Liaison Nurse

Kaiser Permanente; Bellevue (WA); On-site; USD 101,000 - 170,000; Full time

Benefits offered by this job

Sign-on bonus

Job summary

The Kaiser Permanente Bellevue Medical Center is seeking an experienced RN Case Manager Liaison to coordinate discharge planning and follow-up care for hospitalized KFHPW patients. This on-site role involves collaboration with primary and specialty care teams, managing a caseload, and ensuring adherence to the medical plan while optimizing resource use.

Expect a rotating schedule with weekend/holiday coverage, a 40-hour week, and ongoing data collection to support care quality.

Qualifications

• Minimum three (3) years of recent RN medical/surgical/ambulatory clinical experience.
• Minimum two (2) years of RN experience in ambulatory case management, care coordination or disease management.
• Bachelor's degree.
• Registered Nurse License (Washington) required at hire OR Compact License: Registered Nurse required at hire
• Basic Life Support required at hire
• Case Manager Certificate within 36 months of hire
• Effective, independent nursing judgment and skills, and use of evidence based clinical decision making criteria.
• Knowledge in management of chronic disease process, nursing process and collaborative care planning.
• Demonstrated skill and experience in effectively collaborating with care team members.

Responsibilities

• Assess patients referred for case management to determine physical, mental, financial, psychosocial status and needs.
• Develop patient-centered case management plan with objectives and timelines.
• Coordinate and implement interventions using evidence-based guidelines.
• Collaborate with other health care professionals regarding the plan of care and outcomes.
• Direct and guide the plan of care to ensure seamless continuum of care.
• Collect data and provide input to leadership regarding utilization, cost, quality and care delivery.

Skills

RN case management

Care coordination

Evidence-based practice

Education

Bachelor's degree

Job description

• SIGN-ON BONUS OF $5,000 APPLIES TO ELIGIBLE EXTERNAL HIRES!

RN CASE MANAGER LIAISON NURSE - KAISER PERMANENTE ADVANCED URGENT CARE - ONSITE: KPWA BELLEVUE MEDICAL CENTER

VARIABLE MON-FRI - 10AM-8:30PM - EVERY OTHER WEEKEND ROTATION - ROTATING HOLIDAYS AMONG THE TEAM

Job Summary

The Care Manager will work in two settings on a periodic rotating schedule, planning the discharges and follow up care for Kaiser Foundation Health Plan of Washington patients hospitalized at a nearby network facility and carrying a case load of patients in one of the Kaiser Foundation Health Plan of Washington medical centers. Some weekends and holidays are required, and scheduled days of the week are variable. Primary responsibility is to focus on achievement of optimal patient health care outcomes while ensuring appropriate utilization of health care resources. Working closely with primary care teams, specialty care teams and medical providers, the Liaison Nurse will establish a collaborative plan of care to assure adherence to the medical plan, improvement in functional status, and improved ability to self-manage. Serves as the liaison across the internal KFHPW care continuum and between KFHPW and all externally contracted providers, facilities, and resources and provides feedback to the organization regarding the service and quality of contracted services. The Liaison Nurse collects data and provides input to leadership regarding issues or concerns related to utilization, cost, quality, service and care delivery to patients.

Essential Responsibilities

• Ensures patients referred to case management meet established case management criteria. Assess all patients referred for case management to determine physical, mental, financial, psychosocial status, utilizing comprehensive, standardized criteria to identify existing and potential needs. Develop patient centered case management plan based on assessments and including patient goals, objectives, and outcomes with specific time frames (long/short term). Evaluate ability and availability of designated caregiver(s) to provide patient support. Coordinate and implement interventions using evidence based guidelines. Recommend additional services to PCP as determined in the case management plan. Conduct ongoing assessment of progress against original goals. Continuously update needed services. Maintain ongoing communication with patient/family and care team. Acts as an advocate for patient care needs. Documents all responses of patient to case management interventions.
• Collaborates with other health care professionals regarding the plan of care, variances in plan implementation, achieved outcomes or expected outcomes. Monitor and evaluate short and long term patient responses to therapeutic interventions and analyze patterns of variance from clinical information and outcomes. Recommend alternative settings for care based on health care needs and appropriate utilization of health care resources. Document interventions and interactions with patients or caregivers according to KFHPW and Care Management policy and procedure. Participate in the measurement of the effectiveness of the case management program.
• Directs and guides the plan of care to result in a seamless continuum of care. Facilitates as needed, referrals for home health care, long term care, hospice, and other care facilities or services. Participation in care conferences to provide problem solving for patients with complex care needs (limited basis). Collects needed data needed to evaluate the effects of care coordination on quality outcomes, fiscal parameters, patient satisfaction and systems improvement. Understands and utilizes health plan requirements and patient benefits in making care management decisions. Assists patient to understand and comply with their medical treatment plan. Supports patient education and activation through referral to specific chronic illness classes, group visits or community resources.

Experience

Basic Qualifications:

• Minimum three (3) years of recent RN medical/surgical/ambulatory clinical experience required.
• Minimum two (2) years of RN experience in ambulatory case management, care coordination or disease management.

Education

• Bachelors degree

License, Certification, Registration

• Registered Nurse License (Washington) required at hire OR Compact License: Registered Nurse required at hire
• Basic Life Support required at hire
• Case Manager Certificate within 36 months of hire

Additional Requirements

• Effective, independent nursing judgment and skills, and use of evidence based clinical decision making criteria.
• Knowledge in management of chronic disease process, nursing process and collaborative care planning.
• Demonstrated skill and experience in effectively collaborating with care team members.

Preferred Qualifications

• Minimum two (2) years of RN experience in utilization review, ambulatory case management, care coordination or disease management.
• Bachelors of science in nursing.

Primary Location: Washington,Bellevue,Bellevue Medical Center

Scheduled Weekly Hours: 40

Shift: Day

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

Working Hours Start: 10:00 AM

Working Hours End: 08:30 PM

Job Schedule: Full-time

Job Type: Standard

Worker Location: Onsite

Employee Status: Regular

Employee Group/Union Affiliation: J01|SEIU|SEIU Local 1199 RN/ANRP

Job Level: Individual Contributor

Department: Overlake Hsp Rounding - UR-Discharge Planning - 1130

Pay Range: $48.57 - $81.9 / 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.