RN Complex Care Coordinator, On Call Variable, Waterpark I

Description: Job Summary:

Serves in an expanded nursing role to collaborate with members and care team to ensure high risk members are provided personalized care coordination services. Provides panel management for the most complex members. Ensures members/caregivers have the resources and ability to thrive at home with education and access to the appropriate care for their required health condition. Works closely with the Primary Care Teams to build a model of care for those who would benefit from proactive complex care coordination. Integrates evidence based clinical guidelines, protocols, and other metrics in the development of treatment and care plans focused on patient centered goals of care. Promotes quality and efficiency in the delivery of the targeted high risk population. Promotes optimum clinical outcomes and builds trusting relationships with our members to positively impact utilization of resources, palliative care services and better health.

Essential Responsibilities:

• This position, knows and complies with all Kaiser Permanente quality, safety, and emergency policies and procedures. Demonstrates quality and effectiveness in work habits and clinical practice in every interaction with patients, colleagues, providers, and leadership. Ensures patient safety in the preparation and provisioning of care related to but not limited to medications including the consistent use of 5 rights and 3 checks of medication administration, procedures, infection prevention, fall prevention, including consistent use of two patient identifiers and procedural time outs. Reports safety hazards, accidents and incidents, and unsafe working conditions promptly.


• Maintains a panel of patients that are identified by risk stratification at the local MOB. Provides a point of contact for these complex members.


• Assesses the healthcare, educational, and psychosocial needs of the member/caregiver and develops an appropriate care plan.


• Provides culturally relevant education and teach back for members that are enrolled into the RNCC panel.


• Synthesizes data from multiple sources including phone and face to face interaction with members to develop a coordinated patient plan of care and implements in collaboration with providers and multidisciplinary teams.


• Synthesizes and analyzes a large volume of data related to the member, benefits, eligibility, facilities, contracts, and clinical status to identify issues and facilitate problem solving that results in continuity of care, quality of care and optimal resource management for the patient.


• Develops strong relationships of trust, effective interpersonal skills, and communication in a collaborative environment with CPMG and network providers, leaders, and colleagues.


• Analyzes reports and records data. Uses data to identify health care problems and creates plan.


• Prioritizes patients needs. Triages patients either in person or via telephone and implements proper course of action in accordance with established protocol/guideline or in consultation with provider. Conducts telephone call backs to patients requiring follow-up care. Evaluates emergency situations and initiates appropriate nursing interventions.


• Executes delegated medical functions which deliver aspects of care that implement and are consistent with the medical plan as prescribed by a licensed or otherwise legally authorized physician or person acting under the physicians delegated authority. Administers intravenous therapy and other medications.


• Provides therapy and treatment that is supportive and restorative to life and well being either directly to the patient or indirectly through consultation with, delegation to (per Colorado State Board of Nursing rules and regulations for delegation), supervision of, or teaching others. Refers to medical or community agencies per Kaiser Permanente guidelines those patients who need further treatment, evaluation, or assistance. Reviews and monitors therapy and treatment patient plans. Initiates appropriate consultations and/or actions accordingly.


• Facilitates the coordination and integration of care between health care services. Manages populations of patients to ensure appropriate utilization of health care resources. Leads health care team by influence and role modeling integrated effective nursing practices, services, innovation and provides outstanding support for physician practices.


• Acts as a patient advocate.

Basic Qualifications:
Experience

• Minimum of two (2) years of RN experience in a setting that focuses on complex patients.

Education

• Graduate of a board approved RN program and completed a minimum of 750 clock hours of faculty planned clinical experience and guided learning activities which required direct supervision by faculty, associate nursing instructional personnel (ANIP) or preceptor who is physically present or immediately accessible.

License, Certification, Registration

• Registered Nurse License (Colorado)
  

• National Provider Identifier required at hire
  

Additional Requirements:

• Demonstrated customer service skills, customer focus abilities and the ability to understand Kaiser Permanente customer needs.

Preferred Qualifications:

• Minimum of three (3) years of experience in care coordination and disease management for medically complex patients.
• Current experience in geriatric syndromes and cognitive assessment.
• Expertise in the care of frail adults.

Primary Location: Colorado,Aurora,Waterpark I
Scheduled Weekly Hours: 1
Shift: Day
Workdays: Mon, Tue, Wed, Thu, Fri
Working Hours Start: 12:00 AM
Working Hours End: 11:59 PM
Job Schedule: Call-in/On-Call
Job Type: Standard
Worker Location: Onsite
Employee Status: Regular
Employee Group/Union Affiliation: C02|UFCW|Local 7
Job Level: Individual Contributor
Department: Waterpark I - Population Mgmnt-Disease Mgmt - 1608
Pay Range: $42.47 - $63.43 / hour The ranges posted above reflect the location in the job posting. The salary range may vary if you reside in a different location or state than the location posted.
Travel: Yes, 15 % of the Time
On-site: Work location is on-site (KP designated office, medical office building or hospital). Worker location must align with Kaiser Permanente's Authorized States policy. At Kaiser Permanente, equity, inclusion and diversity are inextricably linked to our mission, and we aim to make it a part of everything we do. We know that having a diverse and inclusive workforce makes Kaiser Permanente a better place to receive health care, a more supportive partner in our communities we serve, and a more fulfilling place to work. Working at Kaiser Permanente means that you agree to and abide by our commitment to equity and our expectation that we all work together to create an inclusive work environment focused on a sense of belonging and wellbeing.

Kaiser Permanente is an equal opportunity employer committed to a diverse and inclusive workforce. Applicants will receive consideration for employment without regard to race, color, religion, sex (including pregnancy), age, sexual orientation, national origin, marital status, parental status, ancestry, disability, gender identity, veteran status, genetic information, other distinguishing characteristics of diversity and inclusion, or any other protected status. Submit Interest

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