Job Details

Coordinates with physicians, staff and non-Kaiser providers and facilities regarding patients transitions and discharge planning. In conjunction with physicians, develops plans of care and discharge plans, and makes recommendations for alternative levels of care as required. Essential Responsibilities:Utilization Management: Performs daily pre-admission, admission, and concurrent utilization reviews using guidelines, institutional policies/procedures, and other information to determine appropriate levels of care and readiness for discharge. Monitors the progression of the discharge plan and facilitates discussions with the multidisciplinary teams. Educates other healthcare team members on utilization and care coordination. Collaborates with and provides information to patients, families, physicians, and staff regarding the discharge plans and transitions. Understands and consistently applies the interpretation, and utilization of member health care benefits. Conducts UM, care coordinat...Care Coordinator, Patient Care, Planning, Patient, Coordinator, Healthcare, Management