Skip to Main Content

Kaiser Permanente Careers

Health Care & Hospital Operations

Excellence: It Starts Here

As a recognized leader in health care delivery, policy, and technology, we answer the needs of more than 11 million men, women, and children every day through the work we do. This mission begins with the passion, vision, and commitment of our leaders.

Clinical Transplant Associate

Location: Los Angeles, CA Job Number: 681656 Date posted: 05/17/2018
Description: Supports the Transplant Coordinator's case management efforts through clinical data collection, referral/authorization management, accessing appointments & consultations, facilitating the communication of medical information to the providers, managing data collection for administrative purposes, & coordinating travel arrangements & reimbursements for the members.

Essential Functions:
  • Referral Management: Manages local regions referral review process for transplant authorizations; collects supporting documentation from available sources & presents case to reviewer per local region procedure. Anticipates leakage out of the Network & develops processes to find & correct it according to local region policy & procedure & NTN exemption process.
  • Generates & ensures communication of authorizations to the referring provider, COE, member & claims unit. Collaborates w/ the Transplant Coordinator, & local region Utilization Management to ensure that the process fulfills all regulatory requirements. Collaborates w/ the claims department to ensure that claims are paid according to the appropriate contract & fee schedule.
  • Educates local providers regarding the referral process for Transplant Services; develops & implements systems to ensure that 98% of referrals for Transplant Services occur w/in Centers of Excellence.
  • Consistently supports compliance of responsibility (Kaiser Permanente code of conduct) by maintaining the privacy & confidentially of information, protecting the assets of the organization, acting w/ ethics & integrity, reporting non compliance, & adhering to applicable, federal, state, & local laws & regulations, accreditation, & licensure requirements (if applicable), & Kaiser Permanente policies & procedures. Performs all other duties as assigned.
  • Clinical Information Management: Collects COE /Organ specific clinical information for the members w/ approved referrals for transplant; collaborate w/ the Transplant Coordinator to ensure that information is timely & complete.
  • Collaborates w/ the Transplant Coordinator to ensure accurate & complete Hub Intake Form. Develops & implements systems for ensuring that clinical information from the COE or referring provider is received by the intended recipient in a timely & user friendly manner.
  • Develops processes & implements monitors for local region in-patient census to identify case managed members that have been admitted to an in-patient facility. Collects clinical information for members approved for transplant; collaborates w/ transplant coordinator & physicians to ensure that information is timely & complete. Performs order entry functions as directed by transplant coordinators & clinicians.
  • Collaborates w/ transplant coordinators to ensure that accurate information is forwarded to the COE & or retrieved from the COE. Triages requests for clinical information from COE on behalf of transplant coordinators & clinicians.
  • Access to Clinical Services: Anticipates delay in processes & works to ensure members' timely access to required consultations/diagnostic procedures requested by COE. Coordinates appointments for consultations/diagnostics w/ providers & members according to the medical indication.
  • Reduces redundancy & outside costs by collaborating w/ the transplant coordinator to maximize repatriation of services whenever it is clinical appropriate & w/in the confines of the members contract w/ the Health Plan.
  • Ensures that authorization for outside services are accurate & communicated to all effected parties.
  • This job description is not all encompassing.

  • Basic Qualifications:
    Experience
  • Minimum three (3) years of experience in utilization management (required on original description).
    Education
  • Bachelor's degree, OR four (4) years of experience in health care administration, or related field (i.e. Clincial Transplant Care etc.).
  • High School Diploma or General Education Development (GED) required.
    License, Certification, Registration
  • N/A

    Additional Requirements:
  • Strong problem solving and organizational skills.
  • Works well in multi-tasking team environment.
  • Competent in computer skills.
  • Must be able to work in a Labor/Management Partnership environment.

    Preferred Qualifications:
  • Minimum one (1) year of experience in an ambulatory clinical setting preferred.
    Primary Location: California,Los Angeles,4733 Sunset Annex 4733 W. Sunset Blvd. Scheduled Weekly Hours: 40 Shift: Day Workdays: Mon -Fri Working Hours Start: 8:30 AM Working Hours End: 5:00 PM Job Schedule: Full-time Job Type: Standard Employee Status: Regular Employee Group/Union Affiliation: Non-Union, Non-Exempt Job Level: Entry Level Job Category: Healthcare / Hospital Operations Department: National Transplant Services Travel: Yes, 5 % of the Time
    Kaiser Permanente is an equal opportunity employer committed to a diverse and inclusive workforce. Applicants will receive consideration for employment without regard to race, color, religion, sex (including pregnancy), age, sexual orientation, national origin, marital status, parental status, ancestry, disability, gender identity, veteran status, genetic information, other distinguishing characteristics of diversity and inclusion, or any other protected status.

    External hires must pass a background check/drug screen. Qualified applicants with arrest and/or conviction records will be considered for employment in a manner consistent with federal and state laws, as well as applicable local ordinances, including but not limited to the San Francisco and Los Angeles Fair Chance Ordinances.
  • About Health Care & Hospital Operations Careers

    Health Care & Hospital Operations Careers

    Envision the future, inspire change, and deliver results. Put your talents to work not just at a powerful business, but at an organization dedicated to empowering the health and well-being of millions. As a valued member of the Kaiser Permanente team, your visionary and strategic contributions are especially vital to our success. Come drive change within the organization and across the future of health care.

    Glassdoor Logo

    See What People are Saying About Working at KP

    Feb 2, 2018

    "Registered Nurse"

    Glassdoor Ratings

    Former Employee - Retired Nurse in Portland, OR

    • Recommends
    • Positive Outlook
    • Positive opinion of CEO

    I worked at Kaiser Permanente full-time (More than 8 years)

    Pros

    Excellent benefits. Great calibre of employees, respectful workplace. Very forward thinking and fosters innovation.Full Review

    More Kaiser Permanente Ratings & Reviews (3,975)

    Thanks
    to Our
    Employees

    Kaiser Permanente has been named one of the 2018 Best Places to Work. Check out what our employees like best about working at KP!

    glassdoor 2018 Best Places to Work - Employees' Choice

    Our Events

    Come introduce yourself to a member of the Kaiser Permanente team at an upcoming career or professional event. We look forward to meeting you in person.

    Recently Viewed Jobs

    You do not have any recently viewed jobs.

    Join Kaiser Permanente's Talent Network

    Please fill out the fields below and click "Join Now" to receive information about opportunities that relate to your selections.

    Interested InSearch for a category and select one from the list of suggestions. Search for a location and select one from the list of suggestions. Finally, click “Add” to create your job alert.

    • Health Care & Hospital Operations, Los Angeles, California, United StatesRemove

    Interested in internships or early career opportunities? Click here to join our University Talent Network. Are you a Veteran? Click here to join our Military Talent Network.