Liaison Nurse St Joseph's Hospital
Company: Kaiser Permanente
Posted on: June 9, 2021
The Care Manager will work in 2 settings on a periodic rotating
schedule, planning the discharges and follow up care for Kaiser
Foundation Health Plan of Washington patients hospitalized at a
nearby network facility and carrying a case load of patients in one
of the Kaiser Foundation Health Plan of Washington medical centers.
Some weekends and holidays are required, and scheduled days of the
week are variable. Primary responsibility is to focus on
achievement of optimal patient health care outcomes while ensuring
appropriate utilization of health care resources. Working closely
with primary care teams, specialty care teams and medical
providers, the Liaison Nurse will establish a collaborative plan of
care to assure adherence to the medical plan, improvement in
functional status, and improved ability to self manage. Serves as
the liaison across the internal KFHPW care continuum and between
KFHPW and all externally contracted providers, facilities, and
resources and provides feedback to the organization regarding the
service and quality of contracted services. The Liaison Nurse
collects data and provides input to leadership regarding issues or
concerns related to utilization, cost, quality, service and care
delivery to patients.
- Ensures patients referred to case management meet established
case management criteria. Assess all patients referred for case
management to determine physical, mental, financial, psychosocial
status, utilizing comprehensive, standardized criteria to identify
existing and potential needs. Develop patient centered case
management plan based on assessments and including patient goals,
objectives, and outcomes with specific time frames (long/short
term). Evaluate ability and availability of designated caregiver(s)
to provide patient support. Coordinate and implement interventions
using evidence based guidelines. Recommend additional services to
PCP as determined in the case management plan. Conduct ongoing
assessment of progress against original goals. Continuously update
needed services. Maintain ongoing communication with patient/family
and care team. Acts as an advocate for patient care needs.
Documents all responses of patient to case management
- Collaborates with other health care professionals regarding the
plan of care, variances in plan implementation, achieved outcomes
or expected outcomes. Monitor and evaluate short and long term
patient responses to therapeutic interventions and analyze patterns
of variance from clinical information and outcomes. Recommend
alternative settings for care based on health care needs and
appropriate utilization of health care resources. Document
interventions and interactions with patients or caregivers
according to KFHPW and Care Management policy and procedure.
Participate in the measurement of the effectiveness of the case
- Directs and guides the plan of care to result in a seamless
continuum of care. Facilitates as needed, referrals for home health
care, long term care, hospice, and other care facilities or
services. Participation in care conferences to provide problem
solving for patients with complex care needs (limited basis).
Collects needed data needed to evaluate the effects of care
coordination on quality outcomes, fiscal parameters, patient
satisfaction and systems improvement. Understands and utilizes
health plan requirements and patient benefits in making care
management decisions. Assists patient to understand and comply with
their medical treatment plan. Supports patient education and
activation through referral to specific chronic illness classes,
group visits or community resources.
- Minimum three (3) years of recent RN
medical/surgical/ambulatory clinical experience required.
- Bachelors degree or bachelors of science.
License, Certification, Registration
- Cardio Pulmonary Resusitation within 6 months of hire
- Registered Nurse License (Washington) required at hire
- Case Manager Certificate within 24 months of hire
- Effective, independent nursing judgment and skills, and use of
evidence based clinical decision making criteria.
- Knowledge in management of chronic disease process, nursing
process and collaborative care planning.
- Demonstrated skill and experience in effectively collaborating
with care team members.
- Minimum two (2) years of RN experience in utilization review,
ambulatory case management, care coordination or disease
- Bachelors of science in nursing.
Primary Location: Washington,Tacoma,St. Joseph Medalia Building
Scheduled Weekly Hours: 24 Shift: Day Workdays: Sat, Sun Working
Hours Start: 08:00 AM Working Hours End: 04:30 PM Job Schedule:
Part-time Job Type: Standard Employee Status: Regular Employee
Group/Union Affiliation: J01|SEIU|SEIU RN/ANRP Job Level:
Individual Contributor Department: St Joseph Hsp Rounding -
UR-Discharge Planning - 1130 Travel: Yes, 10 % of the Time Kaiser
Permanente is an equal opportunity employer committed to a diverse
and inclusive workforce. Applicants will receive consideration for
employment without regard to race, color, religion, sex (including
pregnancy), age, sexual orientation, national origin, marital
status, parental status, ancestry, disability, gender identity,
veteran status, genetic information, other distinguishing
characteristics of diversity and inclusion, or any other protected
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 and
state laws, as well as applicable local ordinances, including but
not limited to the San Francisco and Los Angeles Fair Chance
Click here for additional requirements >
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Keywords: Kaiser Permanente, Tacoma , Liaison Nurse St Joseph's Hospital, Other , Tacoma, Washington
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