITC department to determine appropriate placement based on patient acuity, service needs, and facility capabilities.
- Collaborate with case managers, social workers, providers, hospitals, IPAs, and post-acute partners to identify appropriate care pathways and resolve placement barriers.
- Monitor patient movement and throughput, proactively addressing delays and initiating escalation pathways when barriers or safety concerns arise.
- Review and acknowledge program referrals, assign cases to Non-Routine Placement Specialists (NRPS), and provide clinical oversight and direction on case progression.
- Provide education and guidance to case managers and team members regarding complex placements and discharge coordination processes.
- Maintain accurate and timely placement logs, referral tracking tools, and electronic medical records documenting case activities, barriers, challenges, and interventions.
- Ensure compliance with regulatory requirements and organizational standards, including CMS, HEDIS, CAHPS, and other quality measures.
- Participate in interdisciplinary huddles, throughput initiatives, and performance improvement activities focused on improving efficiency and patient outcomes.
- Analyze trends, identify gaps in placement processes, and recommend improvements to workflows, service delivery, and care coordination.
- Identify opportunities to improve operational efficiency through process improvements, innovation, and technology.
- Support outreach and relationship-building initiatives with contracted providers and external partners to strengthen collaboration and participation in care initiatives.
- Perform additional duties as needed to support health plan operations and departmental business objectives.
You Will Be Successful If:
- You demonstrate strong clinical judgment and critical thinking when coordinating complex patient placements and transitions of care.
- You possess excellent communication, interpersonal, and organizational skills.
- You can effectively collaborate with multidisciplinary teams, healthcare providers, and external partners.
- You have strong analytical skills and can identify placement barriers, evaluate care options, and recommend appropriate solutions.
- You are a self-starter who can work independently while contributing effectively within a team environment.
- You demonstrate excellent time management, prioritization, and problem-solving abilities.
- You maintain a high degree of patience and professionalism when managing challenging or complex situations.
- You understand evidence-based clinical criteria and their application to placement and care coordination decisions.
- You are familiar with California Children Services (CCS) and healthcare delivery processes.
- You apply evidence-based communication techniques, including Motivational Interviewing or similar empathy-based strategies.
- You demonstrate cultural sensitivity and an understanding of the diverse communities served.
- You understand self-management philosophies and practices, particularly as they relate to chronic medical conditions.
- You recognize the impact of unmitigated bias and judgment on health outcomes and are committed to addressing both.
- You can effectively manage competing priorities while maintaining accuracy, compliance, and quality patient care.
What You Will Bring:
- Associate degree in Nursing from an accredited institution.
- Active, unrestricted, and unencumbered Registered Nurse (RN) license issued by the California Board of Registered Nursing (BRN).
- Minimum of two (2) years of experience in a healthcare delivery setting, specifically in an Acute Care Hospital or Skilled Nursing Facility.
- Strong knowledge of evidence-based clinical criteria, care coordination, and healthcare delivery processes.
- Understanding of California Children Services (CCS).
- Familiarity with Motivational Interviewing or similar evidence-based communication techniques.
- Strong analytical, organizational, interpersonal, and communication skills.
- Excellent time management and problem-solving abilities.
- Ability to work independently and collaboratively in a team-oriented environment.
- Demonstrated patience, professionalism, cultural sensitivity, and sound clinical judgment.
Preferred Qualifications:
- Bachelor's degree in Nursing from an accredited institution.
- Experience working in a health plan setting.
- Valid California Driver's License.
About Impresiv Health:
Impresiv Health is a healthcare consulting partner specializing in clinical & operations management, enterprise project management, professional services, and software consulting services. We help our clients increase operational efficiency by delivering innovative solutions to solve their most complex business challenges.
Our approach is and has always been simple. First, think and act like the customers who need us, and most importantly, deliver what larger organizations cannot do provide tangible results that add immediate value, at a rate that cannot be beaten. Your success matters, and we know it.
That s Impresiv!