Staff Position

Registered Nurse (RN) - Med Surg
Kaiser Permanente
Portland, OR
5x8 hrs, Days

$105K-136K/year

Posted Today

Overview

Shift Breakdown5x8 hrs
ShiftDays

Pay

Estimated pay

$105K-136K/year

Qualifications

The employer will review your Vivian profile and compare it against the job qualifications listed below.

Required

License

Oregon Nursing License
Basic Life Support
Registered Nurse (2 years)

Other

Eligible to work in US

Description

Job Summary:
To assist NWP clinicians, KPNW members and community clinicians in the coordination of medical services between Kaiser Permanente and community providers and facilities. Includes interfacing with NWP clinicians, community providers and members to ensure the member receives high quality, safe, efficient and timely medical services.

Essential Responsibilities:

Preview and preapprove requests for referral to community clinicians and/or programs for medically necessary services as requested by the NWP clinician.

Work directly with the member and the community clinician to coordinate medical services within KPNW, providing accurate and timely information to the community physician and member related to requested services.

Maintain knowledge base of resources available within the community and Kaiser Permanente assists with arranging for medical services in the appropriate location.

With Community Medicine Integration Center leadership, insures compliance with regulatory and accrediting requirements for utilization of referred services, including NCQA, MDQR, Federal and State agencies.

Maintains knowledge of Kaiser Permanente policies, procedures and benefits.

Basic Qualifications: Experience

Minimum two (2) years experience as a Registered Nurse.

Education

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 before hire. Additional Credentials from the secondary work state(s) are required post hire.

Registered Nurse License (Oregon) within 6 months of hire

Registered Nurse License (Washington) within 6 months of hire

Additional Requirements:

Demonstrated customer focused service skills.
Demonstrated ability to assimilate technical information.
Ability to maintain effectiveness in a busy health care environment.
Ability to work effectively with all medical staff.
Ability to assess complex clinical management situations, synthesize data, develop and implement action plans.
Ability to handle highly confidential and other information with discretion.
Progressively responsible, broad based experience with health care management.
Demonstrated skills negotiating and communicating with physicians and other health care providers to assist with the coordination of services to appropriate sites and levels of care.
Working knowledge of computer systems and medical care delivery systems.

Preferred Qualifications:

Minimum two (2) years of work experience as a Registered Nurse within Kaiser Permanente.
Experience in inpatient and outpatient settings within Kaiser Permanente.
Working knowledge of electronic clinical information systems, including HealthConnect and Results Reporting.
Working knowledge of regulatory and accreditation requirements related to health care and health maintenance organizations.
Comprehensive knowledge of Northwest Permanente and Kaiser Health Plan policies, procedures, personnel, goals, objectives, data systems and organizational structure.
Bachelorsdegree in nursing or related field preferred.

Chelsey Niemiec

Kaiser Permanente

Kaiser Permanente Job ID #1253431. Posted job title: Prior Authorization Rn Reviewer

Employer

Kaiser Permanente

5.0rating(2 reviews)

Compensation

5.0rating

Culture

5.0rating

Work Environment

5.0rating

Anonymous

Skilled Nursing (LPN / LVN)

Review of Kaiser Permanente on Aug 28, 2024

View all reviews

About

At the heart of health care, you'll find Kaiser Permanente. As the nations leading not-for-profit, integrated health plan, we make a difference in the lives of members, patients, and communities across the country.With 39 hospitals and more than 734 locations in eight states and the District of Columbia, we proudly serve more than 12.7 million members from coast to coast. Whether you choose to join a hospital in the Northwest, a clinic in Southern California, or a medical office in the Mid-Atlantic, we have many opportunities for you to shape the future of care.Our teams are empowered to advance impactful and extraordinary care for all by pioneering health outcomes, encouraging diverse viewpoints, and creating new opportunities for learning and advancement. This covers more than our members and our employees; it also reaches far into our communities. Together, we're proudly working as one for a healthier today and tomorrow.

Response timemore than a day

Staff jobs$21–149/hour

Local contracts$21–149/hour

Per Diem / PRN roles$21–149/hour

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Portland, OR

About

Portland is a colorful, eclectic city in the Pacific Northwest and the largest city in Oregon. It sits on the Willamette and Columbia Rivers, with snowcapped Mt. Hood looming in the distance, offering panoramic views. You get the best of all worlds in Portland, a thriving city with fantastic restaurants and coffee shops, plus lots of accessible nature nearby. Check out the Japanese Garden and Powell’s City of Books, and don’t forget to grab an iconic pink box of donuts at Voodoo Doughnut. If you’re feeling adventurous, take a day trip to visit some of the many mossy waterfalls in the Columbia River Gorge or hike around Mt. Hood National Forest for a close-up view of the enormous stratovolcano.

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