Medical Progressive Care Unit
5 days ago
Kaiser Permanente is seeking a Registered Nurse (RN) PCU - Progressive Care Unit for a nursing job in Clackamas, Oregon. Specialty: PCU - Progressive Care Unit
* Shift: 8 hours, days
* Employment Type: Staff
The Exceptional Needs or Special Needs Care Coordination nurses (ENCC in OR/SNCC in WA) provide contractually required assistance and support to Kaiser OR and WA Medicaid Members. Kaiser Permanente has expanded the program to include all Charitable Coverage members with special needs; KP Transitions and KP Child Health. The ENCC/SNCC are responsible for: 1) Identification of members who are aged, blind, disabled, or who have other medical and/or cognitive issues that create barriers to care; 2) Coordination of internal and external services to ensure appropriate access and care planning to include other KP staff such as case managers and social work; and 3) Identification and remediation of barriers to care and access that resulting in population disparities.
Likelihood of Hospitalization score, care gap scores, over/under use of ED/UC, appointment cancellations and no-shows, medication non-compliance and the dx codes for children and direct referrals from agency case managers, primary care providers, or other sources.
Independently and proactively complete chart reviews, screening calls and full assessments related to the anticipated level of care and document findings using approved documentation tools.
Determine Level of Care.
Communicate findings and actions to involved care providers through succinct summaries that include findings, actions and further recommendations.
With the member/family and appropriate KP staff and providers, develop a care plan that addresses short term goals that are specific, attainable and measurable and work with PCP to ensure a clear medical treatment plan is documented.
Provide care coordination and management services for members with identified needs within the scope of the ENCC/SNCC role by:
Creatively using available and appropriate resources, including KP staff and providers, to support the unique needs of each member with special needs; Monitoring the effectiveness of the interventions; and Reinforcing the treatment plan through medication compliance including support for Opiate Therapy Plan compliance; Identify non-medical issues; environment, abuse and neglect, homelessness and hunger and other safety concerns and work with state agencies and KP providers to support and remedy where possible.
Provide care management and oversight to members participating in the Patient Review and Coordination Program for WA Medicaid.
Succinctly document interventions in HealthConnect as needed by other providers to ensure coordination of care and services.
Education of staff/clinicians about ENCC/SNCC and the special needs of our low income population.
Development and distribution of education, tools and materials for member coordination.
Completion of an annual program review including related policies, desk procedures, and documentation tools.
Minimum two (2) years of experience in case management, care coordination, or population care.
Minimum two (2) years of direct patient care as a registered nurse.
Bachelors degree in nursing or health related field.
License, Certification, Registration
Knowledge of Oregon Health Plan, including ORS requirements, pharmacy rules and regulations and OHP list of treatable diseases.
Knowledge of community resources for the care of the elderly and disabled.
Demonstrated ability to organize, coordinate, and manage care plans. Thorough knowledge of levels of care within outpatient, acute care, and extended care settings.
Demonstrated data entry skills and ability to use Microsoft Word software.
Prior experienced as a care coordinator or discharge planner. Knowledge of Medicaid/Medicare programs and regulations.
Knowledge of quality management and utilization management principles.
Exceptional Needs/Special Needs Care Coordination (Pt, Days) About Kaiser Permanente
At the heart of health care, you'll find Kaiser Permanente. As the nations leading not-for-profit, integrated health plan, we make a difference in the lives of members, patients, and communities across the country.
Whether you choose to join a hospital in the Northwest, a clinic in Southern California, or a medical office in the Mid-Atlantic, we have many opportunities for you to shape the future of care.
Our teams are empowered to advance impactful and extraordinary care for all by pioneering health outcomes, encouraging diverse viewpoints, and creating new opportunities for learning and advancement. it also reaches far into our communities.
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