PATIENT CARE COORDINATOR/CASE MANAGER-FREMONT DISCHARGE PLANNING (NIGHT/ON-CALL)
Company: Kaiser Permanente
Location: Fremont
Posted on: October 8, 2024
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Job Description:
Job Summary:Coordinates with physicians, staff and non-Kaiser
providers and facilities regarding patients transitions and
discharge planning. In conjunction with physicians, develops plans
of care and discharge plans, and makes recommendations for
alternative levels of care as required.Essential
Responsibilities:Utilization Management: Performs daily
pre-admission, admission, and concurrent utilization reviews using
guidelines, institutional policies/procedures, and other
information to determine appropriate levels of care and readiness
for discharge.Monitors the progression of the discharge plan and
facilitates discussions with the multidisciplinary teams.Educates
other healthcare team members on utilization and care
coordination.Collaborates with and provides information to
patients, families, physicians, and staff regarding the discharge
plans and transitions.Understands and consistently applies the
interpretation, and utilization of member health care
benefits.Conducts UM, care coordination and discharge planning
activities according to all applicable regulatory
requirements.Discharge Planning: Ensures continuity of care through
communication in rounds and written documentation, level of care
recommendations, transfer coordination, discharge planning and
obtaining authorizations/approvals as needed for outside services
for the patient.Develops, evaluates, and coordinates a
comprehensive discharge plan in conjunction with the
patient/family, physician, nursing, social services, and other
health care providers and agencies.Regulatory: Conducts UM, care
coordination, and discharge planning activities according to all
applicable regulatory requirements.Kaiser Permanente conducts
compensation reviews of positions on a routine basis. At any time,
Kaiser Permanente reserves the right to reevaluate and change job
descriptions, or to change such positions from salaried to hourly
pay status. Such changes are generally implemented only after
notice is given to affected employees.Basic
Qualifications:ExperienceMinimum four (4) years of experience in
hospital patient care delivery, OR completion of Masters degree in
case management program in lieu of minimum years of
experience.EducationGraduate of accredited school of
nursing.Diploma/Associate Degree Nursing.License, Certification,
RegistrationRegistered Nurse License (California)Basic Life
SupportAdditional Requirements:Knowledge of the Nurse Practice Act,
TJC, DMHC, CMS, NCQA, HIPPA, ERISA, EMTALA & all other applicable
federal/state/local laws & regulations.Demonstrated strong
communication and customer service skills, problem-solving,
critical thinking, & clinical judgment abilities.Fundamental word
processing & computer navigation skills & the ability to interpret
& use analytic data in day to day operations.Knowledge of health
care benefits associated with various business line (Medicare/KPSA,
Commercial/KFH, Medi-Cal, Federal, etc.).Must be able to work in a
Labor/Management Partnership environment.Preferred
Qualifications:Minimum two (2) years of experience in utilization
review, case management, and discharge planning preferred.Bachelors
degree in nursing or a health care related field preferred.Masters
degree in case management preferred.COMPANY: KAISERTITLE: Patient
Care Coordinator/Case Manager-Fremont Discharge Planning
(Night/On-call)LOCATION: Fremont, CaliforniaREQNUMBER:
1254081External hires must pass a background check/drug screen.
Qualified applicants with arrest and/or conviction records will be
considered for employment in a manner consistent with Federal,
state and local laws, including but not limited to the San
Francisco Fair Chance Ordinance. All qualified applicants will
receive consideration for employment without regard to race, color,
religion, sex, national origin, sexual orientation, gender
identity, protected veteran, or disability status.
Keywords: Kaiser Permanente, Fremont , PATIENT CARE COORDINATOR/CASE MANAGER-FREMONT DISCHARGE PLANNING (NIGHT/ON-CALL), Executive , Fremont, California
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