Patient Care Coordinator Case Manager
23 hours ago
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.
- 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.
- 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.
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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