Continuing Care Utilization Review Coordinator Registered Nurse

Job Summary:Conducts utilization review for in-house patients and/or those members at contracted facilities. Assists in the discharge planning process.Essential Responsibilities:Conducts utilization review for in-house patients and/or members who have been admitted to contracted facilities. Interviews patients/caregivers regarding care after hospitalization.Conducts clinical reviews based on established treatment criteria.Collaborates with physicians on clinical reviews, keeps them appraised of Kaiser clinical criteria.Reviews utilization patterns, identifies trends and problems areas for special studies.Assists in collecting and assimilating clinical data to enhance the quality of services.Generates quality improvement results.Reports and investigates unusual occurrences and questions inappropriate decisions based on their professional expertise.Assists other health care providers in the discharge planning process and triaging on alternative unit of care.Counsels on Medicare and health care plan coverage.Coordinates referrals to appropriate agencies/facilities.Kaiser Permanente conducts compensation reviews of positions on a routine basis. At any time, Kaiser Permanente reserves the right to reevaluate and change job descriptions, or to change such positions from salaried to hourly pay status. Such changes are generally implemented only after notice is given to affected employees.Secondary Functions:Required to rotate on the weekend coverage and will be crossed trained in other programs in the continuum as needed.Basic Qualifications:ExperienceMinimum two (2) years of experience in an inpatient setting OR if for Skilled Nursing departments, minimum two (2) years of experience in a skilled nursing facility.Minimum one (1) year of utilization experience required.EducationBachelors degree in nursing or health related field required, OR four (4) years of experience in a directly related field.Graduate of accredited school of nursing.High School Diploma or General Education Development (GED) required.License, Certification, RegistrationDriver's License (California)Registered Nurse License (California)Basic Life SupportAdditional Requirements:Demonstrated knowledge of diagnostic codes.Must be able to work in a Labor/Management Partnership environment.Preferred Qualifications:Clinical expert in area of review preferred.Masters degree preferred.Palliative Care Experience, Hospice and Home Health and Hospital clinical nursing experience.COMPANY: KAISERTITLE: Continuing Care Utilization Review Coordinator Registered NurseLOCATION: Redwood City, CaliforniaREQNUMBER: 1259994External hires must pass a background check/drug screen. Qualified applicants with arrest and/or conviction records will be considered for employment in a manner consistent with Federal, state and local laws, including but not limited to the San Francisco Fair Chance Ordinance. All qualified applicants will receive consideration for employment without regard to race, color, religion, sex, national origin, sexual orientation, gender identity, protected veteran, or disability status.

Kaiser Permanente Culture:

Located in the dynamic community of Dublin, CA, Kaiser Permanente is a beacon in the healthcare industry, offering diverse job opportunities for those dedicated to making a difference in healthcare services. As a premier healthcare provider, we are dedicated to excellence and innovation across various healthcare sectors, positioning us as a top choice for professionals seeking healthcare jobs near Dublin, CA. Our mission is to deliver unparalleled healthcare services to our community, a commitment that is at the core of our culture and motivates our ongoing search for passionate individuals to join our team.

Kaiser Permanente has become a key player in the Dublin, CA healthcare landscape, not only by providing exceptional care but also by generating extensive employment opportunities for healthcare professionals. Whether you are a seasoned Continuing Care Utilization Review Coordinator Registered Nurse or a recent graduate ready to embark on your healthcare career, Kaiser Permanente offers a supportive and dynamic environment where your talents are valued and your professional development is encouraged. With our broad operations in Dublin, CA, we are continually seeking skilled individuals to fill roles in various categories, ensuring a steady demand for healthcare professionals in our community.

Kaiser Permanente is at the forefront of addressing the growing need for quality healthcare in Dublin, CA, offering numerous job openings for those searching for healthcare positions in their vicinity. Our dedication to adopting the latest healthcare technologies and methodologies means our team is ever-expanding, with a keen interest in hiring professionals such as (RN) Case Managers for Assisted Living, Associate Dentists, Clinical Pharmacists, Field Training Audiologists, Occupational Therapists, Social Workers, and Staff Physical Therapists, who are eager to positively impact our patients' lives. Joining Kaiser Permanente places you among a group of dedicated professionals committed to delivering the best healthcare in Dublin, CA, and beyond.

For individuals in Dublin, CA seeking healthcare jobs near them, Kaiser Permanente offers a unique chance to work in a cutting-edge facility that prioritizes both the professional growth of its staff and the health of its patients. We recognize the significance of local employment opportunities in building a strong community and proudly provide a variety of positions that accommodate the diverse expertise within the healthcare field. From clinical roles like (RN) Case Managers, Associate Dentists, and Clinical Pharmacists to specialized positions such as Field Training Audiologists, Occupational Therapists, Social Workers, and Staff Physical Therapists, Kaiser Permanente is eager to attract and retain top talent in and around Dublin, CA.

In conclusion, Kaiser Permanente is more than a leader in healthcare; we are a significant employer in the healthcare sector within Dublin, CA. Our dedication to excellence in healthcare services is paralleled by our commitment to creating job opportunities for those seeking healthcare positions close to home. By choosing to grow your career with Kaiser Permanente, you're not just joining a team of exceptional healthcare professionals; you're also contributing to the well-being of the Dublin, CA community. We invite you to explore the exciting career opportunities at Kaiser Permanente and take the first step toward a rewarding healthcare career, right here in Dublin, CA.

Keywords:- jobs near me, jobs hiring near me, medical jobs, healthcare jobs, openings near me