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Licensed Nurses & Physician Assistants

The Front Line of Patient Care

Our nurse professionals embody what it means to provide the best patient interactions possible. They also advance the art and science of nursing in a patient-centered, healing environment.

Patient Care Coordinator Case Manager

Location: Manteca, CA Additional Locations:
Job Number: 752216 Date posted: 03/21/2019
Description:

Coordinates with physicians, staff and non-Kaiser providers and facilities regarding patients' transitions and discharge planning. In conjunction with physicians, develops plans of care and discharge plans, and makes recommendations for alternative levels of care as required.


Essential Responsibilities:

  • Utilization Management: Performs daily pre-admission, admission, and concurrent utilization reviews using guidelines, institutional policies/procedures, and other information to determine appropriate levels of care and readiness for discharge.

  • Monitors the progression of the discharge plan and facilitates discussions with the multidisciplinary teams.

  • Educates other healthcare team members on utilization and care coordination.

  • Collaborates with and provides information to patients, families, physicians, and staff regarding the discharge plans and transitions.

  • Understands and consistently applies the interpretation, and utilization of member health care benefits.

  • Conducts UM, care coordination and discharge planning activities according to all applicable regulatory requirements.

  • Discharge Planning: Ensures continuity of care through communication in rounds and written documentation, level of care recommendations, transfer coordination, discharge planning and obtaining authorizations/approvals as needed for outside services for the patient.

  • Develops, evaluates, and coordinates a comprehensive discharge plan in conjunction with the patient/family, physician, nursing, social services, and other health care providers and agencies.

  • Regulatory: Conducts UM, care coordination, and discharge planning activities according to all applicable regulatory requirements.

  • Kaiser Permanente conducts compensation reviews of positions on a routine basis. At any time, Kaiser Permanente reserves the right to reevaluate and change job descriptions, or to change such positions from salaried to hourly pay status. Such changes are generally implemented only after notice is given to affected employees.

  • Basic Qualifications:

    Experience

  • Minimum four (4) years of experience in hospital patient care delivery, OR completion of Master's degree in case management program in lieu of minimum years of experience.

  • Education

  • Graduate of accredited school of nursing.

  • Diploma/Associate Degree Nursing.

  • License, Certification, Registration

  • Current California RN licensure required.

  • BLS Certification.


  • Additional Requirements:

  • Knowledge of the Nurse Practice Act, TJC, DMHC, CMS, NCQA, HIPPA, ERISA, EMTALA & all other applicable federal/state/local laws & regulations.

  • Demonstrated strong communication and customer service skills, problem-solving, critical thinking, & clinical judgment abilities.

  • Fundamental word processing & computer navigation skills & the ability to interpret & use analytic data in day to day operations.

  • Knowledge of health care benefits associated with various business line (Medicare/KPSA, Commercial/KFH, Medi-Cal, Federal, etc.).

  • Must be able to work in a Labor/Management Partnership environment.

  •  

    Preferred Qualifications:

  • Minimum two (2) years of experience in utilization review, case management, and discharge planning preferred. 

  • Bachelor's degree in nursing or a health care related field preferred.

  • Master's degree in case management preferred.
  • Primary Location: California,Manteca,Manteca Medical Center 1777 W. Yosemite Ave. Scheduled Weekly Hours: 16 Shift: Day Workdays: Week 1: Thu, Sat Week 2: Sun, Thu Working Hours Start: 7:00 AM Working Hours End: 3:30 PM Job Schedule: Part-time Job Type: Standard Employee Status: Regular Employee Group/Union Affiliation: California Nurses Association Job Level: Individual Contributor Job Category: Nursing Licensed Department: UR-Discharge Planning Travel: No 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 Nursing & Physician Assistant Careers

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    Through professional practice and leadership, nurses at Kaiser Permanente continually advance the art and science of nursing. But we recognize that what we do is more than clinical practice. We believe that every interaction — whether it is with a patient, a colleague, a physician, or anyone else — has the potential to be extraordinary. And we find that approaching our daily routine with this in mind gives each and every action new meaning and allows us to focus on the moment, empowering us to deliver expert care.

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    Physician assistants play a powerful and important role in delivering high-quality, informative care. Working directly with patients, their families, colleagues, and supervising physicians, they are vital in defining the overall care experience.

    Being a physician assistant at Kaiser Permanente is centered on promoting a healing environment — one that maintains a caring, comforting practice while honoring the unity of the whole patient: mind, body, and spirit.

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