RN Care Coordinator

1 week ago


Clackamas, Oregon, United States Kaiser Permanente Full time
Job Summary:

Inpatient Care Managers at Kaiser Permanente are Registered Nurses who play a critical role in ensuring patients receive the right care at the right time. They provide quality, cost-effective clinical coordination and care management in acute care and emergency care settings. Inpatient Care Managers assess patient needs, develop and implement plans of care, and serve as expert consultants and educators for physicians and other healthcare team members.

Essential Responsibilities:
  • Coordinate post-discharge patient care needs to ensure timely and effective discharge of routine and complex patients from the hospital setting.
  • Conduct thorough, timely, and age-appropriate patient assessments, documenting psychosocial support systems, care needs, health plan benefits, and level of care determinations for hospitalized patients.
  • Develop mutually agreeable plans of care with patients, families, and the healthcare team to optimize resource utilization and meet individual patient needs.
  • Facilitate resolution of issues that present barriers to safe transfers through patient/team care conferences, ensuring efficient transition to a lower level of care and quality resource utilization.
  • Maintain systematic and ongoing contact with interdisciplinary staff and continuing care services to ensure safe patient transitions across care settings.
  • Collaborate with the interdisciplinary healthcare team to ensure regulatory and compliance standards are met.
  • Perform duties as requested.
Basic Qualifications:
  • Minimum of two years combined RN experience in Med/Surg, ICU, Emergency Department, Home Health, Skilled Nursing Facilities, Hospice, Long Term Acute Care, Inpatient Rehab, and Utilization Management.
  • Successful completion of an RN program by date of hire.
  • High School Diploma or General Education Development (GED) required.
License, Certification, Registration:
  • This job requires credentials from multiple states. Credentials from the primary work state are required before hire. Additional Credentials from the secondary work state(s) are required post-hire.
  • Registered Nurse License (Washington) within 6 months of hire OR Compact License: Registered Nurse within 6 months of hire.
  • Registered Nurse License (Oregon) within 6 months of hire.
  • Basic Life Support within 3 months of hire.
Additional Requirements:
  • Demonstrated ability to interrelate with physicians, nurses, support staff, and patients in an interdisciplinary approach.
  • Demonstrated ability to work as part of a team and work as a constant patient advocate.
  • Basic physical, psychosocial, functional assessment skills.
  • Familiarity with care process related to discharge and transitional facilities and services.
  • Thorough knowledge of principles of teaching and delegation, assessment skills, and care planning, and appropriate utilization of acute hospital, long-term care, and home care resources.
  • Able to develop concise and thorough documentation of patient clinical assessment and care needs.
  • Highly effective problem-solving, written and verbal communication, customer service, organizational, and time management skills.
  • Ability to effectively provide culturally competent care.
  • Ability to navigate conflict in high-pressure situations.
  • Ability to use fixed and mobile technological devices.
Preferred Qualifications:
  • Knowledge of appropriate utilization of acute hospital and Kaiser Permanente internal resources.
  • Knowledge of Medicare and Medicaid regulations related to eligibility requirements: hospital, nursing facilities, home health, hospice, and Durable Medical Equipment (DME).
  • Knowledge of utilization management principles and tools.
  • Demonstrated clinical judgment and customer-focused service skills.
  • Knowledge of principles of patient teaching, disease prevention measures, and physical assessment as it relates to the needs of patients and the next level of care.
  • Certified in Case Management.
  • BSN or bachelors degree and MSN.


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