Registered Nurse Complex Care Coordinator
Company: Kaiser
Location: Commerce City
Posted on: March 20, 2023
Job Description:
UFCW Local 7 - $41.63 - $48.97
"May be entitled to translation/bilingual, shift or other wage
premiums as governed by the applicable collective bargaining
agreement. Please refer to the respective collective bargaining
agreement for additional information on such wage premiums: ."
Serves in an expanded nursing role to collaborate with members and
care team to ensure high risk members are provided personalized
care coordination services. Provides panel management for the most
complex members. Ensures members/caregivers have the resources and
ability to thrive at home with education and access to the
appropriate care for their required health condition. Works closely
with the Primary Care Teams to build a model of care for those who
would benefit from proactive complex care coordination. Integrates
evidence based clinical guidelines, protocols, and other metrics in
the development of treatment and care plans focused on patient
centered goals of care. Promotes quality and efficiency in the
delivery of the targeted high risk population. Promotes optimum
clinical outcomes and builds trusting relationships with our
members to positively impact utilization of resources, palliative
care services and better health.
Essential Responsibilities:
- This position, knows and complies with all Kaiser Permanente
quality, safety, and emergency policies and procedures.
Demonstrates quality and effectiveness in work habits and clinical
practice in every interaction with patients, colleagues, providers,
and leadership. Ensures patient safety in the preparation and
provisioning of care related to but not limited to medications
including the consistent use of 5 rights and 3 checks of medication
administration, procedures, infection prevention, fall prevention,
including consistent use of two patient identifiers and procedural
time outs. Reports safety hazards, accidents and incidents, and
unsafe working conditions promptly.
- Maintains a panel of patients that are identified by risk
stratification at the local MOB. Provides a point of contact for
these complex members.
- Assesses the healthcare, educational, and psychosocial needs of
the member/caregiver and develops an appropriate care plan.
- Provides culturally relevant education and teach back for
members that are enrolled into the RNCC panel.
- Synthesizes data from multiple sources including phone and face
to face interaction with members to develop a coordinated patient
plan of care and implements in collaboration with providers and
multidisciplinary teams.
- Synthesizes and analyzes a large volume of data related to the
member, benefits, eligibility, facilities, contracts, and clinical
status to identify issues and facilitate problem solving that
results in continuity of care, quality of care and optimal resource
management for the patient.
- Develops strong relationships of trust, effective interpersonal
skills, and communication in a collaborative environment with CPMG
and network providers, leaders, and colleagues.
- Analyzes reports and records data. Uses data to identify health
care problems and creates plan.
- Prioritizes patient's needs. Triages patients either in person
or via telephone and implements proper course of action in
accordance with established protocol/guideline or in consultation
with provider. Conducts telephone call backs to patients requiring
follow-up care. Evaluates emergency situations and initiates
appropriate nursing interventions.
- Executes delegated medical functions which deliver aspects of
care that implement and are consistent with the medical plan as
prescribed by a licensed or otherwise legally authorized physician
or person acting under the physician's delegated authority.
Administers intravenous therapy and other medications.
- Provides therapy and treatment that is supportive and
restorative to life and well being either directly to the patient
or indirectly through consultation with, delegation to (per
Colorado State Board of Nursing rules and regulations for
delegation), supervision of, or teaching others. Refers to medical
or community agencies per Kaiser Permanente guidelines those
patients who need further treatment, evaluation, or assistance.
Reviews and monitors therapy and treatment patient plans. Initiates
appropriate consultations and/or actions accordingly.
- Facilitates the coordination and integration of care between
health care services. Manages populations of patients to ensure
appropriate utilization of health care resources. Leads health care
team by influence and role modeling integrated effective nursing
practices, services, innovation and provides outstanding support
for physician practices.
- Acts as a patient advocate.
Basic Qualifications:
Experience
- Minimum of two (2) years of RN experience in a setting that
focuses on complex patients.
Education
- Graduate of a board approved RN program and completed a minimum
of 750 clock hours of faculty planned clinical experience and
guided learning activities which required direct supervision by
faculty, associate nursing instructional personnel (ANIP) or
preceptor who is physically present or immediately accessible.
License, Certification, Registration
- Current unrestricted license as a Registered Nurse in the State
of Colorado.
- National Provider Identifier (NPI) and Taxonomy code required
at time of hire.
Additional Requirements:
- Demonstrated customer service skills, customer focus abilities
and the ability to understand Kaiser Permanente customer needs.
Preferred Qualifications:
- Minimum of three (3) years of experience in care coordination
and disease management for medically complex patients.
- Current experience in geriatric syndromes and cognitive
assessment.
- Expertise in the care of frail adults.
Job Schedule:
Job Category: Nursing Licensed & Nurse Practitioners
Keywords: Kaiser, Commerce City , Registered Nurse Complex Care Coordinator, Healthcare , Commerce City, Colorado
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