RN Care Coordinator Team Lead

2 weeks ago


Hillsboro OR, United States Kaiser Permanente Full time
Job Summary:

The RN Team Leader assumes a key role in collaborating with a clinician partner to facilitate the timely, appropriate, and safe transition of patients from hospital, emergency departments, home health/hospice, and outpatient clinics to other care settings across the continuum.

Key Responsibilities:
  • Practices and demonstrates clinical and leadership skills to foster a high-functioning self-directed team.
  • Evaluates and prioritizes staffing needs while collaborating with manager/department assistants.
  • Collaborates, advocates, identifies scope, workflow, policy/procedure involvement, and handles member concerns.
  • Mentors and coaches team members with issues and concerns related to patient care and workflow.
  • Critical thinking and delegation of appropriate work.
  • Demonstrates effective communication with patients, clinicians, interdepartmental, and intradepartmental staff.
  • Participates in the hiring, training, and evaluating process.
  • Facilitates orientation and training needs.
  • Assists in the assessment and monitoring of clinical competencies of the team.
  • Provides input into performance evaluations.
  • Acts as a mentor and coach in assisting team members with training or educational needs.
  • Demonstrates personal commitment to continuous learning and professional development.
  • Coordinates communication flow within the team and other departments within KP and plan hospitals.
  • Participates in communicating department issues locally and regionally.
  • Facilitates information flow when emergency situations occur.
  • Communicates work team issues to manager on a regular basis.
  • Communicates team performance in meeting clinical and service targets.
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.
  • Familiar with care processes and systems in settings internal and external to Kaiser Permanente.
  • Familiar with and able to collaborate with Kaiser Permanente and community resources.
  • Thorough knowledge of principles of teaching and delegation, physical assessment, and care planning.
  • 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, organizational, and time management skills.
  • Familiarity with and ability to use computers.
Preferred Qualifications:
  • Minimum three (3) years of Medical/Surgical, Critical Care, or NICU Nursing.
  • Minimum three (3) years of recent experience in one or more of the following areas: Hospital Inpatient Discharge Planning, SNF Placement, Skilled nursing, LTAC, Acute Rehabilitation, Community Health, Home Health, and/or Utilization Management.
  • Certified Case Management (CCM) is preferred upon hire/transfer.
  • 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).
  • 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.
  • Demonstrated ability to communicate and interact with physicians, nurses, patients, and families.
  • Able to type 30 WPM with accuracy.


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