1+ months

Pediatric Patient Care Coordinator RN - Utilization Management, Children's Hospital Center

Kaiser Permanente
Washington, DC 20004

The Patient Care Coordinator is responsible for utilization review, discharge planning and transitions in care, in collaboration with MAPMG rounder in acute or alternative settings of care.

Essential Responsibilities:
  • Utilization Review. According to department policy, procedure and protocols, consistently apply and verbally communicate approved utilization review criteria and guidelines for services delivered in acute or alternative care settings.
  • Eligibility and Benefit Verification. Confirm eligibility status and ensure the appropriate administration of benefits in accordance with department policies and procedures.
  • Assessing Right Venue of Care with Hospitalist. Collaboration with Hospitalist to assess the appropriate level of care for patients (i.e., Medical Unit, Surgical Unit, Tele Unit, TCU, ICU) and post- (Home, Continuum or Community-based Services) hospitalization.
  • Coordination of Care. Driving patient care plan through assuring daily plan is executed, and management of transitions and post-hospital care.
  • Effective Discharge Planning. Prompt, clinically appropriate discharge planning beginning at time of admission.
  • Variance Management. Timely steps in identification of delays in throughput, escalation to correct delays, and recording delays to identify patterns and trends that will require corrective actions.
  • Quality Screening. Demonstrate competency to assess all aspects of care across the continuum for variations from quality and utilization standards.
  • Performs other related duties as directed.
  • Posted: 2019-12-09 Expires: 2020-02-16

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    Pediatric Patient Care Coordinator RN - Utilization Management, Children's Hospital Center

    Kaiser Permanente
    Washington, DC 20004

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