Patient Care Coordinator Case Manager
3 months ago
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. COMPANY: KAISER TITLE: Patient Care Coordinator Case Manager - 24 Hour - Day LOCATION: Santa Clara, California REQNUMBER: 1275261 External 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.
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Patient Care Coordinator Case Manager SH
3 months ago
Santa Clara, United States Kaiser Permanente Full timeCoordinates 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,...
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Patient Care Coordinator
4 days ago
Santa Clara, California, United States Kaiser Permanente Full timeJob Title: Patient Care Coordinator Case Manager">We are seeking a highly skilled professional to coordinate with physicians, staff, and non-Kaiser providers and facilities regarding patients' transitions and discharge planning.Responsibilities:Perform daily pre-admission, admission, and concurrent utilization reviews using guidelines, institutional...
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Travel Case Manager
6 days ago
Santa Clara, California, United States TotalMed Case Management Staffing Full timeCase Management Travel RN Job in Santa ClaraTotalMed Case Management Staffing is seeking a travel nurse RN Case Manager for a 13-week assignment in the area.Specialty: Case ManagementDiscipline: RNDuration: 13 weeks$120/hourShift: 8 hours, daysEmployment Type: TravelWe are looking for a skilled Case Manager-Registered Nurse to join our team. The pay package...
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santa fe, United States Professional Case Management Full timeSenior Case Manager RN - Paid Drive Time at Professional Case Management summary: The Senior Case Manager RN is responsible for providing direct care and case management to clients in accordance with agency policies. This role includes supervising a team of RN Case Managers, collaborating with various personnel, and ensuring adherence to nursing delegation...
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santa fe, United States Professional Case Management Full timeMake a Difference on Your Own Schedule and Terms! Hiring Senior Case Managers in New Mexico Come join our growing team! A few of our perks: Create your own schedule!$42/hr.(including 100% of Hourly Wage Paid for Drive Time)Bonus EligibleDirect assigned team members of RN Case Managers in the provision of care in accordance with Agency policy and with...
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Nurse Case Manager Supervisor
5 days ago
Santa Fe, New Mexico, United States Professional Case Management Full timeSenior Registered Nurse - Team Lead in Home HealthcareAs a key member of our team at Professional Case Management, you will oversee a group of skilled RN Case Managers and focus on delivering exceptional patient care that adheres to the highest healthcare standards. Your primary responsibilities include direct supervision, facilitating client care...
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santa fe, United States Professional Case Management Full timeMake a Difference on Your Own Schedule and Terms! Hiring Senior Case Managers in New Mexico Come join our growing team! A few of our perks: Create your own schedule! $42/hr. (including 100% of Hourly Wage Paid for Drive Time) Bonus Eligible Direct assigned team members of RN Case Managers in the provision of care in accordance with Agency policy and with...
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Santa Fe, United States SOUTHWEST CARE , INC. Full timeSouthwest Care Center employees can answer yes to these 3 questions: 1. Do you want to make a difference? 2. Do you believe everyone is entitled to quality healthcare? 3. Do you desire to serve the underserved in your community? For over 25 years, Southwest Care Center has been providing exceptional healthcare to the communities of Santa Fe and Albuquerque,...
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Healthcare Traveler
6 days ago
Santa Clara, California, United States TotalMed Case Management Staffing Full timeTravel Nurse Case Manager PositionTotalMed Case Management Staffing has a travel nurse RN Case Manager job opening for 13 weeks in the location.Key Job Responsibilities:Specialty: Case ManagementDiscipline: RNDuration: 13 weeks$160/hourShift: 8 hours, daysEmployment Type: TravelThe position involves working as a skilled Case Manager-Registered Nurse and...
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santa fe, United States Professional Case Management Full timeMake a Difference on Your Own Schedule and Terms! Hiring Senior Case Managers in New Mexico Come join our growing team! A few of our perks: Create your own schedule!$42/hr.(including 100% of Hourly Wage Paid for Drive Time)Bonus EligibleDirect assigned team members of RN Case Managers in the provision of care in accordance with Agency policy and with...
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Patient Care Transition Specialist
4 days ago
Santa Clara, California, United States Kaiser Permanente Full timeJob DescriptionKaiser Permanente is seeking an experienced Patient Care Coordinator Case Manager SH to join our team in Santa Clara, California. The successful candidate will have a strong background in patient care delivery and case management, with a minimum of four years of experience. In this role, you will be responsible for coordinating patient...
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Cardiovascular Care Coordinator
2 weeks ago
Santa Clara, California, United States Kaiser Permanente Full timeAbout the RoleIn this exciting role as a Case Manager RN - Cardiovascular, you will have the opportunity to make a real difference in the lives of our patients by providing exceptional care coordination and navigation throughout their treatment journey.You will work closely with multidisciplinary teams to ensure seamless transitions between pre-surgery and...
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Critical Care Nurse Specialist
4 weeks ago
Santa Monica, California, United States TotalMed Case Management Staffing Full timeTotalMed Case Management Staffing is a leading provider of travel nursing services, offering top-paying contracts and personalized support to healthcare professionals. We are currently seeking a skilled Critical Care Nurse Specialist for a challenging case management role in California.About the Role:This 8-week contract will involve working as part of a...
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Santa Fe, United States SOUTHWEST CARE , INC. Full timeSouthwest Care Center employees can answer yes to these 3 questions: 1. Do you want to make a difference? 2. Do you believe everyone is entitled to quality healthcare? 3. Do you desire to serve the underserved in your community? For over 25 years, Southwest Care Center has been providing exceptional healthcare to the communities of Santa Fe and Albuquerque,...
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Travel Nursing Case Manager
7 days ago
Santa Clara, California, United States Cross Country Nurses Full timeJob DescriptionCross Country Nurses is seeking a travel nurse to work as a Case Management professional in California.Specialty: Case ManagementDiscipline: RNDuration: 13 weeksHours: 40 hours per weekShift: 8 hours, daysThis role involves working collaboratively with healthcare teams to assess, plan, facilitate and coordinate care for individual patients....
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Professional Travel RN Case Manager
3 weeks ago
Santa Clara, California, United States Cross Country Nurses Full timeJob Title: Professional Travel RN Case ManagerLocation: Santa Clara, CaliforniaEstimated Salary: $120,000 - $180,000 per yearJob Type: Full-time, 13 weeksHours: 40 hours per week, 8 hours/dayAbout the JobWe are seeking an experienced Registered Nurse (RN) to join our team as a travel RN Case Manager in Santa Clara, California. As a case management nurse, you...
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Registered Nurse
1 month ago
Santa Clara, United States AMN Healthcare Full timeJob Details 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. Benefits At AMN Healthcare we take care of our travelers! We offer: ...
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Santa Fe, NM, United States Professional Case Management Full timeMake a Difference on Your Own Schedule and Terms! Hiring Senior Case Managers in New Mexico Come join our growing team! A few of our perks: Create your own schedule!$42/hr. (including 100% of Hourly Wage Paid for Drive Time) Bonus Eligible Direct assigned team members of RN Case Managers in the provision of care in accordance with Agency policy and...
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Healthcare Case Manager
2 weeks ago
Santa Barbara, California, United States Sutter Health Full timeWe are seeking a skilled RN Case Manager to coordinate the utilization management, resource allocation, discharge planning, post-acute care referrals, and care facilitation for our patients. This role will oversee the management of acute patient populations across the care continuum with a focus on providing coordinated and integrated care to prevent...
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Patient Care Manager
3 days ago
Santa Clara, California, United States Kaiser Permanente Full timeJob Title: Patient Care ManagerJob Summary:The Kaiser Permanente patient care manager oversees the delivery of high-quality, patient-centered care by leading interdisciplinary teams and ensuring seamless care coordination.This role requires strong leadership and communication skills, as well as a deep understanding of nursing theory, research, and policy...
