Patient Care Coordinator & Discharge Specialist

NALHE; Honolulu (HI); On-site; USD 90,000 - 110,000; Full time

Job summary

Kaiser Permanente in Honolulu is seeking a nursing professional to coordinate patient care with physicians and staff, develop plans of care and discharge plans, and monitor clinical activities. You will identify cost-effective protocols and guide care within regulatory guidelines while collaborating with the care team and families to ensure quality outcomes.

Responsibilities include reviewing admissions, determining medical necessity, educating team members on cost containment, and communicating

Qualifications

• Utilization review experience and knowledge of Medicare regulations.
• Ability to educate healthcare teams on utilization and cost containment.
• Collaboration with patients, families, physicians, and staff regarding care provisions.
• Ability to issue denial/notices of non-coverage after conferring with physicians.

Responsibilities

• Coordinate with physicians, staff, and other providers regarding patient care.
• Perform daily pre-admission, admission, and concurrent utilization reviews to determine care levels and discharge readiness.
• Monitor the plan of care progression and facilitate multidisciplinary discussions.
• Develop discharge plans with patients and families, physicians, and social services.
• Develop and implement care guidelines, orders, and care paths; identify opportunities for cost savings and quality improvements.
• Maintain relationships with Kaiser Permanente and community facilities; monitor high-cost cases and report findings.

Job description

Kaiser Permanente in Honolulu is seeking a nursing professional to coordinate patient care with physicians and staff, develop plans of care and discharge plans, and monitor clinical activities. You will identify cost-effective protocols and guide care within regulatory guidelines while collaborating with the care team and families to ensure quality outcomes.

Responsibilities include reviewing admissions, determining medical necessity, educating team members on cost containment, and communicating