ED RN Care Coordinator; PT, Nights

Job Summary

Inpatient Care Managers are Registered Nurses who independently assure patients are admitted to the correct level of care for accurate billing and reimbursement. They provide quality, cost‑effective clinical coordination and care management in acute and emergency care settings, and manage patients with routine and complex transition planning needs. They serve as expert consultants and educators for physicians and other healthcare team members regarding discharge and transitional care, coordination of internal and community resources, and evaluation and improvement of systems of care to ensure optimal utilization of healthcare resources while maintaining quality of patient care.

The Inpatient Care Manager is primarily accountable for anticipating, assessing, developing, implementing, documenting, advising, and communicating a safe transition plan of care for patients with complex care needs.

• Coordinate post‑discharge patient care needs to assure the timely and effective discharge of routine and complex patients from the hospital setting.
• Independently and proactively complete and document patient assessments that are thorough, timely, age‑appropriate, and reflect psychosocial support systems, care needs, health‑plan benefits, and level‑of‑care determinations for hospitalized patients.
• Coordinate and communicate with patients, families, and the health‑care team to develop mutually agreeable plans of care that optimize the use of resources to support the particular needs of individual patients.
• Facilitate resolution of issues that present barriers to safe transfers by using patient/team care conferences to assure the efficient transition to a lower level of care and to ensure the patient/family receives the right care at the right time, enhancing quality and utilization of resources.
• Ensure systematic and ongoing contact with interdisciplinary staff and continuing‑care services to assure the safe transition of patients across care settings.
• In collaboration with the interdisciplinary health‑care team, ensure regulatory and compliance standards are met.
• Perform duties as requested.

• Minimum of two years combined RN experience in the following areas:
  Med/Surg (hospital acute care), ICU (hospital acute care), Emergency Department, Home Health, Skilled Nursing Facilities, Hospice, Long Term Acute Care, Inpatient Rehab, Utilization Management.

• Successful completion of an RN program by date of hire.
• High School Diploma or GED required.

• Credentials from multiple states are required; primary work state credentials are required at hire; additional credentials from secondary work state(s) are required after hire.
• Registered Nurse License (Washington) within 6 months of hire or Compact License:
  Registered Nurse within 6 months of hire.
• Registered Nurse License (Oregon) within 6 months of hire.
• Basic Life Support within 3 months of hire.

• Demonstrated ability to interrelate with physicians, nurses, support staff, and patients in an interdisciplinary approach.
• Demonstrated ability to work as part of a team and act as a constant patient advocate.
• Basic physical, psychosocial, and functional assessment skills.
• Familiar with discharge and transitional care processes and related resources.
• Thorough knowledge of principles of teaching and delegation, assessment skills, and care planning, and appropriate utilization of acute hospital, long‑term care, and home‑care resources.
• Able to develop concise and thorough documentation of patient clinical assessment and care needs.
• Highly effective problem‑solving, written and verbal communication, customer service, organizational, and time‑management skills.
• Ability to provide culturally competent care.
• Ability to navigate conflict in high‑pressure situations.
• Ability to use fixed and mobile technological devices.

• Knowledge of appropriate utilization of acute hospital and Kaiser Permanente internal resources.
• Knowledge of Medicare and Medicaid regulations related to eligibility requirements for hospital, nursing facilities, home health, hospice, and durable medical equipment (DME).
• Knowledge of utilization management principles and tools.
• Demonstrated clinical judgment and customer‑focused service skills.
• Knowledge of principles of patient teaching, disease prevention measures, and physical assessment as it relates to the needs of patients and the next level of care.
• Certified in Case Management.
• BSN or bachelor’s degree and MSN.