Clinical Services Manager

21201 Baltimore, Maryland $85000 Annually WhatJobs

Posted 7 days ago

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Job Description

full-time
Our client, a leading provider of community and social care services in Baltimore, Maryland, US , is seeking a dedicated and dynamic Clinical Services Manager to oversee and enhance the quality of care delivered across multiple programs. This critical role involves managing a team of healthcare professionals, ensuring compliance with all regulatory standards, and driving service improvements to meet the evolving needs of our diverse client base. The ideal candidate will have a strong background in healthcare management, exceptional leadership abilities, and a genuine passion for improving lives within the community. Responsibilities include:
  • Supervising, training, and evaluating clinical staff, fostering a supportive and high-performance work environment.
  • Developing, implementing, and monitoring clinical policies and procedures to ensure best practices and adherence to all relevant healthcare regulations (e.g., HIPAA, state licensing boards).
  • Managing program budgets, resource allocation, and operational efficiency.
  • Collaborating with external agencies, community partners, and stakeholders to enhance service delivery and expand outreach.
  • Overseeing client intake, assessment, and care planning processes, ensuring personalized and effective support.
  • Maintaining accurate and confidential client records and documentation.
  • Leading quality assurance initiatives, conducting regular audits, and implementing corrective actions as needed.
  • Representing the organization in community forums and professional networks.
  • Troubleshooting and resolving operational and clinical challenges effectively.
  • Contributing to the strategic planning and development of new services and programs.

Candidates must possess a Master's degree in Social Work, Nursing, Public Health, or a related field, coupled with at least 5 years of progressive management experience in a healthcare or social services setting. Licensure as an LCSW-C, RN, or equivalent professional license is strongly preferred. Demonstrated success in program management, staff supervision, and quality improvement is essential. Excellent communication, problem-solving, and decision-making skills are required. Familiarity with the Baltimore community and its social service landscape is a significant asset. This is an excellent opportunity to lead impactful services in Baltimore, Maryland, US .
Apply Now

Medical Director, Clinical Services

21401 Annapolis, Maryland Highmark Health

Posted 1 day ago

Job Viewed

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Job Description

**Company :**
Highmark Inc.
**Job Description :**
**JOB SUMMARY**
This job, as part of a physician team, ensures that utilization management responsibilities are performed in accordance with the highest and most current clinical standards. The incumbent reviews escalated cases electronically and using Medical Policy criteria sets to evaluate the medical necessity and appropriateness of the requested treatment of service. Depending on the nature of the case, telephonic peer to peer discussions may be required. The incumbent ensures compliance to NCQA, URAC, CMS, DOH, and DOL regulations at all times. In addition to utilization review, the incumbent participates as the physician member of the multidisciplinary team for case and disease management. They will advise the multidisciplinary team on cases, particularly high-risk cases, through the team structure. Additionally, the incumbent may be assigned special projects to help support and improve the care of our members
**ESSENTIAL RESPONSIBILITIES**
+ Conduct electronic review of escalated cases against medical policy criteria, which may include telephonic peer to peer discussions, to determine medical necessity and appropriateness. Complete initial determination of cases, review of appeals and grievances, and other reviews as assigned. Compose clear and concise rationales for member and provider determination notifications all while adhering to required compliance standards (NCQA, URAC, CMS, DOH, and DOL regulations, etc.). Ensure that all aspects of the medical management process are consistent with community standards of care.
+ Participate as a member of the CMDM multidisciplinary team. Attend huddles and grand rounds. Advise multidisciplinary team on cases that require physician expertise.
+ Participate in protocol and guidelines development to ensure consistency in the review process.
+ Actively manage projects and/or participate on project teams that require a physician subject matter expert.
+ Other duties as assigned.
**EDUCATION**
**Required**
+ Medical Doctor (MD) or Doctor of Osteopathic Medicine (DO)
**Substitutions**
+ None
**Preferred**
+ Master's Degree in Business Administration/Management or Public Health
**EXPERIENCE**
**Required**
+ 5 years in Clinical, Direct Patient care (hospital, outpatient, or private practice)
**Preferred**
+ 1 year in Medical Management in a Health Insurance Plan; strong knowledge of managed care industry
**LICENSES AND CERTIFICATION**
**Required**
+ Medical Doctor or Doctor of Osteopathic Medicine (DO)
+ Awarded Board Certification at least once in specialty recognized by the American Board of Medical Specialties or the American Osteopathic Association Specialty Certifying Boards
+ Active medical state licensure required. Additional specific state licensure(s) may be required based on business need.
**Preferred**
+ None
**SKILLS**
+ Critical Thinking
+ Case Management
+ Customer Service
+ Oral & Written Communication Skills
+ Collaboration
+ Listening
+ Telephone Skills
+ General Computer Skills
+ Clinical Software
+ Managed Care
**Language (Other than English)**
None
**Travel Required**
0% - 25%
**PHYSICAL, MENTAL DEMANDS and WORKING CONDITIONS**
Position Type
Office-Based
Teaches / trains others regularly
Occasionally
Travel regularly from the office to various work sites or from site-to-site
Rarely
Works primarily out-of-the office selling products/services (sales employees)
Never
Physical work site required
No
Lifting: up to 10 pounds
Constantly
Lifting: 10 to 25 pounds
Rarely
Lifting: 25 to 50 pounds
Rarely
**_Disclaimer:_** _The job description has been designed to indicate the general nature and essential duties and responsibilities of work performed by employees within this job title. It may not contain a comprehensive inventory of all duties, responsibilities, and qualifications required of employees to do this job._
**_Compliance Requirement_** _: This job adheres to the ethical and legal standards and behavioral expectations as set forth in the code of business conduct and company policies._
_As a component of job responsibilities, employees may have access to covered information, cardholder data, or other confidential customer information that must be protected at all times. In connection with this, all employees must comply with both the Health Insurance Portability Accountability Act of 1996 (HIPAA) as described in the Notice of Privacy Practices and Privacy Policies and Procedures as well as all data security guidelines established within the Company's Handbook of Privacy Policies and Practices and Information Security Policy._
_Furthermore, it is every employee's responsibility to comply with the company's Code of Business Conduct. This includes but is not limited to adherence to applicable federal and state laws, rules, and regulations as well as company policies and training requirements._
**Pay Range Minimum:**
$170,000.00
**Pay Range Maximum:**
$352,500.00
_Base pay is determined by a variety of factors including a candidate's qualifications, experience, and expected contributions, as well as internal peer equity, market, and business considerations. The displayed salary range does not reflect any geographic differential Highmark may apply for certain locations based upon comparative markets._
Highmark Health and its affiliates prohibit discrimination against qualified individuals based on their status as protected veterans or individuals with disabilities and prohibit discrimination against all individuals based on any category protected by applicable federal, state, or local law.
We endeavor to make this site accessible to any and all users. If you would like to contact us regarding the accessibility of our website or need assistance completing the application process, please contact the email below.
For accommodation requests, please contact HR Services Online at
California Consumer Privacy Act Employees, Contractors, and Applicants Notice
Req ID: J
View Now

Medical Director, Clinical Services

20080 Washington, District Of Columbia Highmark Health

Posted 15 days ago

Job Viewed

Tap Again To Close

Job Description

**Company :**
Highmark Inc.
**Job Description :**
**JOB SUMMARY**
This job, as part of a physician team, ensures that utilization management responsibilities are performed in accordance with the highest and most current clinical standards. The incumbent reviews escalated cases electronically and using Medical Policy criteria sets to evaluate the medical necessity and appropriateness of the requested treatment of service. Depending on the nature of the case, telephonic peer to peer discussions may be required. The incumbent ensures compliance to NCQA, URAC, CMS, DOH, and DOL regulations at all times. In addition to utilization review, the incumbent participates as the physician member of the multidisciplinary team for case and disease management. They will advise the multidisciplinary team on cases, particularly high-risk cases, through the team structure. Additionally, the incumbent may be assigned special projects to help support and improve the care of our members
**ESSENTIAL RESPONSIBILITIES**
+ Conduct electronic review of escalated cases against medical policy criteria, which may include telephonic peer to peer discussions, to determine medical necessity and appropriateness. Complete initial determination of cases, review of appeals and grievances, and other reviews as assigned. Compose clear and concise rationales for member and provider determination notifications all while adhering to required compliance standards (NCQA, URAC, CMS, DOH, and DOL regulations, etc.). Ensure that all aspects of the medical management process are consistent with community standards of care.
+ Participate as a member of the CMDM multidisciplinary team. Attend huddles and grand rounds. Advise multidisciplinary team on cases that require physician expertise.
+ Participate in protocol and guidelines development to ensure consistency in the review process.
+ Actively manage projects and/or participate on project teams that require a physician subject matter expert.
+ Other duties as assigned.
**EDUCATION**
**Required**
+ Medical Doctor (MD) or Doctor of Osteopathic Medicine (DO)
**Substitutions**
+ None
**Preferred**
+ Master's Degree in Business Administration/Management or Public Health
**EXPERIENCE**
**Required**
+ 5 years in Clinical, Direct Patient care (hospital, outpatient, or private practice)
**Preferred**
+ 1 year in Medical Management in a Health Insurance Plan; strong knowledge of managed care industry
**LICENSES AND CERTIFICATION**
**Required**
+ Medical Doctor or Doctor of Osteopathic Medicine (DO)
+ Awarded Board Certification at least once in specialty recognized by the American Board of Medical Specialties or the American Osteopathic Association Specialty Certifying Boards
+ Active medical state licensure required. Additional specific state licensure(s) may be required based on business need.
**Preferred**
+ None
**SKILLS**
+ Critical Thinking
+ Case Management
+ Customer Service
+ Oral & Written Communication Skills
+ Collaboration
+ Listening
+ Telephone Skills
+ General Computer Skills
+ Clinical Software
+ Managed Care
**Language (Other than English)**
None
**Travel Required**
0% - 25%
**PHYSICAL, MENTAL DEMANDS and WORKING CONDITIONS**
Position Type
Office-Based
Teaches / trains others regularly
Occasionally
Travel regularly from the office to various work sites or from site-to-site
Rarely
Works primarily out-of-the office selling products/services (sales employees)
Never
Physical work site required
No
Lifting: up to 10 pounds
Constantly
Lifting: 10 to 25 pounds
Rarely
Lifting: 25 to 50 pounds
Rarely
**_Disclaimer:_** _The job description has been designed to indicate the general nature and essential duties and responsibilities of work performed by employees within this job title. It may not contain a comprehensive inventory of all duties, responsibilities, and qualifications required of employees to do this job._
**_Compliance Requirement_** _: This job adheres to the ethical and legal standards and behavioral expectations as set forth in the code of business conduct and company policies._
_As a component of job responsibilities, employees may have access to covered information, cardholder data, or other confidential customer information that must be protected at all times. In connection with this, all employees must comply with both the Health Insurance Portability Accountability Act of 1996 (HIPAA) as described in the Notice of Privacy Practices and Privacy Policies and Procedures as well as all data security guidelines established within the Company's Handbook of Privacy Policies and Practices and Information Security Policy._
_Furthermore, it is every employee's responsibility to comply with the company's Code of Business Conduct. This includes but is not limited to adherence to applicable federal and state laws, rules, and regulations as well as company policies and training requirements._
**Pay Range Minimum:**
$170,000.00
**Pay Range Maximum:**
$352,500.00
_Base pay is determined by a variety of factors including a candidate's qualifications, experience, and expected contributions, as well as internal peer equity, market, and business considerations. The displayed salary range does not reflect any geographic differential Highmark may apply for certain locations based upon comparative markets._
Highmark Health and its affiliates prohibit discrimination against qualified individuals based on their status as protected veterans or individuals with disabilities and prohibit discrimination against all individuals based on any category protected by applicable federal, state, or local law.
We endeavor to make this site accessible to any and all users. If you would like to contact us regarding the accessibility of our website or need assistance completing the application process, please contact the email below.
For accommodation requests, please contact HR Services Online at
California Consumer Privacy Act Employees, Contractors, and Applicants Notice
Req ID: J
View Now

Clinical Services Coordinator II ( Outpatient Neurobehavioral Unit)

21217 Baltimore, Maryland Kennedy Krieger Institute

Posted 1 day ago

Job Viewed

Tap Again To Close

Job Description

**Overview**
The **Clinical Services Coordinator II** will provide administrative support for the Neurobehavioral Unit (NBU) program; serve as liaison for NBU and Kennedy Krieger staff and faculty, patients, and families; and work directly with NBU program faculty and staff to meet the needs of patients and families within the clinical programs.
**Responsibilities**
1. Provide administrative support to clinicians in the NBU programs. This includes, but is not limited to, creating/updating forms, typing, proofing, scanning, copying, and creating reports.
2. Manage and update clinical and administrative databases. Generate weekly reports for objectives and projects identified by NBU leadership. Notify directors and managers of outstanding documents.
3. Coordinate completion of competencies for staff and maintain documentation. Manage a database to track and generate reports to summarize staff compliance with completion of competencies.
4. Schedule and attend meetings, and produce written meeting notes for distribution.
5. Create written memos for distribution to staff.
6. Answer phones and retrieve messages from NBU call out number and disseminate to supervisors.
7. Schedule interviews for NBU program supervisors.
8. Manage requests for leave and faculty and staff calendar
9. Assist NBU leadership with relevant identified administrative tasks.
10. Order lunches, office supplies, coffee, and clinical materials as needed. Maintain appropriate storage of supplies.
11. Arrange conference travel for faculty, staff, and trainees.
**Qualifications**
**EDUCATION:**
+ High School diploma or equivalent required.
**EXPERIENCE:**
+ Minimum two years of previous administrative support experience required, preferably in a medical office or clinic setting.
+ Previous experience working with database software required.
**Vacancy ID** _12237_
**Job Location : Street** _707 N Broadway_
**# of Hours** _40.00_
**_Job Locations_** _US-MD-Baltimore_
**Pos. Type** _Regular Full Time_
**Department : Name** _Behav Psych - Neurobehavioral Unit Outpatient_
Equal Opportunity Provider & Employer M/F/Disability/ProtectedVet
View Now

Clinical Lead, Home Healthcare Services

21201 Baltimore, Maryland $105000 Annually WhatJobs

Posted 7 days ago

Job Viewed

Tap Again To Close

Job Description

full-time
Our client, a mission-driven organization dedicated to providing high-quality community and social care, is seeking a compassionate and experienced Clinical Lead for their home healthcare services, operating as a fully remote role. This position is vital for ensuring the delivery of exceptional patient care and clinical excellence within a home-based setting. You will lead and mentor a team of dedicated healthcare professionals, including nurses, therapists, and home health aides, providing clinical oversight and support. Key responsibilities include developing and implementing individualized care plans, ensuring compliance with all regulatory standards and best practices, and conducting patient assessments. You will also be responsible for managing referrals, coordinating with physicians and other healthcare providers, and ensuring seamless communication among the care team. The ideal candidate will have a strong clinical background, coupled with excellent leadership and communication skills. A deep understanding of home healthcare regulations, patient care protocols, and interdisciplinary team collaboration is essential. You should be adept at problem-solving and possess a genuine passion for improving patient outcomes and quality of life. This is a remote-first position, allowing you to manage your team and patient care strategies from anywhere. A Registered Nurse (RN) license is required, along with a Bachelor's degree in Nursing or a related healthcare field. A Master's degree is preferred. A minimum of 7 years of clinical nursing experience, with at least 3 years in a leadership or supervisory role within home healthcare or a related community care setting, is essential. Excellent organizational skills and the ability to manage multiple priorities are critical for success in this role. Join us in making a profound difference in the lives of individuals and families within their own homes.
Apply Now

Patient Care Coordinator

20706 Lanham, Maryland Kaiser Permanente

Posted today

Job Viewed

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Job Description

Job Summary:


The Patient Care Coordinator is responsible for overseeing the management and coordination of care for the acute inpatient population. The PCC collaborates with rounding MAPMG Hospital Based Service Physicians, patient/family, nursing, utlization review and other members of the healthcare team to assure continuum of patient care progression for clinical and cost-effective outcomes. The PCC facilitates and coordinates with community providers and ambulatory case managers to assist with the appropriate level and transition of care for a safe discharge and preventing a re-admission.

Essential Responsibilities:



  • Completes an initial face-to-face assessment for every admitted member to identify discharge needs within 24hrs of admission.

  • Document in KPHC and communicate the assessment outcomes to determine the appropriate transition plan with MAPMG physician healthcare team and patient/family.

  • Active participant in daily Care Without Delay (CWD) rounds reporting on patient progression towards the established discharge plan.

  • Review and document discharge plan in accordance with KP discharge planning documentation policies, facility policies, and regulatory requirements.

  • Document any updates, care progression and barriers to discharge daily, and as indicated on assigned patients.

  • Manage timeliness of care progression with physician and nursing staff to prevent avoidable delays and or days.

  • Collaborate with Social Worker to coordinate, long-term care, assisted living, financial assistance, and other services, as required.

  • Send referrals/communicate with in-network vendors for coordination of post-acute levels of care such as Home Health, DME, IV infusion, SNF, Sub-Acute and Acute Rehab.

  • Timely identification, recording, and escalation of delays in care and barriers to discharge. Provide solutions to correct delays and recognize systemic patterns that require corrective action.

  • Assure follow up appointments and referrals to ambulatory case manager for high-risk patient population are scheduled and communicated to patient/family prior to discharge.

  • Observe all facility safety policies and procedures (infection control, Members Rights policies, and any regulatory requirements)

  • Participate in Quality Assurance duties and implementation of programs to improve care Quality Indicators.

  • Maintain professionalism with all duties in an effective and timely manner as directed or assigned by designated supervisor.

  • Consistently work cooperatively with patients, patients representatives, facility staff, physicians, consultants, and ancillary service providers.

Approved for UM Cap Region but FTE reallocated for Doctors Hospital
Holidays and every other weekend.



Basic Qualifications:


Experience



  • Minimum of one (1) year in an acute medical/surgical/ED or critical care nursing area.


Education



  • Associate Nursing degree required.


License, Certification, Registration



  • This job requires credentials from multiple states. Credentials from the primary work state are required at hire. Additional Credentials from the secondary work state(s) are required post hire.



  • Registered Nurse License (Virginia) within 6 months of hire AND Registered Nurse License (Maryland) within 6 months of hire


OR



  • Compact License: Registered Nurse within 6 months of hire



  • Registered Nurse License (District of Columbia) within 6 months of hire



  • Basic Life Support


Additional Requirements:



  • Experience using an electronic medical record system

  • Some awareness or knowledge of health/care reimbursement systems (Medicare Advantage, Commercial payer, Medicaid and CMS regulatory rules)

  • Annually: Successful completion of PCC Assessment of Critical Skills, Passing score on inter-rater reliability.

  • Must be able to effectively communicate with physicians, members and their family or representatives, and hospital staff.

  • Ability to work independently and apply critical thinking skills for problem solving and decision making.

  • Adheres to KP Employees Handbook and facility policies and procedures.

  • Must have excllent time management skills to develop organized work processess in a high-volume envirornment with rapidly changing priorities.

  • Intermediate computer skills (Microsoft Office Suite proficiency).

  • Ability to tolerate and cope with ambiguity.

  • Ability to pormote teamwork and to work effectively as a team member.

  • Excellent verbal and written communication skills.

  • Ability to interact/communicate effectively with key internal and external stake holders.

  • Provide excellent customer service to promote excellence in the patient experience.


Preferred Qualifications:



  • Recent acute care, case management, or home health experience preferred.

  • BSN preferred.

View Now

Patient Care Coordinator

20706 Lanham, Maryland Kaiser Permanente

Posted today

Job Viewed

Tap Again To Close

Job Description

Job Summary:


The Patient Care Coordinator is responsible for overseeing the management and coordination of care for the acute inpatient population. The PCC collaborates with rounding MAPMG Hospital Based Service Physicians, patient/family, nursing, utlization review and other members of the healthcare team to assure continuum of patient care progression for clinical and cost-effective outcomes. The PCC facilitates and coordinates with community providers and ambulatory case managers to assist with the appropriate level and transition of care for a safe discharge and preventing a re-admission.

Essential Responsibilities:



  • Completes an initial face-to-face assessment for every admitted member to identify discharge needs within 24hrs of admission.

  • Document in KPHC and communicate the assessment outcomes to determine the appropriate transition plan with MAPMG physician healthcare team and patient/family.

  • Active participant in daily Care Without Delay (CWD) rounds reporting on patient progression towards the established discharge plan.

  • Review and document discharge plan in accordance with KP discharge planning documentation policies, facility policies, and regulatory requirements.

  • Document any updates, care progression and barriers to discharge daily, and as indicated on assigned patients.

  • Manage timeliness of care progression with physician and nursing staff to prevent avoidable delays and or days.

  • Collaborate with Social Worker to coordinate, long-term care, assisted living, financial assistance, and other services, as required.

  • Send referrals/communicate with in-network vendors for coordination of post-acute levels of care such as Home Health, DME, IV infusion, SNF, Sub-Acute and Acute Rehab.

  • Timely identification, recording, and escalation of delays in care and barriers to discharge. Provide solutions to correct delays and recognize systemic patterns that require corrective action.

  • Assure follow up appointments and referrals to ambulatory case manager for high-risk patient population are scheduled and communicated to patient/family prior to discharge.

  • Observe all facility safety policies and procedures (infection control, Members Rights policies, and any regulatory requirements)

  • Participate in Quality Assurance duties and implementation of programs to improve care Quality Indicators.

  • Maintain professionalism with all duties in an effective and timely manner as directed or assigned by designated supervisor.

  • Consistently work cooperatively with patients, patients representatives, facility staff, physicians, consultants, and ancillary service providers.

Approved for UM Cap Region but FTE reallocated for Doctors Hospital
Holidays and every other weekend.



Basic Qualifications:


Experience



  • Minimum of one (1) year in an acute medical/surgical/ED or critical care nursing area.


Education



  • Associate Nursing degree required.


License, Certification, Registration



  • This job requires credentials from multiple states. Credentials from the primary work state are required at hire. Additional Credentials from the secondary work state(s) are required post hire.



  • Registered Nurse License (Virginia) within 6 months of hire AND Registered Nurse License (Maryland) within 6 months of hire


OR



  • Compact License: Registered Nurse within 6 months of hire



  • Registered Nurse License (District of Columbia) within 6 months of hire



  • Basic Life Support


Additional Requirements:



  • Experience using an electronic medical record system

  • Some awareness or knowledge of health/care reimbursement systems (Medicare Advantage, Commercial payer, Medicaid and CMS regulatory rules)

  • Annually: Successful completion of PCC Assessment of Critical Skills, Passing score on inter-rater reliability.

  • Must be able to effectively communicate with physicians, members and their family or representatives, and hospital staff.

  • Ability to work independently and apply critical thinking skills for problem solving and decision making.

  • Adheres to KP Employees Handbook and facility policies and procedures.

  • Must have excllent time management skills to develop organized work processess in a high-volume envirornment with rapidly changing priorities.

  • Intermediate computer skills (Microsoft Office Suite proficiency).

  • Ability to tolerate and cope with ambiguity.

  • Ability to pormote teamwork and to work effectively as a team member.

  • Excellent verbal and written communication skills.

  • Ability to interact/communicate effectively with key internal and external stake holders.

  • Provide excellent customer service to promote excellence in the patient experience.


Preferred Qualifications:



  • Recent acute care, case management, or home health experience preferred.

  • BSN preferred.

View Now
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Patient Care Coordinator

20706 Lanham, Maryland Kaiser Permanente

Posted today

Job Viewed

Tap Again To Close

Job Description

Job Summary:

The Patient Care Coordinator is responsible for overseeing the management and coordination of care for the acute inpatient population. The PCC collaborates with rounding MAPMG Hospital Based Service Physicians, patient/family, nursing, utlization review and other members of the healthcare team to assure continuum of patient care progression for clinical and cost-effective outcomes. The PCC facilitates and coordinates with community providers and ambulatory case managers to assist with the appropriate level and transition of care for a safe discharge and preventing a re-admission.

Essential Responsibilities:

  • Completes an initial face-to-face assessment for every admitted member to identify discharge needs within 24hrs of admission.

  • Document in KPHC and communicate the assessment outcomes to determine the appropriate transition plan with MAPMG physician healthcare team and patient/family.

  • Active participant in daily Care Without Delay (CWD) rounds reporting on patient progression towards the established discharge plan.

  • Review and document discharge plan in accordance with KP discharge planning documentation policies, facility policies, and regulatory requirements.

  • Document any updates, care progression and barriers to discharge daily, and as indicated on assigned patients.

  • Manage timeliness of care progression with physician and nursing staff to prevent avoidable delays and or days.

  • Collaborate with Social Worker to coordinate, long-term care, assisted living, financial assistance, and other services, as required.

  • Send referrals/communicate with in-network vendors for coordination of post-acute levels of care such as Home Health, DME, IV infusion, SNF, Sub-Acute and Acute Rehab.

  • Timely identification, recording, and escalation of delays in care and barriers to discharge. Provide solutions to correct delays and recognize systemic patterns that require corrective action.

  • Assure follow up appointments and referrals to ambulatory case manager for high-risk patient population are scheduled and communicated to patient/family prior to discharge.

  • Observe all facility safety policies and procedures (infection control, Members Rights policies, and any regulatory requirements)

  • Participate in Quality Assurance duties and implementation of programs to improve care Quality Indicators.

  • Maintain professionalism with all duties in an effective and timely manner as directed or assigned by designated supervisor.

  • Consistently work cooperatively with patients, patients representatives, facility staff, physicians, consultants, and ancillary service providers.

Approved for UM Cap Region but FTE reallocated for Doctors Hospital
Holidays and every other weekend.


Basic Qualifications:
Experience

  • Minimum of one (1) year in an acute medical/surgical/ED or critical care nursing area.


Education

  • Associate Nursing degree required.


License, Certification, Registration

  • This job requires credentials from multiple states. Credentials from the primary work state are required at hire. Additional Credentials from the secondary work state(s) are required post hire.



  • Registered Nurse License (Virginia) within 6 months of hire AND Registered Nurse License (Maryland) within 6 months of hire


OR



  • Compact License: Registered Nurse within 6 months of hire



  • Registered Nurse License (District of Columbia) within 6 months of hire



  • Basic Life Support


Additional Requirements:

  • Experience using an electronic medical record system

  • Some awareness or knowledge of health/care reimbursement systems (Medicare Advantage, Commercial payer, Medicaid and CMS regulatory rules)

  • Annually: Successful completion of PCC Assessment of Critical Skills, Passing score on inter-rater reliability.

  • Must be able to effectively communicate with physicians, members and their family or representatives, and hospital staff.

  • Ability to work independently and apply critical thinking skills for problem solving and decision making.

  • Adheres to KP Employees Handbook and facility policies and procedures.

  • Must have excllent time management skills to develop organized work processess in a high-volume envirornment with rapidly changing priorities.

  • Intermediate computer skills (Microsoft Office Suite proficiency).

  • Ability to tolerate and cope with ambiguity.

  • Ability to pormote teamwork and to work effectively as a team member.

  • Excellent verbal and written communication skills.

  • Ability to interact/communicate effectively with key internal and external stake holders.

  • Provide excellent customer service to promote excellence in the patient experience.


Preferred Qualifications:

  • Recent acute care, case management, or home health experience preferred.

  • BSN preferred.

View Now

Patient Care Coordinator

20706 Lanham, Maryland Kaiser Permanente

Posted today

Job Viewed

Tap Again To Close

Job Description

Job Summary:

The Patient Care Coordinator is responsible for overseeing the management and coordination of care for the acute inpatient population. The PCC collaborates with rounding MAPMG Hospital Based Service Physicians, patient/family, nursing, utlization review and other members of the healthcare team to assure continuum of patient care progression for clinical and cost-effective outcomes. The PCC facilitates and coordinates with community providers and ambulatory case managers to assist with the appropriate level and transition of care for a safe discharge and preventing a re-admission.

Essential Responsibilities:

• Completes an initial face-to-face assessment for every admitted member to identify discharge needs within 24hrs of admission.
• Document in KPHC and communicate the assessment outcomes to determine the appropriate transition plan with MAPMG physician healthcare team and patient/family.
• Active participant in daily Care Without Delay (CWD) rounds reporting on patient progression towards the established discharge plan.
• Review and document discharge plan in accordance with KP discharge planning documentation policies, facility policies, and regulatory requirements.
• Document any updates, care progression and barriers to discharge daily, and as indicated on assigned patients.
• Manage timeliness of care progression with physician and nursing staff to prevent avoidable delays and or days.
• Collaborate with Social Worker to coordinate, long-term care, assisted living, financial assistance, and other services, as required.
• Send referrals/communicate with in-network vendors for coordination of post-acute levels of care such as Home Health, DME, IV infusion, SNF, Sub-Acute and Acute Rehab.
• Timely identification, recording, and escalation of delays in care and barriers to discharge. Provide solutions to correct delays and recognize systemic patterns that require corrective action.
• Assure follow up appointments and referrals to ambulatory case manager for high-risk patient population are scheduled and communicated to patient/family prior to discharge.
• Observe all facility safety policies and procedures (infection control, Members Rights policies, and any regulatory requirements)
• Participate in Quality Assurance duties and implementation of programs to improve care Quality Indicators.
• Maintain professionalism with all duties in an effective and timely manner as directed or assigned by designated supervisor.
• Consistently work cooperatively with patients, patients representatives, facility staff, physicians, consultants, and ancillary service providers.

Approved for UM Cap Region but FTE reallocated for Doctors Hospital
Holidays and every other weekend.

Basic Qualifications:

Experience

• Minimum of one (1) year in an acute medical/surgical/ED or critical care nursing area.

Education

• Associate Nursing degree required.

License, Certification, Registration

• This job requires credentials from multiple states. Credentials from the primary work state are required at hire. Additional Credentials from the secondary work state(s) are required post hire.

• Registered Nurse License (Virginia) within 6 months of hire AND Registered Nurse License (Maryland) within 6 months of hire

OR

• Compact License: Registered Nurse within 6 months of hire

• Registered Nurse License (District of Columbia) within 6 months of hire

• Basic Life Support

Additional Requirements:

• Experience using an electronic medical record system
• Some awareness or knowledge of health/care reimbursement systems (Medicare Advantage, Commercial payer, Medicaid and CMS regulatory rules)
• Annually: Successful completion of PCC Assessment of Critical Skills, Passing score on inter-rater reliability.
• Must be able to effectively communicate with physicians, members and their family or representatives, and hospital staff.
• Ability to work independently and apply critical thinking skills for problem solving and decision making.
• Adheres to KP Employees Handbook and facility policies and procedures.
• Must have excllent time management skills to develop organized work processess in a high-volume envirornment with rapidly changing priorities.
• Intermediate computer skills (Microsoft Office Suite proficiency).
• Ability to tolerate and cope with ambiguity.
• Ability to pormote teamwork and to work effectively as a team member.
• Excellent verbal and written communication skills.
• Ability to interact/communicate effectively with key internal and external stake holders.
• Provide excellent customer service to promote excellence in the patient experience.

Preferred Qualifications:

• Recent acute care, case management, or home health experience preferred.
• BSN preferred.
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Patient Care Technician

20022 Washington, District Of Columbia Providence Non-RN - Oregon

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Job Description

Description

Patient Care Technician - Earn To Learn Program, Providence St. Vincent Medical Center in Portland, Oregon

This program is ideal for candidates who are looking to begin a career as a Certified Nursing Assistant. Providence will hire you as a Patient Care Tech. While in this role, we will pay for your coursework, and fees to become a CNA. We also pay you an hourly wage in your role as a Patient Care Tech, while attending the courses! You will earn to learn!

This is a part time position, requiring year-round availability. We will hire into day shift positions. Every other weekend availability is required. If selected for this position, you will be required to attend a full time CNA training program for 3-4 weeks. When downtime occurs, you will be scheduled to work as a Patient Care Technician to fulfill full-time work hours. We are NOT offering scheduling flexibility. Scheduling will be discussed at time of interview. You must have reliable transportation and reliable phone service (cell or land line).

After obtaining a CNA license, in exchange for Providence paying program tuition and fees, you will be required to transition into a full-time CNA position within Providence Portland Medical Center and remain in that position for a minimum of one year. The right candidate understands and agrees to the forementioned information. If you are interested and able to fulfill these requirements, please apply!

Earn to Learn Program:

We provide 4 -6 weeks of orientation with an established PSVMC CNA or PCT with focus on the skills listed below:

PCT duties (after on-the-job training):

1:1 patient observation for suicide prevention, elopement, or prevention of medical device dislodgement
Hygiene care: bathing, brushing teeth, toileting, urinary and fecal incontinence care

Bladder scanning

Walking patients

Vital Signs (temperature, blood pressure, heart rate, respiratory rate, oxygen saturation measurements)

Assistant with feeding

Participate in Basic Life Saving (BLS) interventions

CNA Education:

You will be paired up with our CNA school liaison who will guide you through registering for CNA school, and signing up for your testing and licensing.

CNA duties (after licensing):

All of the above and:

Blood glucose monitoring

Removal of urinary catheter

Removal of peripheral IV catheter

Measure orthostatic blood pressures

Obtain specimens for testing (sputum, stool, urine)

Indwelling urinary catheter care

Apply compression stockings

Providence caregivers are not simply valued – they’re invaluable. Join our team at ~Providence Willamette Falls Medical Center and thrive in our culture of patient-focused, whole-person care built on understanding, commitment, and mutual respect. Your voice matters here, because we Providence know that to inspire and retain the best people, we must empower them.

Required qualifications:

• Upon hire: National Provider BLS - American Heart Association

Preferred qualifications:

• Coursework/Training: Medical Terminology Course. Or Successful completion of hospital Medical terminology test within 90 days of hire.
• 6 months Health care experience.

Why Join Providence?

Our best-in-class benefits are uniquely designed to support you and your family in staying well, growing professionally, and achieving financial security. We take care of you, so you can focus on delivering our Mission of caring for everyone, especially the most vulnerable in our communities.

About Providence

At Providence, our strength lies in Our Promise of “Know me, care for me, ease my way.” Working at our family of organizations means that regardless of your role, we’ll walk alongside you in your career, supporting you so you can support others. We provide best-in-class benefits and we foster an inclusive workplace where diversity is valued, and everyone is essential, heard and respected. Together, our 120,000 caregivers (all employees) serve in over 50 hospitals, over 1,000 clinics and a full range of health and social services across Alaska, California, Montana, New Mexico, Oregon, Texas and Washington. As a comprehensive health care organization, we are serving more people, advancing best practices and continuing our more than 100-year tradition of serving the poor and vulnerable.

The amounts listed are the base pay range; additional compensation may be available for this role, such as shift differentials, standby/on-call, overtime, premiums, extra shift incentives, or bonus opportunities.

Providence offers a comprehensive benefits package including a retirement 401(k) Savings Plan with employer matching, health care benefits (medical, dental, vision), life insurance, disability insurance, time off benefits (paid parental leave, vacations, holidays, health issues), voluntary benefits, well-being resources and much more. Learn /benefits.

Applicants in the Unincorporated County of Los Angeles: Qualified applications with arrest or conviction records will be considered for employment in accordance with the Unincorporated Los Angeles County Fair Chance Ordinance for Employers and the California Fair Chance Act."

About the Team

Providence has been serving the Pacific Northwest since 1856 when Mother Joseph of the Sacred Heart and four other Sisters of Providence arrived in Vancouver, Washington Territory. As the largest healthcare system and largest private employer in Oregon, Providence is located in areas ranging from the Columbia Gorge to the wine country to sunny southern Oregon to charming coastal communities to the urban setting of Portland.

Our award-winning and comprehensive medical centers are known for outstanding programs in cancer, cardiology, neurosciences, orthopedics, women's services, emergency and trauma care, pediatrics and neonatal intensive care. Our not-for-profit network also provides a full spectrum of care with leading-edge diagnostics and treatment, outpatient health centers, physician groups and clinics, numerous outreach programs, and hospice and home care.

Providence is proud to be an Equal Opportunity Employer. We are committed to the principle that every workforce member has the right to work in surroundings that are free from all forms of unlawful discrimination and harassment on the basis of race, color, gender, disability, veteran, military status, religion, age, creed, national origin, sexual identity or expression, sexual orientation, marital status, genetic information, or any other basis prohibited by local, state, or federal law. We believe diversity makes us stronger, so we are dedicated to shaping an inclusive workforce, learning from each other, and creating equal opportunities for advancement.

Requsition ID:

Company: Providence Jobs

Job Category: Nursing-Patient Facing

Job Function: Nursing

Job Schedule: Part time

Job Shift: Day

Career Track: Nursing

Department: 5003 PWFMC NURSING FLOAT POOL

Address: OR Oregon City 1500 Division St

Work Location: Providence Willamette Falls Medical Ctr-Oregon City

Workplace Type: On-site

Pay Range: $18.62 - $27.90

The amounts listed are the base pay range; additional compensation may be available for this role, such as shift differentials, standby/on-call, overtime, premiums, extra shift incentives, or bonus opportunities.

PandoLogic. Category:Healthcare, Keywords:Patient Care Technician (PCT), Location:Vancouver, WA-98661
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