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Kaiser Permanente

Integrated healthcare provider and payer platform

Inpatient Care Manager - Inpatient, Dual

Medical, Clinical & VeterinaryPosted on Nov 13
Full-timeClackamas County, OR, USANo salary listedIn-person

About the Job

Requirements

  • A minimum of two years of combined registered nurse experience in one or more of the following areas: medical/surgical hospital acute care, intensive care unit hospital acute care, emergency department, home health, skilled nursing facilities, hospice, long-term acute care, inpatient rehabilitation, or utilization management.
  • Successful completion of an registered nurse program by the date of hire.
  • A high school diploma or General Education Development credential is required.
  • A Washington registered nurse license or compact registered nurse license is required within six months of hire.
  • An Oregon registered nurse license is required within six months of hire.
  • Basic Life Support certification is required within three months of hire.
  • Ability to interrelate with physicians, nurses, support staff, and patients using an interdisciplinary approach.
  • Ability to work as part of a team and act as a patient advocate.
  • Basic physical, psychosocial, and functional assessment skills.
  • Familiarity with care processes related to discharge and transitional facilities and services.
  • Knowledge of teaching and delegation principles, assessment skills, care planning, and appropriate utilization of acute hospital, long-term care, and home care resources.
  • Ability to develop concise and thorough documentation of patient clinical assessments and care needs.
  • 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.

Responsibilities

  • Coordinate post-discharge patient care needs to ensure the timely and effective discharge of routine and complex patients from the hospital setting.
  • Complete and document thorough, timely, age-appropriate patient assessments that 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 resources and support individual patient needs.
  • Facilitate resolution of barriers to safe transfers through patient and team care conferences, supporting efficient transitions to a lower level of care and ensuring patients and families receive appropriate care at the appropriate time.
  • Maintain systematic and ongoing contact with interdisciplinary staff and continuing care services to ensure safe transitions across care settings.
  • Collaborate with the interdisciplinary health care team to ensure regulatory and compliance standards are met.
  • Perform other duties as requested.

Desired Qualifications

  • Knowledge of appropriate utilization of acute hospital and Kaiser Permanente internal resources.
  • Knowledge of Medicare and Medicaid eligibility regulations for hospitals, nursing facilities, home health, hospice, and durable medical equipment.
  • Knowledge of utilization management principles and tools.
  • Clinical judgment and customer-focused service skills.
  • Knowledge of patient teaching principles, disease prevention measures, and physical assessment as they relate to patient needs and the next level of care.
  • Certification in case management.
  • A Bachelor of Science in Nursing or bachelor's degree and a Master of Science in Nursing.

About the Company

Kaiser Permanente

Integrated healthcare provider and payer platform

Kaiser Permanente runs an integrated healthcare platform that lets members manage and pay medical, premium, and pharmacy bills online. It serves Medicare Advantage, Individual and Family, and non-employer plans, offering options to pay as a guest or set up payment plans. The platform works by presenting a centralized online portal where users can view bills, choose how to pay, and handle multiple types of charges in one place. Revenue comes from premiums and medical services fees, while the service aims to reduce administrative work for both providers and patients and encourage on-time payments. What sets Kaiser Permanente apart is its combination of healthcare services with a single billing experience across multiple plan types, focusing on a user-friendly, centralized payment process rather than handling billing through separate systems. Its goal is to provide a straightforward, reliable way for members to manage and pay their bills, improving convenience and payment timeliness.

Company size
10,001+
Company stage
Grant
Total funding
$7.5M
Headquarters
Oakland, CA
Founded
1945

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