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CM Ext Care Coord RN-PD
At Kaiser Permanente our nurses are leaders, clinicians, researchers, innovators, and scientists who are contributing toward being an industry-leading voice for advancing evidence-based care. Whether supporting the patient directly in our hospitals or clinics, providing care at home, serving our patients through innovative virtual technology, or managing care delivery teams, Kaiser Permanente nurses utilize scientific evidence and our integrated care model to optimize the total health of our members and the communities we serve. We invite nurses who are passionate about nursing excellence, high-quality compassionate care delivery, professionalism, integrity, teamwork and patient and family centeredness to join our teams so that we can continue to sustain and build upon our culture of excellence.
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Job Schedule: Per Diem
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Scheduled Weekly Hours:
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Shift: Day
Success Profile
We’re looking for Nurse Leaders who possess the following traits.
- Collaborative
- Compassionate
- Flexible
- Leadership
- Socially Conscientious
- Trustworthy
Benefits
We offer several benefits to our nurses.
Our Culture
At Kaiser Permanente, we cultivate an environment of compassion, integrity, trust, and open communication that helps our teams do their best work. We believe that lifelong learning will expand our knowledge so we can better serve our patients. Our practice is rooted in research and evidence-based care. Our nurses reflect the rich diversity of our members and communities and provide culturally responsive and competent care that promotes understanding of our members needs and preferences. At Kaiser Permanente, nurses are highly skilled professionals who exemplify leadership, critical thinking, and collaborative problem solving and deliver the right care, at the right time, in the right setting.
Hear From Our People
Caitlin
Inpatient Lactation Consultant
As an RN/IBCLC in Maternal Child, I’m meeting families at a pivotal time — I’m there to help launch a new family into the world. Everything I do has the potential to impact a family’s health for generations to come.
Kimberly
Quality Coordinator RN
In Hawaii, your community is your family — or ‘ohana.’ I am able to provide extraordinary patient-centered care to my ohana.
David
Appointment and Advice RN
The location is fantastic. Kaiser Permanente is all over the country. You can pick almost any environment you want — from ocean to mountain to city. You’ll still be able to contribute to our mission of providing high quality health care at a local facility.
Shawn
BSN, RN
I chose Kaiser Permanente because their staff and providers really show that they care about you. Also, throughout my 12 years of working here I’m always learning something new, and I’ve had many opportunities for growth and development.
Kristen
Relief Charge Nurse
Working as a nurse at Kaiser Permanente has allowed me the perfect flexible schedule so that I can volunteer as Girl Scout Leader and room parent for both my children. My kids know that I am a hardworking mother who can provide, as well as a mom who can be present and be there for them – and that means everything to me.
Jazmin
RN, Advice Nurse
Working for Kaiser Permanente has allowed me to take control of my future and make my goals a possibility. I feel that Kaiser Permanente allows me to keep climbing and moving. Having that ability truly makes me feel empowered.
CM Ext Care Coord RN-PD
Responsible for the oversight and management of skilled patients and temporary skilled patients in rehabilitation in contracted Skilled Nursing facilities; this includes checking benefits, managing up to discharge and issuing denial letters. With primary care, specialist physicians and healthcare team, coordinates the implementation of a chronic disease care management program for patients. Coordinates with the assigned physician to manage Skilled nursing patients and directs families, patients, physicians, nurse practitioners and SNF staff to the appropriate level of care and identifies those patients who do not meet the criteria for Continued Skilled stay. Responsible for managing Custodial patients who require long term care for chronic disease management in SNFs. Complies with other duties as described. Must be able to work collaboratively with the Multidisciplinary team.
- In conjunction with physicians and healthcare team, develops an individual care plan based on patient assessment/evaluation and diagnostic tests.
- Monitors/evaluates patient progress and modifies treatment plan as appropriate in collaboration with the Multidisciplinary team.
- Recommends additional levels of care, therapy/rehabilitation when medically indicated as appropriate.
- Monitors levels and appropriateness of therapeutic and/or rehabilitative care.
- Implements strategies to assure that patients and caregivers comply with and understand the importance of follow through on plan of care in collaboration with the Multidisciplinary team.
- Provides individualized patient/family education which focuses on teaching self management.
- Conducts individual and team conferences to assist patients and family identify risk factors.
- Facilitates patients return to normal daily activities by teaching and making appropriate referrals for outside services/continued care collaboratively.
- In conjunction with physicians and healthcare team, develops treatment program procedures, clinical guidelines/protocols and program evaluation/outcomes measures.
- Educates the Inpatient Case managers about appropriateness of transfers to the Skilled Nursing facility and protocol for transfers.
- Ensures that the patient has a safe and appropriate discharge.
- Orders DME as ordered by the physician.
- Screens by using senior metrics for Skilled patient expected Length of Stay.
- Responsible for educating the Inpatient Case managers/designees about the appropriateness of admissions to the Skilled Nursing facility and protocols for admission.
- Intervenes when there are quality issues surrounding the transfers.
- Notifies members about the co-payment associated with the Skilled Nursing transfer.
- Communicates with physicians and other care givers regarding patient progress by monitoring, evaluating and analyzing clinical, functional and psycho-social status/ progress.
- Issues reports.
- Participates in inter-disciplinary case conferences and consultations.
- Consults with the physician regarding the Senior metrics for the appropriate length of stay for the Skilled population.
- Contributes to medical and nursing staff education by giving periodic in-service presentations.
- Recommended to be present at the inpatient UM staff meetings.
- Participates in review/evaluation of the quality, appropriateness and outcomes of diagnostic and therapeutic services and treatment programs.
- Participates in committees, teams or other work projects/duties as assigned.
- Minimum two (2) years clinical experience as an RN in an acute care setting required.
- ECC Antelope Valley: One (1) year of Utilization Management experience, to include Discharge Planning.
- Please refer to Minimum Work Experience and Qualifications Sections.
- Registered Nurse License (California)
- Driver's License (California)
- Basic Life Support
- Demonstrated ability to utilize/apply the general and specialized principles, practices, techniques and methods of utilization review/management, discharge planning or case management.
- Working knowledge of regulatory requirements and accreditation standards (TJC, Medicare, Medi-Cal, etc.).
- Demonstrated ability to utilize written and verbal communication, interpersonal, critical thinking and problem-solving skills.
- Computer literacy skills required.
- Preferred Qualifications:Case Management Certification preferred.
- Bachelors degree in nursing or healthcare related field preferred or current equivalent related work experience.
For jobs where work will be performed in unincorporated LA County, the employer provides the following statement in accordance with the Los Angeles County Fair Chance Ordinance. Criminal history may have a direct, adverse, and negative relationship on the following job duties, potentially resulting in the withdrawal of the conditional offer of employment:
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Industry Leader
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Ranked among the nation's best
Every hospital that's part of the Kaiser Permanente system earned “high performing” recognition in the latest U.S. News and World Report's annual rankings. That means all 39 of our hospitals are among the top 20% in the nation.
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Awarded for excellence
We're proud that so many of our hospitals have earned Magnet status. It shows our real commitment to outcomes, safety, quality, efficiency, and, most importantly, to our nurses.
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Recognizing nurses during Nurses Month in 2022
We're thanking each one of our 65,000 Kaiser Permanente nurses for everything they've done for us and for the nation. Thank you for choosing to be a nurse and for leading our transformation of care.
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Explore a career in nursing
When you join Kaiser Permanente as a nurse, you'll help us boldly transform care while also building a career that offers more opportunities for you to grow.
Experience nursing excellence
At Kaiser Permanente our nurses are leaders, clinicians, researchers, innovators, scientists, and more. It takes an extraordinary team to offer extraordinary care.
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