283,220 Nursing Care jobs in the United States

Job Summary:

To optimize the efficiency, effectiveness and quality of clinical care provided by Kaiser Permanente clinicians and facility staff through the use of utilization, case/care management and customer service skills and techniques. To optimize patient/family satisfaction with care received in the SNF setting. To assure efficient and effective transitions of care from to and from the skilled and non-skilled SNF setting.

Essential Responsibilities:

• Enhances the delivery of case/care management on a daily basis. Assists the Kaiser Permanente team to enhance -SNF quality at our contracted facilities. Partners with the facility and third party rehabilitation consultant to analyze quality outcome data using statistically valid methodologies and graphics. Negotiates performance improvement activities with facility management as a result of NaviHealth data as well as when care issues are present. Consults with facility management and SNF Operations Manager in setting annual quality improvement goals. Addresses high risk, high volume patient care activities through use of continuous quality improvement tools and techniques. Identifies, tracks, and trends adverse events. Identifies and reports significant events. Facilitates root cause analyses. Partners with facility administration in developing systems to improve clinical quality and patient safety. Assists with identifying significant knowledge deficits within care team and addresses them through partnership (Kaiser Permanente and facility). . Facilitates and interprets understanding and improvement of quarterly quality measures. . s. Identifies and evaluates opportunities for improvement in patient hand-offs between settings (hospital, ED, SNF, home care, etc). Identifies opportunities to reduce hospital readmissions both while the patient is in the SNF and immediately post SNF discharge. Works with quality and utilization personnel in these settings and programs to improve performance.

• Facilitates efficient care delivery. Supports Kaiser Permanente clinicians in organizing and efficiently providing patient/family care through a variety of means (e.g. gathering data, soliciting and organizing patient/family concerns and priorities, assuring efficient rounding). Participates in patient care conferences. . Assists interdisciplinary care team with the identification and development of care goals consistent with patient/family wishes, clinical prognosis and rehabilitation potential. Identifies barriers to achieving patient discharge and assists the care team in overcoming them on an individual patient and/or gaps in care population basis. Assists the care team in defining patient care goals that must be met in order for the patient to successfully transfer to a lower level of care. Collaborates with the facility team to identify and address patient resource needs (e.g. supplies, equipment, orthotics, transportation, etc) required to achieve desired clinical outcomes, patient safety and efficient care, both in the facility and in post discharge care setting. . Assure appropriate utilization of available resources and benefits. Coordinates activities of Kaiser Permanente clinical resources (e.g. outpatient visits, pharmacy, laboratory, imaging services) to assure timely, efficient and quality care. Facilitates interdisciplinary team meetings with facility and clinicians to align goals, explore options and plan effective and efficient care transitions.

• Interprets utilization criteria for patients both prior to and during a SNF admission using accessible clinical information, Medicare criteria and/or Milliman Care Guidelines. Provides consultation to clinicians regarding last covered day. Educates patient and family regarding utilization criteria and appeal rights. Provides notices of non-coverage notices to members that meet benefit and timeliness standards for Medicare and other regulatory compliance requirements. Facilitates completion of inter-rater reliability exercises. Assures consistent application of utilization criteria in compliance with regulations (NCQA, Medicare, etc). Provides utilization oversight of patients at non-contract and out of area facilities. Provide benefit interpretation for copayments and cost sharing.

• Works closely with community physicians and facilities in managing out of area patients to ensure efficient care delivery and appropriate utilization.

• Enhances customer service. Meets with patients and family members at the beginning of and throughout the SNF stay. Serves as a liaison between the patient/family and care team (facility staff, Kaiser clinicians and home caregivers). Researches patient/family care and service questions and concerns. Addresses patient/family complaints through timely, effective and culturally competent communication. Serves as a resource for complaint research and resolution and documents in complaint tracking system. Collaborates with team to assess patient and family care wishes related to end of life care. Collaborates with team to refer patients at end of life to hospice, palliative care and other community programs. Assures patients/families are aware of out of pocket costs associated with services.

• Maintains up-to-date clinical knowledge of geriatric and rehabilitation best practices. Maintains up-to-date knowledge of hospital, LTACH, SNF, home health, hospice and palliative care utilization criteria. Maintains up- to-date nursing knowledge of clinical pharmacology. Assesses knowledge deficits and provides both individual and group education in partnership with management and the clinical care team.

Basic Qualifications:

Experience

• Minimum two (2) years as a Case Manager/Care Coordinator.

• Minimum two (2) years of geriatric clinical practice in home health, hospice, hospital or long-term care setting.

Education

• BSN or bachelors degree in a health-care related field or currently enrolled in a BSN program, OR four (4) years of experience of case management or equivalent experience in a directly related field.

• High School Diploma or General Education Development (GED) 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 (Washington) within 2 months of hire OR Compact License: Registered Nurse within 2 months of hire

• Registered Nurse License (Oregon) within 2 months of hire

• Drivers License (in location where applicable) required at hire

• Basic Life Support required at hire

Additional Requirements:

• Demonstrated ability to interrelate with physicians, nurses, support staff, and patients in interdisciplinary approach.

• Demonstrated ability to work as part of a team and work as a constant patient advocate.

• Basic physical, psychosocial, functional assessment skills.

• Familiar with care processes and systems in settings internal and external to Kaiser Permanente.

• Familiar with and able to collaborate with Kaiser Permanente and community resources.

• Ability to work with angry or hostile individuals in high pressure situations.

• Ability to effectively provide culturally competent care.

• Able to develop concise and thorough documentation of patient clinical assessment and care needs.

• Highly effective problem solving, written and verbal communication, customer service, organizational and time management skills.

• Familiarity with and ability to use computers.

• Ability to collect, analyze and report meaningful quality and utilization data.

• Working knowledge of admission criteria for SNF, Home Health, Hospice, Long Term Acute Care and Inpatient Rehabs.

Preferred Qualifications:

• Minimum two (2) years of previous utilization and quality management experience.

• Previous experience working in the long-term care setting.

• Bachelors degree in nursing.

• CPHQ certification in Health Care Quality Improvement or Certified Case Manager (CCM) or Certification in geriatric nursing.

• Knowledge of Medicare SNF criteria.

COMPANY: KAISER

TITLE: RN, Skilled Nursing Care Coordinator (36hrs, Days)

LOCATION: Clackamas, Oregon

REQNUMBER: 1369648

External hires must pass a background check/drug screen. Qualified applicants with arrest and/or conviction records will be considered for employment in a manner consistent with Federal, state and local laws, including but not limited to the San Francisco Fair Chance Ordinance. All qualified applicants will receive consideration for employment without regard to race, color, religion, sex, national origin, sexual orientation, gender identity, protected veteran, or disability status.

**Overview** **Join St. Luke's Elmore Long Term Care Team: Where Compassion Meets Care** At St. Luke's, our dedicated team strives to build a positive, supportive, and inclusive culture that delivers exceptional resident experiences. If you're looking for a supportive, family-like work environment where you can truly make a difference, we'd love to have you on our team! Elmore Long Term Care is a 19 bed Long Term Care facility connected to a critical access hospital that cares for individuals who require assistance with daily living tasks. This tight-knit team supports each other in providing daily cares, emotional connection, and restorative exercises to our residents. Meaningful daily interactions and long-term stays mean deep connections can be formed with each and every individual in our care. We pride ourselves in the excellent care we provide and the incredible culture we have developed among our team. **Position Overview** We are looking for a compassionate and experienced Registered Nurse leader to join our Long Term Care team. What sets this LTC opportunity apart is the strong support provided by our larger healthcare system. The Nursing Manager and the unit benefit from extensive resources, including assistance with quality, accreditation, infection control, education, and clinical nurse specialist expertise. This system-wide support allows the Nursing Manager to focus on what truly matters-leading the nursing team and ensuring the delivery of exceptional resident care. **What you can expect from this role** + **Schedule:** Full Time M-F 8-4 (times may vary) + **Professional Development** : Opportunities to participate in leadership development programs through St. Luke's and expand in leadership capacities through project management and change leadership. + **Patient Population** : Elderly **Qualifications** + Education: Bachelors' of Nursing Degree + Experience: 7 years' relevant experience + Licenses/Certifications: Current RN License from the State of Practice and Current Basic Life Support (BLS) Provider Certified through American Safety and Health Institute, American Heart Association, or American Red Cross. **About Mountain Home** Mountain Home is a vibrant high-desert community rich in natural beauty and outdoor adventure. Surrounded by unique canyon lands and pristine wilderness, it offers endless opportunities for activities like hiking, fishing, rock climbing, and sand dune exploration. With 17 parks, various recreational activities, and a range of accommodations, Mountain Home caters to both fast-paced and relaxed lifestyles. The town offers a small-town atmosphere with big-city conveniences, including a museum, shops, and restaurants. Additionally, Mountain Home is near Mountain Home Air Force Base, which brings global visitors and hosts community events like an air show. **What's in it for you** At St. Luke's, caring for people in the communities we serve is our mission - and this includes our own SLHS team. We offer a robust benefits package to support our teams both professionally and personally. In addition to a competitive salary and retirement plans, we ensure our team feels supported in their benefits beyond the typical medical, dental, and vision offerings. We care about you and have fantastic financial and physical wellness options, such as: on-site massages, on-site counseling via our Employee Assistance Program, access to the Virgin Pulse Wellness tool, as well as other formal training and career development offerings to ensure you are meeting your career goals. St. Luke's is an equal opportunity employer and does not discriminate against any person on the basis of race, religion, color, gender, gender identity, sexual orientation, age, national origin, disability, veteran status, or any other status or condition protected by law. *Please note: this posting is not reflective of all job duties and responsibilities and is intended to provide an overview to job seekers. **Default: Location : City** _Mountain Home_ **Category** _Nursing - RN and Leadership_ **Work Unit** _Skilled Nursing Elmore Hospital_ **Position Type** _Full-Time_ **Work Schedule** _VARIABLE_ **Requisition ID** _2025-100541_ **Default: Location : Location** _US-ID-Mountain Home_ **Work Location : Name** _895 N 6th E St, Mountain Home, Elmore Medical Center_