Acute Care Patient Coordination

Acute Care Patient Coordination - (Job Number: 111971)

-- Acute Care Patient Coordination - (Job Number: 111971) Description Acute Care Patient Coordinators are Registered Nurses who independently assure patients are admitted to the correct level of care for accurate billing reimbursement, provide quality, cost effective clinical coordination/care management in the acute care emergency care settings, manage patients with routine complex discharge planning needs by independently assessing needs, developing implementing plans of care for transitions across care settings. Acute Care Patient Coordinators also serve as expert resource consultants educators for physicians other health care team members in discharge transition of care, coordination of internal community resources, support the evaluation improvement of systems of care to support the optimal utilization of health care resources, while maintaining quality of patient care. Essential Functions: * Ensures review of all KP patients admitted to service area hospitals for appropriateness of admission; admission to the appropriate level of care status; length of stay consistent with medical /or surgical criteria; , ensures authorization for hospitalization is received from non-Kaiser payer sources * Provides timely accurate notification to Patient Billing Services verifying correct admit status * Facilitates care services for non-Kaiser patients in the hospital setting approved by their payer source * Facilitates entries in patient charts that reflect support definitive diagnoses coding * Ensures coordination of care toward timely discharge for routine complex medical/surgical patients in hospital setting * Independently proactively completing assessments which are thorough, timely, age appropriate, reflect psychosocial support systems, care needs, benefit array, level of care determinations, document same for designated population of patients * Developing safe discharge plans by working with patients, families, health care teams to develop a mutually agreeable plan of care that creatively optimizes the use of all available appropriate resources to support the unique particular needs of each patient on a case by case basis * Implementing care plans by ordering, brokering, advocating for the patient family, while educating the patient, family, health care team about options alternatives. Completing all necessary documentation for referrals handoffs between care settings to ensure a seamless transition to another level of care * Acting as KP "ambassador" to provide member information to care facilities (SNF, ICF, assisted living, adult foster homes, residential care facilities) problem-solve/facilitate any issues which present barriers to safe transfers the provision of quality care, such as: special equipment needs, symptom/behavior management, financial assessment plan, clinical instability complex care needs (IV therapy, enteral feedings, wound care, therapy needs) * Ensuring efficient utilization of health care resources by: ensuring that the plan for an acute care stay for individual patients is well understood by the patient, family health care team, that the plan is progressing effectively efficiently toward resolution transition to a lower level of care; by assuring that patient/family receive right care at the right time so that quality utilization are simultaneously enhanced * Ensures systematic ongoing contact with hospital staff/other Kaiser departments (CCS, LTC, Expanded Care, DME, HH, Hospice) to share information regarding care coordination role ongoing responsibility for acute care/ED patients * Performs other duties as assigned Qualifications Basic Qualifications: * A minimum of 2 years of acute hospital experience with progressive levels of responsibility * BSN * Licensed in Oregon and Washington; requires license in primary state, (Oregon or Washington) prior to first day of employment. Application for licensure in secondary state must be made within six (6) weeks of start date. Licenses in both states required within six (6) months of hire * Valid driver's license * Basic Life Support CPR card for Health Care Provider; valid card must be obtained prior to patient contact and within two weeks of hire * Current BLS with AED certification within 30 days of hire * Demonstrated ability to work as part of a team and work as a constant patient advocate * Demonstrated ability to interrelate with physicians, nurses, support staff, and patients in interdisciplinary approach * Basic physical, psychosocial, functional assessment skills * Familiar with care processes and systems in settings internal and external to Kaiser Permanente * Familiar with and able to collaborate with Kaiser Permanente and community resources * Thorough knowledge of principles of teaching and delegation, physical assessment and care planning and appropriate utilization of acute hospital, long-term care and home care resources * Able to document concise yet thorough clinical documentation of patient assessment and care needs * Highly effective problem solving, written and verbal communication, organizational and time management skills * Familiarity with and ability to use computers Preferred Qualifications: * Recent experience in Home Health Agency or role responsibility for inpatient discharge planning * Medical/Surgical or Critical Care Nursing experience * Documented three years recent experience in one or more of the following areas: Hospital Inpatient Discharge Planning, Community Health, Home Health and/or Utilization Management * MSN * Current Certification as a Certified Case Manager (CCM) or Accredited Case Manager (ACM) * Demonstrated ability to interrelate with physicians, nurses and patients * Demonstrates customer-focused service skills * Good clinical judgment to assess the needs of patients as they relate to next level of care * Knowledge of the principles of patient teaching, disease prevention measures, physical assessment and appropriate utilization of acute hospital resources * Knowledge of Medicare and Medicaid regulations related to eligibility requirements: hospital, nursing facilities, home health and hospice eligibility requirements * Knowledge of Kaiser Permanente resources * Able to type 30 WPM with accuracy Salary Range - $86,050- $111,750 Annually Primary Location: Oregon-Clackamas-Kaiser Sunnyside Medical Center 10180 SE Sunnyside Scheduled Hours: 28 Shift: Day Working Days: Variable-includes rotating wknds Working Hours Start: 8:00 Schedule: Part-time Job Type: Standard Employee Status Group: Regular Employee Group: None Job Level: Individual Contributor Job: Nursing Licensed Public Department Name: Care Coordination Acute Care Patient Coordination - (Job Number: 111971) 492509 Oregon-Clackamas-Kaiser Sunnyside Medical Center 10180 SE Sunnyside http://kp.taleo.net/careersection/external/jobdetail.ftl?lang=enjob=492509ss=paidsrc=5080 -- http://wrapguy.careercast.com/textjobs/jobs/kaisero_oregonlive/4aefda8cc7671bd589e66b6a7d54dc13.html --