Patient Care Coordinator/Case Manager-Fremont Discharge Planning Specialist

5 days ago


Fremont, California, United States Kaiser Permanente Full time
Job Summary:
As a Patient Care Coordinator/Case Manager-Fremont Discharge Planning professional at Kaiser Permanente, you will play a critical role in coordinating patient transitions and discharge planning. You will work closely with physicians, staff, and non-Kaiser providers to ensure seamless care transitions and develop comprehensive discharge plans. Your expertise in utilization management, care coordination, and discharge planning will be essential in making recommendations for alternative levels of care as required.

Key Responsibilities:
  • Conduct daily pre-admission, admission, and concurrent utilization reviews to determine appropriate levels of care and readiness for discharge.
  • Monitor the progression of discharge plans and facilitate discussions with multidisciplinary teams.
  • Educate healthcare team members on utilization and care coordination best practices.
  • Collaborate with patients, families, physicians, and staff to ensure effective discharge planning and transitions.
  • Understand and apply Kaiser Permanente's interpretation and utilization of member healthcare benefits.
  • Ensure continuity of care through communication, documentation, and level of care recommendations.
  • Develop, evaluate, and coordinate comprehensive discharge plans with patients, families, physicians, and healthcare providers.
  • Conduct activities according to applicable regulatory requirements.

Requirements:
  • Minimum four years of experience in hospital patient care delivery or completion of a Master's degree in case management.
  • Graduate of an accredited school of nursing.
  • Registered Nurse License (California) and Basic Life Support certification.
  • Strong communication and customer service skills, problem-solving, critical thinking, and clinical judgment abilities.
  • Fundamental word processing and computer navigation skills.
  • Knowledge of healthcare benefits associated with various business lines.

Preferred Qualifications:
  • Minimum two years of experience in utilization review, case management, and discharge planning.
  • Bachelor's degree in nursing or a healthcare-related field.
  • Masters degree in case management.


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