Patient Care Coordination Case Manager Short Hour

3 weeks ago


Santa Clara, United States Kaiser Permanente Full time

**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**:
Experience
- Minimum 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.

Education
- Graduate of accredited school of nursing.
- Diploma/Associate Degree Nursing.

License, Certification, Registration
- Registered Nurse License (California)
- Basic Life Support

**Additional 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.

PrimaryLocation : California,Santa Clara,Santa Clara Hospital

HoursPerWeek : 1

Shift : Day

Workdays : Week 1: Sat, Sun; Week 2: Sat, Sun

WorkingHoursStart : 08:00 AM

WorkingHoursEnd : 04:30 PM

Job Schedule : Call-in/On-Call

Job Type : Standard

Employee Status : Regular

Employee Group/Union Affiliation : A10|NNU|California Nurse's Association

Job Level : Individual Contributor

Job Category : Nursing Licensed & Nurse Practitioners

Department : Santa Clara Homestead Hospital - UR-Discharge Planning - 0201

Travel : No



  • Santa Clara, United States Kaiser Permanente Full time

    **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**:...

  • Registered Nurse

    1 month ago


    Santa Fe, NM, United States Professional Case Management Full time

    Make a Difference on Your Own Schedule and Terms!Hiring Case Managers in New Mexico   Come join our growing team! A few of our perks:Create your own schedule!$40/hr. (including 100% of Hourly Wage Paid for All Drive Time) Our RN-Case Managers conduct in-home nursing visits for our clients. All our clients are former Nuclear Weapon's Workers with...


  • Santa Ana, United States Kindred Healthcare Full time

    ScionHealth is committed to a culture of service excellence as demonstrated by our employees' adherence to the service excellence principles of Pride, Teamwork, Compassion, Integrity, Respect, Fun, Professionalism, and Responsibility. As our most acute level of care, our specialty hospitals offer the same critical care patients receive in a traditional...


  • Santa Clara, California, United States Kaiser Permanente Full time

    Job Summary:Administers diagnostic audiological tests that allow the differentiation between types of hearing disorders, coordinates and interprets test results and consults with and makes recommendations on hearing disorders to physicians.Essential Responsibilities:Provides diagnostic evaluation of hearing, prevention, habilitation and rehabilitation...


  • Santa Clara, United States Kaiser Permanente Full time

    Job Summary:Administers diagnostic audiological tests that allow the differentiation between types of hearing disorders, coordinates and interprets test results and consults with and makes recommendations on hearing disorders to physicians.Essential Responsibilities:Provides diagnostic evaluation of hearing, prevention, habilitation and rehabilitation...

  • Care Coordinator

    4 weeks ago


    Santa Monica, United States CLARE|MATRIX Full time

     Job Title: Care Coordinator (Case Manager)Reports to: Program ManagerAbout CLARE|MATRIX: CLARE|MATRIX is a nonprofit organization providing effective and compassionate treatment, recovery, and prevention services for alcoholism and substance abuse to individuals, families, and the community.Since 1970, CLARE|MATRIX has provided quality substance abuse and...


  • Santa Rosa, United States Excelin Health Services Full time

    Job DescriptionJob DescriptionJob Title/Position: Patient Care CoordinatorReports to: Clinical ManagerJOB DESCRIPTION SUMMARY: The Patient Care Coordinator’s (PCC) primary responsibility is to provide administrative support for the Clinical Managers, clinical care staff and patients. The PCC will coordinate daily/weekly/monthly clinical reports, patient...

  • Re-Entry Case Manager

    2 weeks ago


    Santa Clara, United States LifeMoves Full time

    Job DetailsLevelExperiencedJob LocationCorporate Headquarters - Santa Clara, CAPosition TypeFull TimeEducation Level4 Year DegreeSalary Range$25.50 - $32.50 HourlyTravel PercentageNegligibleJob ShiftDayJob CategoryNonprofit - Social ServicesPosition DescriptionAbout Us: LifeMoves is one of the largest and most effective providers of shelter and supportive...


  • Santa Clara, United States LifeMoves Full time

    Job DetailsLevelExperiencedJob LocationCorporate Headquarters - Santa Clara, CAPosition TypeFull TimeEducation Level4 Year DegreeSalary Range$25.50 - $32.50 HourlyTravel PercentageNegligibleJob ShiftDayJob CategoryNonprofit - Social ServicesPosition DescriptionAbout Us: LifeMoves is one of the largest and most effective providers of shelter and supportive...

  • Lead Care Manager

    1 month ago


    Santa Clara, United States VyncaCare Full time

    Join the vibrant and invigorating journey at Vynca, where our pace is exhilarating and our spirit entrepreneurial! At the heart of Vynca lies a deep-seated passion about transforming care for individuals living with complex social and clinical needs. We’re not just a team; we're a close-knit community united in our dedication to caring for each other and...

  • Case Manager Hugs

    4 weeks ago


    Santa Fe, United States Christus Health Full time

    Description POSITION SUMMARY: In collaboration with the patient/family, physicians and interdisciplinary team, the Case Management Coordinator ensures patient progression through the continuum of care in an efficient and cost effective manner. The Case Management Coordinator is responsible for identifying, initiating and managing optimal patient...


  • Santa Clara, United States LifeMoves Full time

    Job DetailsLevel Experienced Job Location Corporate Headquarters - Santa Clara, CA Position Type Full Time Education Level 4 Year Degree Salary Range $25.50 - $32.50 Hourly Travel Percentage Negligible Job Shift Day Job Category Nonprofit - Social Services Position DescriptionAbout Us: LifeMoves is one of the largest and most effective providers of shelter...

  • Re-Entry Case Manager

    2 weeks ago


    Santa Clara, United States LifeMoves Full time

    Job DetailsLevel Experienced Job Location Corporate Headquarters - Santa Clara, CA Position Type Full Time Education Level 4 Year Degree Salary Range $25.50 - $32.50 Hourly Travel Percentage Negligible Job Shift Day Job Category Nonprofit - Social Services Position DescriptionAbout Us: LifeMoves is one of the largest and most effective providers of shelter...

  • Case Manager HUGS

    2 weeks ago


    Santa Fe, United States CHRISTUS Health Full time

    Job Description POSITION SUMMARY: In collaboration with the patient/family, physicians and interdisciplinary team, the Case Management Coordinator ensures patient progression through the continuum of care in an efficient and cost effective manner. The Case Management Coordinator is responsible for identifying, initiating and managing optimal patient...


  • Santa Clara, United States The County of Santa Clara Full time

    **Salary** - $59,200.96 - $71,346.08 Annually**Location** - Throughout the County of Santa Clara, CA**Job Type** - Full-Time/Part-Time**Job Number** - 24-S9P-A**Department** - Santa Clara Valley Medical Center**Opening Date** - 04/16/2024**Closing Date** - 4/30/2024 11:59 PM Pacific**Bargaining Unit** - 01**Description**: - Under general supervision, to...


  • Santa Rosa, CA 95402, USA, United States Specialty1 Partners Full time

    Our office, Santa Rosa Endodontics, is seeking a Patient Care Coordinator to join our busy specialty practice. Our office is looking for a talented and pleasant patient care coordinator to take on all administrative and front office duties to provide an exceptional experience to all patients and visitors. Here is what you need to know about the role, our...


  • Santa Monica, CA, US Talent Healthcare Staffing Full time

    Job Summary:We are seeking a dedicated Registered Nurse Case Manager to join our healthcare team. The ideal candidate will be responsible for coordinating patient care, providing medical support, and ensuring the delivery of quality healthcare services.Responsibilities:- Conduct patient assessments and develop individualized care plans- Coordinate with...

  • RN Case Manager

    2 weeks ago


    Santa Barbara, United States Impresiv Health Full time

    Title: Health Plan Nurse Coordinator Duration: Temporary until 7/31/24 Compensation: $47/hour Description: Our client is looking for a Health Plan Nurse Coordinator (RN) to support their case management team. What You Will Do: Comply with HIPAA, Privacy, and Confidentiality laws and regulations. Adhere to Health Plan, Medical Management, and Health...

  • Rn Care Coordinator

    4 weeks ago


    Santa Maria, United States Community Health Centers of the Central Coast Full time

    **Wage range that the company expects to pay: $45.00 - $54.70 per hour** **SUMMARY** Under the direction of the Associate Director of Nursing, the RN Care Coordinator ensures care coordination for a panel of patients to achieve optimal outcomes and wellness, while decreasing preventable ED, inpatient, and readmission visits. The RN Care Coordinator ensures...

  • Case Manager

    2 days ago


    Santa Teresa, United States Peak Behavioral Health Full time

    Case Manager - Temporary Assignment | Peak Behavioral Health | Santa Teresa, New MexicoAbout the Job:We are recruiting for a temporary case manager role that is expected to end August 31, 2024. There is opportunity of the assignment to extend further depending on departmental need. The Case Manager supports the department by providing case management to the...