Regional Home Care RN Consultant

2 weeks ago


Pasadena, California, United States Kaiser Permanente Full time
Job Summary

As a Regional Home Care RN Consultant at Kaiser Permanente, you will provide clinical expertise to ensure compliance with medical necessity and quality concerns. You will work closely with Member Services, clinical, and administrative leadership to investigate and resolve complex member requests and appeals. Your expertise will be utilized to conduct investigations, seek input from other clinical professionals, and develop resources to address clinical, quality, and compliance gaps.

Key Responsibilities
  • Work with Member Services and clinical leadership to investigate and resolve complex member requests and appeals.
  • Conduct investigations and seek input from other clinical professionals as required.
  • Develop resources and implement solutions to address clinical, quality, and compliance gaps.
  • Review member complaints to identify potential quality issues.
  • Provide direct support and consultation on corrective actions for non-compliance.
  • Assist in the development of policies and educational programs to ensure compliance responsibilities are met.
  • Lead high-visibility projects to identify and resolve strategic issues.
  • Coordinate the audit process and report findings to senior leadership.
Requirements
  • Minimum 5 years of nursing staff, consultant, or management experience in ambulatory, inpatient, or care at home settings.
  • Graduate of an accredited school of nursing required.
  • Registered Nurse degree required.
  • Registered Nurse License (California) required.
  • Excellent interpersonal, verbal, and written communication skills.
  • Ability to work with peers in self-managed teams to meet deadlines.
  • Ability to use sound judgment and handle potentially charged issues independently.
Preferred Qualifications
  • Minimum 5 years of nursing staff, consultant, or management experience in home health, hospice, and home palliative care settings.
  • BSN or BA in a health-related field, preferred.


  • Pasadena, California, United States Kaiser Permanente Full time

    Job SummaryWe are seeking a highly skilled Registered Nurse to join our team as a Regional Home Care RN Consultant. In this role, you will provide clinical expertise to ensure compliance with medical necessity and quality concerns. You will work closely with our Member Services organization and other clinical and administrative leaders to investigate and...


  • Pasadena, California, United States Kaiser Permanente Full time

    Job Summary:We are seeking a highly skilled Regional Home Care RN Consultant to join our team at Kaiser Permanente. As a key member of our Home Care Services department, you will provide clinical expertise and guidance to ensure high-quality patient care and compliance with regulatory requirements.Key Responsibilities:Collaborate with Member Services...


  • Pasadena, California, United States Recruitics JB Full time

    Job SummaryWe are seeking a highly skilled and experienced Registered Nurse to join our team as a Regional Home Care RN Consultant. As a key member of our clinical leadership team, you will provide clinical expertise and guidance to our Home Care Services organization, ensuring the highest quality of care for our patients.Key ResponsibilitiesInvestigate and...


  • Pasadena, California, United States Kaiser Permanente Full time

    Job SummaryAs a Regional Home Care RN Consultant, you will provide clinical expertise to ensure compliance with medical necessity and quality concerns. You will work closely with Member Services, clinical, and administrative leaders to investigate and resolve complex member requests and appeals.Key ResponsibilitiesCollaborate with Member Services and...

  • Clinical Consultant

    4 weeks ago


    Pasadena, California, United States Recruitics JB Full time

    Job SummaryWe are seeking a highly skilled and experienced Registered Nurse to join our team as a Clinical Consultant - Home Care RN. In this role, you will provide clinical expertise to support compliance and quality initiatives in our Home Care department.Key ResponsibilitiesCollaborate with clinical and administrative leaders to investigate and resolve...


  • Pasadena, California, United States Angels of Care Pediatric Home Health Full time

    Join Our Team of Dedicated Healthcare ProfessionalsWe are seeking a compassionate and skilled Registered Nurse (RN) or Licensed Vocational Nurse (LVN) to join our team at Angels of Care Pediatric Home Health. As a pediatric home health nurse, you will provide high-quality, one-on-one medical care to infants, children, and adolescents in their homes, making a...

  • Home Health Aide

    19 hours ago


    Pasadena, California, United States Holy Family Home Care LLC Full time

    Job SummaryWe are seeking a skilled Home Health Aide to provide high-quality patient care in the comfort of their own homes or in a care facility.Responsibilities:Deliver personalized care to elderly, convalescent, or disabled individualsMonitor and report changes in patient health statusProvide personal care, such as bathing and dressing patientsAdminister...


  • Pasadena, California, United States CenterWell Home Health Full time

    About the RoleWe are seeking a highly skilled Physician to join our team at CenterWell Home Health. As a Physician, you will play a critical role in providing high-quality patient care and contributing to the success of our organization.ResponsibilitiesEvaluate and treat patients in accordance with standards of care.Follow level of medical care and quality...


  • Pasadena, California, United States CenterWell Home Health Full time

    About the RoleWe are seeking a highly skilled Physician to join our team at CenterWell Home Health. As a Physician, you will play a critical role in providing high-quality patient care and contributing to the success of our organization.ResponsibilitiesEvaluate and treat patients in accordance with standards of care.Follow level of medical care and quality...


  • Pasadena, California, United States At Home Therapies Full time

    About UsAt Home Therapies is a leading provider of rehabilitation services, with over 30 years of experience in the industry. We are committed to delivering high-quality care to our clients and supporting the growth and success of our team members.Job SummaryWe are seeking a passionate and dedicated Occupational Therapist to join our team. As an Occupational...


  • Pasadena, California, United States Kaiser Permanente Full time

    Job SummaryAs a Clinical Nursing Supervisor, you will provide first-line supervision at one site for nursing and other professional staff providing direct patient care. This may include home infusion programs/services, assessment or treatment clinics for geriatric or other patients in specifically defined patient populations. You will be responsible for...


  • Pasadena, California, United States Kaiser Permanente Full time

    Job Summary:As a Clinical Nursing Supervisor, you will provide first-line supervision at one site for nursing and other professional staff providing direct patient care. This may include clinical/care services for hospice and/or home health patients, such as home infusion programs/services, assessment or treatment clinics for geriatric or other patients in...


  • Pasadena, California, United States Home Instead - Pasadena, CA Full time

    Start a Fulfilling Career in Home CareAre you looking for a career that allows you to make a difference in people's lives? Do you have a compassionate heart and a desire to learn? Home Instead - Pasadena, CA is hiring Caregivers to provide non-medical home care to our clients in the Northeast Glendale to San Gabriel Valley cities area.Why Work with...

  • Occupational Therapist

    16 hours ago


    Pasadena, California, United States At Home Therapies Full time

    About the Role:We are seeking a highly skilled Occupational Therapist to join our team at At Home Therapies. As a key member of our team, you will provide comprehensive occupational therapy evaluations and treatments to patients in their homes, adult day cares, and assisted living facilities.Key Responsibilities:Conduct thorough occupational therapy...


  • Pasadena, California, United States The Green Recruitment Company Full time

    Job DescriptionOur client, a leading renewable energy technical consultancy, is seeking a highly skilled and experienced Country Manager for Renewable Energy to lead their operations in Africa.The successful candidate will be responsible for developing and executing business strategies to drive growth and revenue in the region, as well as providing direction...


  • Pasadena, California, United States Frontier Home Health and Hospice Full time

    OverviewCompetitive Benefits PackageAt Frontier Home Health and Hospice, we're committed to delivering exceptional patient care in the comfort of their own homes. As a national leader in home-based care, we're dedicated to fostering a unique culture that's both innovative and collaborative.Key ResponsibilitiesCoordinate patient care, ensuring continuous...


  • Pasadena, California, United States Kaiser Permanente Full time

    Job SummaryWe are seeking a highly skilled and experienced Clinical Nursing Supervisor to join our team at Kaiser Permanente. As a Clinical Nursing Supervisor, you will be responsible for providing first-line supervision to nursing and other professional staff providing direct patient care in our home health and hospice programs.Key ResponsibilitiesSupervise...


  • Pasadena, California, United States Kaiser Permanente Full time

    Job Summary:The Home Health Aide shall provide limited nursing and/or related services in the home, consistent with training, with California State Certification, and with the Federal Code Regulations. The Aide shall assist patients with transfers, ambulation, exercises, and prescribed rehabilitation techniques. They shall also provide incidental household...


  • Pasadena, California, United States Kaiser Permanente Full time

    Job Summary:As a Nursing Education Consultant at Kaiser Permanente, you will provide strategic planning and consultative services to senior executives and nursing leaders to enhance professional practice and align nursing education, professional development, and continuous learning with organizational goals and objectives. You will manage the design,...

  • Home Health RN

    2 days ago


    Pasadena, California, United States Elara Caring Full time

    Transforming Home CareAt Elara Caring, we're pioneering a new era in home care. Our mission is to provide exceptional care to patients in the comfort of their own homes. As a Registered Nurse Home Health, you'll play a vital role in delivering high-quality care and making a meaningful difference in the lives of our patients.Key ResponsibilitiesAssess patient...