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RN Exceptional Needs Care Coordinator (36hrs, Days)

Primary Location Portland, Oregon Schedule Part-time Shift Day Salary $52.52 - $80.11 / year
Job Number 1372887 Date posted 07/26/2025

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.

  • Job Schedule: Part-time
  • Scheduled Weekly Hours:
  • Shift: Day

Success Profile

We’re looking for Nurse Leaders who possess the following traits.

  • Collaborative
  • Compassionate
  • Flexible
  • Leadership
  • Socially Conscientious
  • Trustworthy

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.

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Caitlin

Inpatient Lactation Consultant

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Kimberly

Kimberly

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In Hawaii, your community is your family — or ‘ohana.’ I am able to provide extraordinary patient-centered care to my ohana.

David

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.

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Shawn

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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

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.

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Jazmin

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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.

RN Exceptional Needs Care Coordinator (36hrs, Days)

Primary Location Portland, Oregon Schedule Part-time Shift Day Salary $52.52 - $80.11 / year
Job Number 1372887 Date posted 07/26/2025
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Description:
Job Summary:

The Exceptional Needs or Special Needs Care Coordination nurses (ENCC in OR/SNCC in WA) provide contractually required assistance and support to Kaiser OR and WA Medicaid Members. Kaiser Permanente has expanded the program to include all Charitable Coverage members with special needs; KP Transitions and KP Child Health. The ENCC/SNCC are responsible for: 1) Identification of members who are aged, blind, disabled, or who have other medical and/or cognitive issues that create barriers to care; 2) Coordination of internal and external services to ensure appropriate access and care planning to include other KP staff such as case managers and social work; and 3) Identification and remediation of barriers to care and access that resulting in population disparities.

Essential Responsibilities:


  • Identify appropriate Medicaid and Charitable members for enrollment screening using case finding methods: Likelihood of Hospitalization score, care gap scores, over/under use of ED/UC, appointment cancellations and no-shows, medication non-compliance and the dx codes for children and direct referrals from agency case managers, primary care providers, or other sources.

  • Independently and proactively complete chart reviews, screening calls and full assessments related to the anticipated level of care and document findings using approved documentation tools.

  • Triage findings from member assessments, identifying needs and issues and plan appropriate interventions. Determine Level of Care. Communicate findings and actions to involved care providers through succinct summaries that include findings, actions and further recommendations.

  • With the member/family and appropriate KP staff and providers, develop a care plan that addresses short term goals that are specific, attainable and measurable and work with PCP to ensure a clear medical treatment plan is documented.

  • Provide care coordination and management services for members with identified needs within the scope of the ENCC/SNCC role by: Creatively using available and appropriate resources, including KP staff and providers, to support the unique needs of each member with special needs; Facilitating access to internal and external services; Monitoring the effectiveness of the interventions; and Reinforcing the treatment plan through medication compliance including support for Opiate Therapy Plan compliance; and Advising and coaching patients and families; Identify non-medical issues; environment, abuse and neglect, homelessness and hunger and other safety concerns and work with state agencies and KP providers to support and remedy where possible. Provide care management and oversight to members participating in the Patient Review and Coordination Program for WA Medicaid. Succinctly document interventions in HealthConnect as needed by other providers to ensure coordination of care and services. Add relevant intervention details to the Special Populations Registry.

  • Strengthen and update the ENCC/SNCC program through: Education of staff/clinicians about ENCC/SNCC and the special needs of our low income population. Development and distribution of education, tools and materials for member coordination. Completion of an annual program review including related policies, desk procedures, and documentation tools.

  • Act as a liaison between KP, other HMOs, and county and state organizations. Actively participates in Kaiser Permanente committees and workgroups and in county/state committee and functions.
Basic Qualifications:
Experience


  • Minimum two (2) years of experience in case management, care coordination, or population care.

  • Minimum two (2) years of direct patient care as a registered nurse.

Education

  • Bachelors degree in nursing or health related field.
License, Certification, Registration
  • This job requires credentials from multiple states. Credentials from the primary work state are required at hire. Additional Credentials from the secondary work state(s) are required post hire.
  • 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
  • Drivers License (in location where applicable)
  • Basic Life Support
Additional Requirements:

  • Knowledge of case management principles.
  • Knowledge of Oregon Health Plan, including ORS requirements, pharmacy rules and regulations and OHP list of treatable diseases.
  • Knowledge of community resources for the care of the elderly and disabled.
  • Demonstrates customer-focused service skills.
  • Demonstrated ability to organize, coordinate, and manage care plans. Thorough knowledge of levels of care within outpatient, acute care, and extended care settings.
  • Demonstrated ability to work as part of a multidisciplinary team.
  • Excellent written and verbal communication skills.
  • Ability to present reports verbally in a public setting (public speaking).
  • Demonstrated data entry skills and ability to use Microsoft Word software.
Preferred Qualifications:

  • Prior experience serving the mentally ill and or individuals with substance abuse issues.
  • Prior experienced as a care coordinator or discharge planner. Knowledge of the Kaiser Permanente system, including HealthConnect.
  • Knowledge of Medicaid/Medicare programs and regulations.
  • Knowledge of quality management and utilization management principles.
  • Professional certification as a case manager.
Primary Location: Oregon,Portland,Kaiser Permanente Building Scheduled Weekly Hours: 36 Shift: Day Workdays: Mon, Tue, Wed, Thu, Fri Working Hours Start: 08:00 AM Working Hours End: 05:30 PM Job Schedule: Part-time Job Type: Standard Worker Location: Flexible Employee Status: Regular Employee Group/Union Affiliation: W05|AFT|Local 5017 Job Level: Individual Contributor Department: Kaiser Permanente Building - Care & Coverage CB Operations - 1008 Pay Range: $52.52 - $80.11 / year Travel: Yes, 20 % of the Time

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