Care Coordinator, Inpatient - Dual

Care Coordinator, Inpatient - Dual

Kaiser Permanente Northwest

Inpatient Care Managers are Registered Nurses who independently assure patients are admitted to the correct level of care for accurate billing and reimbursement, provide quality, cost‑effective clinical coordination/care management in acute care and emergency settings, manage patients with routine and complex transition planning needs by independently assessing needs, developing and implementing plans of care for transitions across care settings. The Inpatient Care Manager also serves as expert consultants and educators for physicians and other health care team members for discharge and transitional care, coordinates internal and community resources, and supports the evaluation and improvement of systems of care to optimize health care resource utilization while maintaining quality of patient care.

The Inpatient Care Manager assumes primary accountability for anticipating, assessing, developing, implementing, documenting, advising, and communicating a safe transition plan of care for patients with complex care needs.

• Coordinate post‑discharge patient care needs to assure timely and effective discharge of routine and complex patients from the hospital setting.
• Independently and proactively complete and document thorough, timely, age‑appropriate patient assessments that reflect psychosocial support systems, care needs, health plan benefits, and level of care determinations for hospitalized patients.
• Coordinate and communicate with patients, families, and the health care team to develop mutually agreeable plans of care that optimize resource use to support individual patient needs.
• Facilitate resolution of issues that present barriers to safe transfers through patient/team care conferences to assure efficient transition to a lower level of care and ensure patients/families receive appropriate care at the right time, enhancing quality and resource utilization.
• Ensure systematic and ongoing contact with interdisciplinary staff and continuing care services to assure safe transition of patients across care settings.
• Collaborate with interdisciplinary health care teams to ensure regulatory and compliance standards are met.
• Perform other duties as requested.

Basic Qualifications:

• Minimum of two years combined RN experience in Med/Surg, ICU, Emergency Department, Home Health, Skilled Nursing Facility, Hospice, Long‑Term Acute Care, Inpatient Rehab, and Utilization Management.

• Successful completion of an RN program by date of hire.
• High School Diploma or GED required.

• Credentials from multiple states required. Primary work state credentials required at hire; secondary state credentials 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.
• Basic Life Support within 3 months of hire.

• Ability to interrelate with physicians, nurses, support staff, and patients in an interdisciplinary approach.
• Ability to work as part of a team and as a constant patient advocate.
• Basic physical, psychosocial, and functional assessment skills.
• Familiarity with discharge and transitional care processes and related services.
• Thorough knowledge of teaching and delegation principles, assessment skills, and care planning appropriate to acute hospital, long‑term care, and home care resources.
• Able to develop concise and thorough documentation of patient clinical assessment and care needs.
• Highly effective problem‑solving, written and verbal communication, customer service, organizational, and time‑management skills.
• Ability to provide culturally competent care.
• Ability to navigate conflict in high‑pressure situations.
• Ability to use fixed and mobile technological devices.

• Knowledge of utilization of acute hospital and Kaiser Permanente internal resources.
• Knowledge of Medicare and Medicaid regulations related to eligibility requirements for hospital, nursing facilities, home health, hospice, and durable medical equipment.
• Knowledge of utilization management principles and tools.
• Demonstrated clinical judgment and customer‑focused service skills.
• Knowledge of patient teaching principles, disease prevention measures, and physical assessment related to patient needs and next level of care.
• Certified in Case Management.
• BSN or bachelor’s degree and MSN.

Mid‑Senior level

Full‑time

Other

Hospitals and Health Care