64 Healthcare Providers jobs in Oxon Hill

Description

RN Care Manager - Kadlec Regional Medical Center - Richland, WA

Under the direction of the Director, provides clinically-based case management to support the delivery of efficient patient care. Has the overall accountability for the integrated responsibilities of case management; utilization management, discharge planning, facilitation and coordination of care. Collaborates with other members of the health care team to identify appropriate utilization of resources and to ensure reimbursement. Utilizes criteria to confirm medical necessity for admission and continued stay. In conjunction with the patient, family and healthcare team, creates a discharge plan appropriate to the patients' needs and resources.

Providence caregivers are not simply valued – they’re invaluable. Join our team at Kadlec Regional 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 know that to inspire and retain the best people, we must empower them.

Shift Details:

• Full time, Day Shift, 40 working hours weekly

Required qualifications:

• Graduation from an accredited school of nursing.
• Upon hire: Washington Registered Nurse License

Preferred qualifications:

• Bachelor's Degree from an accredited educational institution.
• 2 years of recent inpatient clinical experience in an acute care facility.
• Previous Case Management, discharge planning or utilization review 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 providing safe, compassionate care.

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 more at providence.jobs/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

Located in sunny Tri-Cities, Washington, Kadlec is the largest non-profit healthcare provider in the region, offering primary and specialty care to patients in the Tri-Cities and surrounding region. Kadlec is the premier choice for customer service excellence, providing compassionate healthcare by combining cutting-edge technology and innovation with evidence-based, patient-focused care.

Kadlec is the home to a growing open-heart surgery and interventional cardiology program, the region's only level III Neonatal Intensive Care Unit, a world-class all digital outpatient imaging center as well as a number of other innovative services and programs.

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.

For any concerns with this posting relating to the posting requirements in RCW (1), please click here where you can access an email link to submit your concern.

Requsition ID:

Company: Kadlec Jobs

Job Category: Care Management

Job Function: Clinical Care

Job Schedule: Full time

Job Shift: Day

Career Track: Nursing

Department: 3010 CLINICAL RESOURCE MANAGEMENT

Address: WA Richland 888 Swift Blvd

Work Location: Kadlec Regional Medical Ctr-Richland

Workplace Type: On-site

Pay Range: $45.99 - $71.40

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:Nurse Manager, Location:Benton City, WA-99320

**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

Clinical Social Worker Health Care Facility Surveyor - Maryland (#1257)

• Employee retirement plan (401k) with a generous match and immediate vesting
• Company-issued and company-paid Amex card for travel
• All travel expenses paid directly by the company
• Company-paid tax-free Health Savings Account (HSA)
• CMS’s Long-Term Care Basic Training and SMQT certification are required

Impact Recruiting Solutions is currently seeking a Clinical Social Worker Health Care Facility Surveyor to fill an opening with a Quality Improvement Consulting Company and will work in a technically exciting environment supporting internal and external customers nationwide.

Requirements

• Must have a Master's degree in Social Work
• Must have successfully completed CMS’s Long-Term Care Basic Training and passed the Surveyor Minimum Qualifications Test (SMQT).
• Must have at least two (2) years of recent experience working as a surveyor accrediting or certifying facilities that serve the residents of long-term care facilities.
• Must maintain current licensure to practice as an LCSW
• Demonstrated history of independent decision-making skills to direct and effectively manage the survey process.
• Ability to set priorities independently and collectively in performing survey tasks.
• Ability to openly discuss conflicts/controversy, and to seek assistance when appropriate to make decisions and resolve conflicts.
• U.S. Citizenship is required for this position
• Ability to travel up to 75% of the time on a regular basis is required

Benefits

• The salary for this position is $72,000 - $80,000 / yr
• This is a Full-time position (Monday - Friday)
• Flexible paid vacation days
• Paid holidays
• Company-issued and company-paid Amex card for travel
• All travel expenses paid directly by the company
• Airline and hotel points accumulate for employee's personal use
• Employee discounts
• Employee retirement plan (401k) with a generous match and immediate vesting
• Company-paid tax-free Health Savings Account (HSA)
• Health insurance
• Dental insurance
• Vision insurance
• Company-paid life insurance
• Company-paid disability insurance
• Extensive training opportunity
• Predictable work schedule

Our client is seeking a compassionate and dedicated Remote Senior Clinical Social Worker to specialize in Geriatric Care. This role is critical in providing comprehensive support, counseling, and advocacy for elderly clients and their families, addressing a wide range of psychosocial needs. As a remote-first position, you will leverage advanced telecommunication tools to connect with clients and manage cases efficiently from your home office. This is an opportunity to make a profound difference in the lives of seniors while enjoying the flexibility of remote work.

Responsibilities:

• Conduct comprehensive psychosocial assessments for geriatric clients, identifying needs related to mental health, social support, and functional status.
• Develop and implement individualized care plans in collaboration with clients, families, and interdisciplinary teams.
• Provide direct counseling and psychotherapy services to seniors experiencing depression, anxiety, grief, adjustment disorders, and other mental health challenges.
• Offer crisis intervention and support to clients and families facing acute distress or emergencies.
• Facilitate support groups for seniors and caregivers, promoting peer connection and shared coping strategies.
• Educate clients and families about available community resources, benefits, and services, and assist with referrals.
• Advocate for clients' rights and needs within healthcare systems, social services, and legal settings.
• Maintain accurate and timely documentation of client interactions, assessments, and progress notes in electronic health records.
• Supervise and mentor junior social workers or interns as needed.
• Collaborate with physicians, nurses, case managers, and other healthcare professionals to ensure coordinated and holistic client care.
• Stay current with best practices and ethical guidelines in geriatric social work and telehealth.

Qualifications:

• Master's degree in Social Work (MSW) from an accredited program.
• Current and unrestricted LCSW (Licensed Clinical Social Worker) or equivalent state licensure.
• Minimum of 5 years of post-licensure experience in clinical social work, with a significant focus on geriatric populations.
• Proven experience in conducting psychosocial assessments, developing care plans, and providing psychotherapy.
• Proficiency in using telehealth platforms and electronic health record systems.
• Strong understanding of aging issues, including common health concerns, cognitive impairments, and social isolation.
• Excellent interpersonal, communication, and active listening skills.
• Demonstrated ability to manage complex cases and provide effective crisis intervention.
• Empathy, patience, and a genuine commitment to serving the elderly population.
• Ability to work autonomously and maintain professional boundaries in a remote setting.
• Successful completion of a background check and adherence to all privacy regulations (e.g., HIPAA).

This is a fully remote position, allowing you to work from anywhere in the US, serving clients primarily in the Washington, D.C., US area. Our client is dedicated to supporting their employees' well-being and professional growth.

Medical Assistant Position

The Foothill-De Anza Community College District is currently accepting applications for the classified hourly position above. The Foothill - De Anza Community College District does not have a remote work policy. All employees are expected to be available to work in person and on-site per the requirement of the department.

The mission of the Foothill-De Anza Community College District is student success and educational excellence. The district and its colleges provide access to affordable, quality educational programs and services that develop a broadly educated and socially responsible community that supports an equitable and just future for California and the global community.

De Anza College provides an academically rich, multicultural learning environment that challenges students of every background to develop their intellect, character and abilities; to realize their goals; and to be socially responsible leaders in their communities, the nation and the world.

Job Summary

The Medical Assistant (MA) provides clinical and administrative support to ensure the effective delivery of health care services within the De Anza Student Health Services. The MA works collaboratively with nurse practitioners and administrative staff to promote the health and well-being of students. Responsibilities include preparing patients for visits, assisting with examinations and procedures, performing basic laboratory tests, managing medical records, and providing support to the student population.

Key Responsibilities:

• Greet and prepare students for appointments, including obtaining vital signs, health histories, and chief complaints.
• Assist providers with physical examinations, procedures, and treatments.
• Perform CLIA-waived laboratory testing (urinalysis, rapid strep, pregnancy testing, etc.).
• Administer immunizations and medications as directed by NP providers.
• Maintain infection control and exam room readiness.
• Document encounters in the electronic health record (EHR) accurately and in a timely manner.
• Assist with referrals and follow-up appointments.
• Maintain confidentiality in accordance with HIPAA and FERPA guidelines.

Definition

Under general supervision of a clinician, performs routine health service procedures and medical tasks in accordance with established clinic policies and procedures; provides first aid to injured or ill students and staff; serves as a resource and provides health information, support, and education to the college community; maintains related health and medical records; and performs related duties as assigned.

Supervision Received and Exercised

Receives general supervision from assigned supervisory and managerial staff. Exercises no supervision of staff.

Class Characteristics

This is a journey-level class responsible for performing clinical support services. Work requires strong communications skills and knowledge of health office processes and procedures. As experience is gained, assignments become more varied and are performed with greater independence. Work usually fits an established structure or pattern and is in accordance with standing Physician orders or directives. Exceptions or changes in procedures are explained as they arise. Eventually, positions will attain a level of experience to receive only occasional instruction or assistance as new or unusual situations arise and where they are fully aware of the operating procedures and policies of the work unit.

Examples of Typical Functions (Illustrative Only)

1. Provides first aid to injured or ill students and staff; performs routine health service and medical procedures; prepares exam rooms for use; and escorts patients to appropriate treatment rooms or areas.
2. Refers students to the appropriate health agencies regarding medical problems as necessary.
3. Collects and records patient data including height, weight, temperature, pulse, respiration rate, blood pressure, and basic information about presenting and previous conditions.
4. Under supervision of a Physician or Nurse Practitioner, administers single dosage of medication by providing dose to patient for immediate self-administration.
5. Collects and preserves specimens for testing using non-invasive techniques.
6. Receives calls regarding injured and ill students and staff members; activates Emergency Medical Services (EMS) System (911) as appropriate.
7. Serves as a resource and provides health information, support, and education to the college community.
8. Gathers and records information during medical or emergency situations.
9. Prepares, maintains, and updates a variety of health-related records and files, including student health and immunization records, emergency medical records, accident reports, and health and disability reports.
10. Answers telephones and maintains appointment scheduling system for Health Office staff; schedules meetings and classes as assigned.
11. Prepares requisitions for checks, student accounts, open purchase orders, and printing services; resolves related issues as necessary.
12. Operates a computer and other office equipment as assigned; operates various medical equipment as required.
13. Sterilizes instruments, counter tops and other areas according to established standards.
14. Maintains office inventory and order supplies as needed.
15. Performs related duties as assigned.

Qualifications

1. Knowledge of: basic first aid, cardiopulmonary resuscitation (CPR), and emergency healthcare; medical terminology, procedures, and equipment; immunization compliance policies and procedures; inventory methods and practices; infectious disease control; applicable federal, state, and local laws, rules, regulations, ordinances, and District policies and procedures relevant to assigned area of responsibility; methods of preparing and processing various records, reports, forms, and other documents specific to assigned program; record keeping and filing systems and methods; English usage, grammar, spelling, vocabulary, and punctuation; modern office practices, procedures, technology, and computer equipment and applications, including word processing, database, and spreadsheet applications; techniques for providing a high level of customer service by effectively dealing with the public, students, and District staff, including individuals of diverse academic, socio-economic, ethnic, religious, and cultural backgrounds, disability, and sexual orientation.
2. Ability to: demonstrate understanding of, sensitivity to, and respect for the diverse academic, socio-economic, ethnic, religious, and cultural backgrounds, disability, and sexual orientation of community college students, faculty and staff; provide first aid to injured or ill students and staff and provide health information and education to the college community; meet supervision, training, authorization, and records conditions for a Medical Assistant in the State of California as outlined in the California Code of Regulations; serve as a resource and provide health information, support and education to the college community; perform routine health service procedures and maintain related health and medical records; maintain medical records as per current legal requirements; operate medical equipment; analyze situations accurately and adopt an effective course of action; complete work with many interruptions; work confidentially with discretion; interpret, apply, and explain applicable federal, state, and local laws, rules, regulations, ordinances, and District policies and procedures relevant to assigned area of responsibility; organize own work, set priorities, and meet critical time deadlines; effectively use computer systems, software, and modern business equipment to perform a variety of work tasks; use English effectively to communicate in person, over the telephone, and in writing; use tact, initiative, prudence, and independent judgment within general policy, procedural, and legal guidelines; establish, maintain, and foster positive and effective working relationships with those contacted in the course of work.

Minimum Qualifications:

1. Understanding of, sensitivity to, and respect for the diverse academic, socio-economic, ethnic, religious, and cultural backgrounds, disability, and sexual orientation of community college students, faculty and staff. Any combination of training and experience which would provide the required knowledge, skills, and abilities is qualifying. A typical way to obtain the required qualifications would be equivalent to certification as a Medical Assistant from a State of California or United States Military certified program AND one (1) year of experience in a college health office, private physician's office, or related experience. Must meet supervision, training, authorization, and records conditions for a Medical Assistant in the State of California as outlined in the California Code of Regulations.

Preferred Qualifications

• Graduate of an accredited Medical Assistant program.
• Current Medical Assistant certification (CMA, RMA, or equivalent) strongly preferred.
• 12 years of medical assisting experience in a clinical or outpatient setting (college health, family practice).
• Proficiency with electronic health record (EHR) systems.
• Ability to maintain confidentiality and work sensitively with a diverse student population.
• Strong communication, organizational, and interpersonal skills.

Licenses and Certifications:

Current and valid First Aid training and CPR certificates.

Physical Demands

Must possess mobility to work in a standard health clinic setting and use standard medical and office equipment, including a computer; vision to read printed materials and a computer screen; and hearing and speech to communicate in person, before groups, and over the telephone. This is partially a sedentary classification; frequent standing in work areas and walking between work areas is required. Finger dexterity is needed to access, enter, and retrieve data using a computer keyboard or calculator and to operate standard office and medical equipment. Positions in this classification frequently bend,

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.

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.

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.

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.