Patient Care Coordinator Case Manager
Kaiser Permanente
Patient Care Coordinator Case Manager
Job Description
Job Summary:
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.
Locations
- San Jose, California, United States
Salary
Estimated Salary Rangemedium confidence
65,000 - 95,000 USD / yearly
Source: ai estimated
* This is an estimated range based on market data and may vary based on experience and qualifications.
Skills Required
- utilization managementintermediate
- discharge planningintermediate
- care coordinationintermediate
- performing pre-admission, admission, and concurrent utilization reviewsintermediate
- facilitating discussions with multidisciplinary teamsintermediate
Responsibilities
- coordinates with physicians, staff and non-Kaiser providers regarding transitions and discharge planning
- develops plans of care and discharge plans
- monitors progression of discharge plan
- educates healthcare team on utilization and care coordination
- ensures continuity of care through communication and documentation
- conducts activities according to regulatory requirements
Tags & Categories
Answer 10 quick questions to check your fit for Patient Care Coordinator Case Manager @ Kaiser Permanente.
10 Questions
~2 Minutes
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Patient Care Coordinator Case Manager
Kaiser Permanente
Patient Care Coordinator Case Manager
Job Description
Job Summary:
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.
Locations
- San Jose, California, United States
Salary
Estimated Salary Rangemedium confidence
65,000 - 95,000 USD / yearly
Source: ai estimated
* This is an estimated range based on market data and may vary based on experience and qualifications.
Skills Required
- utilization managementintermediate
- discharge planningintermediate
- care coordinationintermediate
- performing pre-admission, admission, and concurrent utilization reviewsintermediate
- facilitating discussions with multidisciplinary teamsintermediate
Responsibilities
- coordinates with physicians, staff and non-Kaiser providers regarding transitions and discharge planning
- develops plans of care and discharge plans
- monitors progression of discharge plan
- educates healthcare team on utilization and care coordination
- ensures continuity of care through communication and documentation
- conducts activities according to regulatory requirements
Tags & Categories
Answer 10 quick questions to check your fit for Patient Care Coordinator Case Manager @ Kaiser Permanente.
10 Questions
~2 Minutes
Instant Score
Related Books and Jobs