Patient Care Coordinator Case Manager On Call Sat/Sun

Kaiser Permanente • Stockton, CA

367d

About The Position

The position involves coordinating with physicians, staff, and non-Kaiser providers and facilities regarding patient transitions and discharge planning. The role requires the development of plans of care and discharge plans in conjunction with physicians, as well as making recommendations for alternative levels of care as required.

Responsibilities

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

What This Job Offers

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