RN Care Coordinator, On Call, Days
2 weeks ago
Inpatient Care Managers at Kaiser Permanente are Registered Nurses who ensure patients receive the correct level of care for accurate billing and reimbursement. They provide quality, cost-effective clinical coordination and care management in acute care and emergency settings, managing patients with routine and complex transition planning needs. Inpatient Care Managers assess needs, develop, and implement plans of care for transitions across care settings, serving as expert consultants and educators for physicians and other healthcare team members.
They coordinate post-discharge patient care needs to ensure timely and effective discharge of routine and complex patients from the hospital setting. Inpatient Care Managers complete and document patient assessments, which are thorough, timely, age-appropriate, and reflect psychosocial support systems, care needs, health plan benefits, and level of care determinations for hospitalized patients.
They 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 individual patients' needs. Inpatient Care Managers facilitate resolution of issues that present barriers to safe transfers through patient/team care conferences, ensuring efficient transition to a lower level of care and quality and utilization of resources are enhanced.
They 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, they ensure regulatory and compliance standards are met.
Essential Responsibilities:- Coordinates post-discharge patient care needs to ensure timely and effective discharge of routine and complex patients from the hospital setting.
- Completes and documents patient assessments, which are thorough, timely, age-appropriate, and reflect psychosocial support systems, care needs, health plan benefits, and level of care determinations for hospitalized patients.
- Coordinates and communicates with patients, families, and the healthcare team to develop mutually agreeable plans of care that optimize the use of resources to support individual patients' needs.
- Facilitates resolution of issues that present barriers to safe transfers through patient/team care conferences, ensuring efficient transition to a lower level of care and quality and utilization of resources are enhanced.
- Ensures systematic and ongoing contact with interdisciplinary staff and continuing care services to ensure safe transition of patients across care settings.
- Experience: Minimum of two years combined RN experience in Med/Surg (hospital acute care), ICU (hospital acute care), Emergency Department, Home Health, Skilled Nursing Facilities, Hospice, Long Term Acute Care, Inpatient Rehab, and Utilization Management.
- Education: Successful completion of an RN program by date of hire.
- License, Certification, Registration: 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, and 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.
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