Care Coordination Nurse Navigator

Kaiser Permanente; Honolulu (HI); On-site; USD 90,000 - 120,000; Full time

Job summary

Kaiser Permanente in Hawaii is seeking a nurse to coordinate with physicians, staff, and other providers regarding patient care. The role develops care plans and discharge plans, monitors clinical activities, and educates teams on utilization and cost containment initiatives.

The position involves ensuring continuity of care, coordinating with multidisciplinary teams, and handling non-coverage determinations as needed, while maintaining compliance with regulatory guidelines and Kaiser standards.

Qualifications

• Minimum two years of experience in utilization review, case management, transitional care, and discharge planning.
• OR two years of acute care nursing experience within the last five years.

Responsibilities

• Coordinates with physicians, staff, and providers and facilities regarding patient care.
• Develops plans of care and discharge plans with physicians and monitors clinical activities.
• Educates healthcare team on utilization and cost containment initiatives.
• Issues denial/notices of non-coverage after conferring with physicians.
• Ensures continuity of care and develops comprehensive discharge plans with families and teams.

Skills

Utilization review

Case management

Discharge planning

Nursing background

Education

Bachelor's degree in nursing or related health care field

High School Diploma or GED

Job description

Kaiser Permanente in Hawaii is seeking a nurse to coordinate with physicians, staff, and other providers regarding patient care. The role develops care plans and discharge plans, monitors clinical activities, and educates teams on utilization and cost containment initiatives.

The position involves ensuring continuity of care, coordinating with multidisciplinary teams, and handling non-coverage determinations as needed, while maintaining compliance with regulatory guidelines and Kaiser standards.