RN Care Coordinator, On Call
3 weeks ago
Inpatient Care Managers at Kaiser Permanente are Registered Nurses who play a critical role in ensuring patients receive the right care at the right time. They are responsible for coordinating post-discharge patient care needs, completing thorough patient assessments, and developing mutually agreeable plans of care that optimize the use of resources. Inpatient Care Managers also serve as expert consultants and educators for physicians and other healthcare team members, providing guidance on discharge and transitional care, and supporting the evaluation and improvement of systems of care.
Essential Responsibilities:- Coordinate post-discharge patient care needs to ensure timely and effective discharge of routine and complex patients from the hospital setting.
- Independently and proactively complete and document patient assessments that are thorough, timely, age-appropriate, and reflect psychosocial support systems, care needs, health plan benefits, and level of care determinations for hospitalized patients.
- Coordinate and communicate with patients, families, and the healthcare team to develop mutually agreeable plans of care that optimize the use of resources to support the particular needs of individual patients.
- Facilitate resolution of issues that present barriers to safe transfers through the use of patient/team care conferences to ensure efficient transition to a lower level of care and to ensure the patient/family receives the right care at the right time, thereby enhancing quality and utilization of resources.
- Ensure systematic and ongoing contact with interdisciplinary staff and continuing care services to ensure safe transition of patients across care settings.
- In collaboration with the interdisciplinary healthcare team, ensure regulatory and compliance standards are met.
- Perform duties as requested.
- Minimum of two years combined RN experience in the following areas:
- Med/Surg (hospital acute care)
- ICU (hospital acute care)
- Emergency Department
- Home Health
- Skilled Nursing Facilities
- Hospice
- Long Term Acute Care
- Inpatient Rehab
- Utilization Management
- Successful completion of an RN program by date of hire.
- High School Diploma or General Education Development (GED) required.
- This job requires credentials from multiple states. Credentials from the primary work state are required before hire. Additional Credentials from the secondary work state(s) are required post-hire.
- Registered Nurse License (Washington) within 6 months of hire OR Compact License: Registered Nurse within 6 months of hire
- Registered Nurse License (Oregon) within 6 months of hire
- Basic Life Support within 3 months of hire
- Demonstrated ability to interrelate with physicians, nurses, support staff, and patients in an interdisciplinary approach.
- Demonstrated ability to work as part of a team and work as a constant patient advocate.
- Basic physical, psychosocial, functional assessment skills.
- Familiar with care process related to discharge and transitional facilities and services.
- Thorough knowledge of principles of teaching and delegation, assessment skills and care planning, and appropriate utilization of acute hospital, long-term care, and home care resources.
- Able to develop concise and thorough documentation of patient clinical assessment and care needs.
- Highly effective problem-solving, written and verbal communication, customer service, organizational, and time management skills.
- Ability to effectively provide culturally competent care.
- Ability to navigate conflict in high-pressure situations.
- Ability to use fixed and mobile technological devices.
- Knowledge of appropriate utilization of acute hospital and Kaiser Permanente internal resources.
- Knowledge of Medicare and Medicaid regulations related to eligibility requirements: hospital, nursing facilities, home health, hospice, and Durable Medical Equipment (DME).
- Knowledge of utilization management principles and tools.
- Demonstrated clinical judgment and customer-focused service skills.
- Knowledge of principles of patient teaching, disease prevention measures, and physical assessment as it relates to the needs of patients and the next level of care.
- Certified in Case Management.
- BSN or bachelors degree and MSN.
- Variable shifts, including holidays and weekends.
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