Medical Staff

3 weeks ago


Anaheim CA, United States Kaiser Permanente Full time
About the Role

Kaiser Permanente is seeking a skilled Registered Nurse to join our team as a Case Manager. In this role, you will work collaboratively with physicians and other healthcare professionals to coordinate and screen for the appropriateness of admissions and continued stays.

Key Responsibilities
  • Develop and implement individualized plans of care to ensure continuity, quality, and appropriate resource use.
  • Collaborate with physicians, patients, and families to coordinate safe and acceptable discharge plans.
  • Assess high-risk patients in need of post-hospital care planning and develop and coordinate the implementation of discharge plans.
  • Communicate plans to physicians, patients, families, staff, and community agencies.
  • Review, monitor, evaluate, and coordinate patients' hospital stays to ensure timely and efficient delivery of essential services.
  • Participate in bed huddles and carry out recommendations congruent with patients' needs.
  • Coordinate interdisciplinary approaches to providing continuity of care, including utilization management, transfer coordination, discharge planning, and obtaining authorizations/approvals as needed.
  • Conduct daily clinical reviews for utilization/quality management activities based on guidelines/standards for patients in various settings.
  • Act as a liaison between in-patient facilities and referral facilities/agencies and provide case management to patients referred.
  • Refer patients to community resources to meet post-hospital needs and coordinate transfers to appropriate facilities.
  • Adhere to internal and external regulatory and accreditation requirements and compliance guidelines.
Requirements
  • Two years of combined RN experience in an acute care setting or case management required.
  • Completion of an accredited RN training program that allows graduates to take RN license exams.
  • Registered Nurse License (California) and Basic Life Support certification required.


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