Patient Care Coordinator Job at Kaiser, Lutherville Timonium, MD

UzhSQWo0M0t0c0xuNU8yWDYwUWRwbXRlZHc9PQ==
  • Kaiser
  • Lutherville Timonium, MD

Job Description

Job Summary:

The Patient Care Coordinator is responsible for overseeing the management and coordination of care for the acute inpatient population. The PCC collaborates with rounding MAPMG Hospital Based Service Physicians, patient/family, nursing, utilization review and other members of the healthcare team to assure continuum of patient care progression for clinical and cost-effective outcomes. The PCC facilitates and coordinates with community providers and ambulatory case managers to assist with the appropriate level and transition of care for a safe discharge and preventing a re-admission.


Essential Responsibilities:


  • Completes an initial face-to-face assessment for every admitted member to identify discharge needs within 24hrs of admission.

  • Document in KPHC and communicate the assessment outcomes to determine the appropriate transition plan with MAPMG physician healthcare team and patient/family.

  • Active participant in daily Care Without Delay (CWD) rounds reporting on patient progression towards the established discharge plan.

  • Review and document discharge plan in accordance with KP discharge planning documentation policies, facility policies, and regulatory requirements.

  • Document any updates, care progression and barriers to discharge daily, and as indicated on assigned patients.

  • Manage timeliness of care progression with physician and nursing staff to prevent avoidable delays and or days.

  • Collaborate with Social Worker to coordinate, long-term care, assisted living, financial assistance, and other services, as required.

  • Send referrals/communicate with in-network vendors for coordination of post-acute levels of care such as Home Health, DME, IV infusion, SNF, Sub-Acute and Acute Rehab.

  • Timely identification, recording, and escalation of delays in care and barriers to discharge. Provide solutions to correct delays and recognize systemic patterns that require corrective action.

  • Assure follow up appointments and referrals to ambulatory case manager for high-risk patient population are scheduled and communicated to patient/family prior to discharge.

  • Observe all facility safety policies and procedures (infection control, Members Rights policies, and any regulatory requirements)

  • Participate in Quality Assurance duties and implementation of programs to improve care Quality Indicators.

  • Maintain professionalism with all duties in an effective and timely manner as directed or assigned by designated supervisor.

  • Consistently work cooperatively with patients, patients representatives, facility staff, physicians, consultants, and ancillary service providers.

Holidays and every other weekend

Basic Qualifications:

Experience


  • Minimum of one (1) year in an acute medical/surgical/ED or critical care nursing area.

Education


  • Associate Nursing degree required.

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 (Maryland) within 6 months of hire AND Registered Nurse License (Virginia) within 6 months of hire

OR


  • Compact License: Registered Nurse within 6 months of hire


  • Registered Nurse License (District of Columbia) within 6 months of hire


  • Basic Life Support

Additional Requirements:


  • Experience using an electronic medical record system

  • Some awareness or knowledge of health/care reimbursement systems (Medicare Advantage, Commercial payer, Medicaid and CMS regulatory rules).

  • Annually: Successful completion of PCC Assessment of Critical Skills, Passing score on inter-rater reliability.

  • Must be able to effectively communicate with physicians, members and their family or representatives, and hospital staff.

  • Ability to work independently and apply critical thinking skills for problem solving and decision making.

  • Adheres to KP Employees Handbook and facility policies and procedures.

  • Must have excellent time management skills to develop organized work processes in a high-volume environment with rapidly changing priorities.

  • Intermediate computer skills (Microsoft Office Suite proficiency).

  • Ability to tolerate and cope with ambiguity.

  • Ability to promote teamwork and to work effectively as a team member.

  • Excellent verbal and written communication skills.

  • Ability to interact/communicate effectively with key internal and external stake holders.

  • Provide excellent customer service to promote excellence in the patient experience.

Preferred Qualifications:


  • Recent acute care, case management, or home health experience preferred.

  • BSN preferred.

PrimaryLocation : Maryland,Timonium,Lutherville-Timonium Medical Center
HoursPerWeek : 16
Shift : Day
Workdays : Week 1: Thu, Sat; Week 2: Sun, Fri
WorkingHoursStart : 07:00 AM
WorkingHoursEnd : 03:30 PM
Job Schedule : Short Hour
Job Type : Standard
Employee Status : Regular
Employee Group/Union Affiliation : M37|UFCW|Local 27
Job Level : Individual Contributor
Job Category : Nursing Licensed & Nurse Practitioners
Department : LUTHERVILLE-TIMONIUM MED CTR - UR-Discharge Planning - 1808
Travel : Yes, 20 % of the Time
Kaiser Permanente is an equal opportunity employer committed to fair, respectful, and inclusive workplaces. Applicants will be considered for employment without regard to race, religion, sex, age, national origin, disability, veteran status, or any other protected characteristic or status.

Job Tags

Holiday work, Part time, Local area, Shift work, Weekend work,

Similar Jobs

Amped School of Music

Piano Teacher Job at Amped School of Music

Amped School of Music is looking for part-time teachers to join our team! Experience the satisfaction of helping others find expression and self-growth through music. Our teachers have said our atmosphere sets us apart with welcoming good vibes. Our ideal candidate...

Phaxis

Finance Operations Analyst - entry level Job at Phaxis

 ...hire a handful of Trade Support Operation Analysts to join their team in Baltimore, MD (...  ...external parties- Facilitating exchange trade entryFocus on risk management and control with...  ...:- Bachelor's degree OR solid finance experience required- Must have strong analytical... 

Keck Medicine of USC

Staff - Registered Nurse (RN) - Clinical Coordinator, Thoracic Surgery - $53-87 per hour Job at Keck Medicine of USC

 ...Keck Medicine of USC is seeking a Registered Nurse (RN) Clinical Coordinator, Thoracic Surgery for a nursing job in Los Angeles, California...  ...as confidential to the extent permitted by law. Notice of Non-discrimination Employment Equity Read USCs Clery Act Annual... 

Washington State Board for Community and Technical Colleges

Interior Design, Assistant (Tenure-Track) Professor Job at Washington State Board for Community and Technical Colleges

 ...qualified candidates for a full-time tenure track faculty member for Fall 2025 in the Interior Design department. The Interior Design...  ...and staff. As an essential part of our mission and goals , diversity...  ...office hours (5 hours/week) to assist students with academic advising... 

Advanced Home Health

Entry-Level Pediatric Physical Therapy Assistant (PTA) Part-Time! Job at Advanced Home Health

 ...exceptional Pediatric Physical Therapist Assistants (PTA) to join our part-time team serving...  ...want to take your career to the next level, apply today!*_*Advanced Home Health Believes...  ...assistance * Vision insurance Medical Specialty: * Home Health * Orthopedics...