Patient Care Coordinator

5 days ago

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

As a Patient Care Coordinator, you will play a critical role in ensuring seamless transitions for patients between healthcare settings. You will work closely with physicians, staff, and external providers to develop and implement effective discharge plans, ensuring patients receive the necessary care and support to achieve optimal health outcomes.

Key Responsibilities
  • Conduct daily pre-admission, admission, and concurrent utilization reviews to determine appropriate levels of care and readiness for discharge.
  • Collaborate with multidisciplinary teams to monitor the progression of discharge plans and facilitate discussions to ensure timely and effective transitions.
  • Educate healthcare team members on utilization and care coordination best practices.
  • Provide information and support to patients, families, physicians, and staff regarding discharge plans and transitions.
  • Ensure compliance with regulatory requirements and Kaiser Permanente policies and procedures.
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 with a Registered Nurse License (California).
  • Basic Life Support certification.
  • Knowledge of the Nurse Practice Act, TJC, DMHC, CMS, NCQA, HIPAA, ERISA, EMTALA, and other applicable federal, state, and local laws and regulations.
  • Strong communication and customer service skills, problem-solving, critical thinking, and clinical judgment abilities.
  • Fundamental word processing and computer navigation skills, and the ability to interpret and use analytic data in day-to-day operations.
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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