Patient Care Coordinator Case Manager

23 hours ago


Santa Clara, California, United States Kaiser Permanente Full time
Job Summary

We are seeking a highly skilled Patient Care Coordinator Case Manager to join our team at Kaiser Permanente. As a key member of our healthcare team, you will be responsible for coordinating patient care and ensuring seamless transitions between healthcare settings.

Key Responsibilities
  • Collaborate with physicians, staff, and non-Kaiser providers to develop and implement patient care plans.
  • Conduct daily pre-admission, admission, and concurrent utilization reviews to determine appropriate levels of care.
  • Monitor patient progress and facilitate discussions with multidisciplinary teams to ensure effective care coordination.
  • Educate healthcare team members on utilization and care coordination best practices.
  • Provide information to patients, families, physicians, and staff regarding discharge plans and transitions.
  • Understand and apply Kaiser Permanente's interpretation and utilization of member healthcare benefits.
  • Conduct activities according to all 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.
  • Current California RN licensure required.
  • BLS Certification.
  • Knowledge of the Nurse Practice Act, TJC, DMHC, CMS, NCQA, HIPAA, ERISA, EMTALA, and all other applicable federal/state/local laws and regulations.
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.
  • Master's degree in case management.
About Kaiser Permanente

Kaiser Permanente is a leading healthcare organization dedicated to providing high-quality, patient-centered care. We are committed to fostering a culture of excellence, diversity, and inclusion.



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