Opportunity for Care Transitions Nurse role
Job at a glance
Job description
Job Title : Care Transitions Nurse
Employment Type : Full time / Direct Hire
Location : San Francisco, CA, US
Remote : No
We are seeking an experienced Care Transition Nurse (RN) to join a collaborative Utilization Management and Care Coordination team within a community-based healthcare organization in San Francisco. This role focuses on safe and efficient inpatient care transitions, repatriation coordination, and utilization review-no bedside care and no direct patient interaction.
Job Responsibilities
• Coordinate repatriation workflows and collaborate with hospital case managers, transfer centers, social work, and ambulance teams.
• Manage 11-15 cases daily (1-2 repatriations per day currently).
• Participate in hospital rounds and document all case activity.
• Support concurrent review using InterQual criteria.
• Ensure effective use of in-network resources and resolve care transition barriers.
Work Environment
• 100% administrative coordination and UM responsibilities
• Onsite between administrative office and nearby partner hospital
• No nights, weekends, holidays, or on-call required (optional call hours available)
Qualifications
• 2+ years acute inpatient experience preferred
• 1+ year Utilization Management or Case Management experience preferred
• Strong communication, organization, and critical thinking skills
• Proficient with EMRs (Cerner, Epic, Dignity), InterQual, Microsoft Word & Excel
• Managed Care experience strongly preferred
• CM or UM certification is a plus