RN Care Coordinator
1 week ago
In this role, you will work as a Registered Nurse to ensure patients receive the right care at the right time. You will coordinate post-discharge patient care needs, complete thorough patient assessments, and develop mutually agreeable plans of care that optimize resource utilization.
Key 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 plans of care that optimize resource utilization and meet individual patient needs.
- 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 patients/families receive the right care at the right time.
- 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.
- 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, or Utilization Management.
- Successful completion of an RN program by date of hire.
- High School Diploma or General Education Development (GED) required.
- 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.
- 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.
- Certified in Case Management.
- BSN or bachelors degree and MSN.
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