Care Coordination Utilization Agent

Kaiser Permanente; Honolulu (HI); On-site; USD 37,000 - 41,000; Part time

Job summary

Kaiser Permanente is seeking an experienced administrative professional to support bed management and coordination at Moanalua Medical Center in Honolulu. You will respond to incoming calls, collect patient data, and triage to the appropriate care team, while ensuring efficient patient throughput.

Responsibilities include maintaining bed trackers, coordinating with ER and house staff, and assisting with referrals and transportation arrangements for Kaiser Health Plan members.

Qualifications

• Minimum six (6) months of administrative experience in a health care facility or related experience.
• High School Diploma or GED required.
• Experience applying analytic techniques and computer skills to hospital data.
• Knowledge of health plan benefits and medical center operations.
• Understanding of regional policies and contract interpretation of out-of-plan medical services.

Responsibilities

• Maintains bed tracker for Moanalua Medical Center.
• Collaborates with House Supervisor and ER for bed placement and patient throughput.
• Assigns beds for inpatient admissions at Moanalua Hospital.
• Outreach to non-Kaiser Permanente hospitals for repatriation of Kaiser Health Plan members.
• Assist with coordination of air and ground transportation.
• Assist with referral entry in Tapestry for Kaiser Health Plan members admitted to non-Kaiser Permanente facilities.
• Provide timely response to incoming calls and triage to appropriate provider.
• Collect patient information, demographics, eligibility, and reason for call; document in the Kaiser Permanente EMR.
• Data entry in electronic medical record and other data systems as needed.
• Collaborate with membership services to answer inquiries about benefits and charges.

Skills

Analytical skills

Verbal communication

Education

High School Diploma or GED

Associate degree

Bachelor's degree

Tools

Electronic medical record

Spreadsheets

Job description

Job Summary

Responsible for hospital bed management at Moanalua Medical Center, including assistance with outside ED and hospital coordination for the repatriation of Kaiser Health Plan members, air and ground transportation, messaging and other duties, as necessary. Also, responsible for providing timely response to all inbound phone calls for the Care Coordination Center (CCC), including receiving initial patient information and demographics, eligibility information, request for service, and triaging calls to the appropriate provider (CCC Medic, RN or Physician). Documentation of member/patient information into computerized data management systems and in manually maintained data files. Answers inquiries and educates member/patient, physicians and hospitals, as necessary. Collaborates with the House Supervisor and Emergency Room team to ensure appropriate and timely patient hospital throughput.

Essential Responsibilities

• Maintains bed tracker for Moanalua Medical Center.
• Collaborates with House Supervisor, Emergency Room, etc. for bed placement and patient throughput.
• Assigns beds at Moanalua Hospital for patients requiring an inpatient admission.
• Outreach to non-Kaiser Permanente hospitals for coordination and repatriation of Kaiser Health Plan members.
• Assist with coordination of Air & Ground Transportation.
• Assist with referral entry in Tapestry for Kaiser Health Plan members admitted to non-Kaiser Permanente facilities.
• Provides timely response to incoming calls and triages calls to appropriate provider.
• Initiates data collection from incoming call, to include: patient information and demographics, eligibility, and reason for call. May also document in the Kaiser Permanente electronic medical record.
• Assists with data entry in electronic medical record, computerized data management systems, and manually maintained data files.
• Collaboration with other services, e.g. membership services, to answer inquiries and educate patients, physicians and hospitals on covered benefits and charges.

Experience

Minimum six (6) months of administrative experience in a health care facility or related experience.

Education

High School Diploma or General Education Development (GED) required.

License, Certification, Registration

N/A

Additional Requirements

• Experience applying analytic techniques and computer skills to hospital data.
• Strong analytic and verbal skills.
• Expertise with tracking, spreadsheets and graphic computer systems operating on PC mainframes.
• Knowledge of health plan benefits.
• Understanding of medical center operations, complex health systems, with the ability to quickly grasp regional policies, contract interpretation of out-of-plan medical services. Must be able to work in a Labor/Management Partnership environment.

Preferred Qualifications

• Associate of Arts or Bachelors degree preferred.

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.

Primary Location: Hawaii,Honolulu,Moanalua Ancillary Building

Scheduled Weekly Hours: 24

Shift: Day

Workdays: sSun, Mon, Tue, Wed, Thu, Fri, Sat

Working Hours Start: 08:00 AM

Working Hours End: 08:30 PM

Job Schedule: Part-time

Job Type: Standard

Worker Location: Onsite

Employee Status: Regular

Employee Group/Union Affiliation: HL5|UNITE HERE|Local 5

Job Level: Entry Level

Department: Moanalua Medical Center - UR-Care Access - 1201

Pay Range: $26.66 - $29.62 / hour

Kaiser Permanente strives to offer a market competitive total rewards package and is committed to pay equity and transparency. The posted pay range is based on possible base salaries for the role and does not reflect the full value of our total rewards package. Actual base pay determined at offer will be based on labor market data, internal alignment, and a candidate's years of relevant work experience, education, certifications, skills, and geographic location.

Travel: No

Work Setting: Onsite

Worker location must align with Kaiser Permanente's Authorized States policy.

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.