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Minimum of one (1) year post graduation experience with basic skills in adult and neonatal ventilator management, all aspects of respiratory care including arterial blood gases and airway management or successful completion of KSMC Respiratory Therapy Internship.
$34.6 - $43.45 an hourFull-timeExpandApply NowActive JobUpdated Today - UpvoteDownvoteShare Job
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RN experience in utilization review, ambulatory case management, care coordination, or disease management. NOW is the time for you to join KPWAs Nursing Home Services (NHS) department as a Care Management Liaison Nurse (CMLN.
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Preferred Qualifications: RN experience in utilization review, ambulatory case management, care coordination, or disease management. Provides education to SNF to improve care coordination, communication, and care management of KPWA members.
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Practice Management Activities: These job tasks are primarily indirect patient care (i.e. non face-to-face) to be performed competently, accurately and consistently according to established regional/departmental clinical protocols, policies and procedures and standards.
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Maintains effective interaction/communication with members of the medical staff, nursing staff, complex case managers, home care review team, social workers, general reviewers, referral coordinators, and Kaiser Permanente medical offices to facilitate the inpatient utilization management process and to provide continuity of care.
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The activities will include daily review of hospital care by chart review and discussion with attending physician, admission and concurrent review for inpatient admissions, meetings with patient and families to develop discharge planning, identification of patients for ambulatory case management, communication with case managers, home care reviewers, social workers, members and providers, quality improvement reviews, and education of the member/family, provider and hospital staff.
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Coordinates the interdisciplinary approach to providing continuity of care, including Utilization management, Transfer coordination, Discharge planning, and obtaining all authorizations/approvals as needed for outside services for patients/families.
$59.6 - $72.94 an hourPart-timeExpandUpdated 1 month ago - UpvoteDownvoteShare Job
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Basic Qualifications: Experience Minimum three (3) years of experience in care coordination and disease management for medically complex patients, experience in utilization review, case management, and discharge planning required.
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Preferred Qualifications:Minimum two (2) years of RN experience in utilization review, ambulatory case management, care coordination or disease management. Understands and utilizes health plan requirements and patient benefits in making care management decisions.
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Demonstrated ability to utilize/apply the general and specialized principles, practices, techniques and methods of utilization review/management, discharge planning or case management.
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Three (3) to five (5) years of clinical experience in healthcare setting, experience in utilization review, case management, discharge planning, and managed care. Synthesizes and analyzes a large volume of data related to the member, benefits, eligibility, facilities, contracts, and clinical status to identify issues and facilitate problem solving that results in continuity of care, quality of care and optimal resource management for the patient.
$42.47 - $52.46 an hourFull-timeExpandApply NowActive JobUpdated 2 months ago - UpvoteDownvoteShare Job
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Provides direction to staff regarding utilization review, care coordination, discharge planning, and other services across the continuum of care. Minimum three (3) years of experience in utilization management and discharge planning in an acute care setting to also include supervisory or management experience.
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Knowledge of the health care and credentialing industry, including medical-legal issues and laws, regulatory standards as related to credentialing, privileging and peer review, and other national standards.
$62,400 - $80,740 a yearFull-timeExpandApply NowActive JobUpdated Today - UpvoteDownvoteShare Job
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Assists with quality activities in pharmacy management as they relate to on-going improvement of the delivery of pharmaceutical care to members. Attends formulary review committee meetings and drug use management committee meetings.
$145,100 - $187,660 a yearFull-timeExpandApply NowActive JobUpdated 1 month ago - UpvoteDownvoteShare Job
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Minimum two (2) years of RN experience in utilization review, ambulatory case management, care coordination or disease management. Document interventions and interactions with patients or caregivers according to KFHPW and Care Management policy and procedure.
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review care management jobs Company: Kaiser
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