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Medical Social Worker II

This position supports Kaiser Permanente´s code of conduct and compliance by adhering to all laws and regulations, accreditation and Licensure requirements, and internal policies and procedures. Kaiser Permanente is an equal opportunity/affirmative action employer.DEPARTMENT: Continuing CareSCHEDULE: Part-time regular, 24hrs/wk, Day Shift, Monday, Tuesday, Wednesday, and Friday, 11:00am to5:00pm.Education: Master´s Degree (M.S.W.)Licensure: LCSW preferredPosition Summary: Hospital/Clinic The primary role of the Medical Social Worker II is to assist patients and families/caregivers to cope with the social/emotional issues and practical arrangements related to the patient´s illness. Under general direction of the Social Work Manager/LCSW, delivers age-appropriate social work care to patients and their caregivers in accordance with agency policy and procedure and state and federal regulations. The Medical Social Worker II serves as an integral member of the healthcare team providing assessments, coordination, treatment planning, information and referral to community resources and other social work services to meet the complex needs of patients and families in the hospital and clinic settings.Qualifications: Hospital/Clinic: Masters in Social Work accredited by the Council of Social Work Education. Step I: Less than two (2) years´ social work experience (M.S.W. field work not included).Step II: Two (2) to four (4) years of social work experience within the last five (5) years (M.S.W. fieldwork not included).Step III: Four (4) or more years of social work experience within the last ten (10) years (M.S.W. fieldwork not included).At least one (1) year post MSW experience in a health care setting preferred- MSW internship may be considered in lieu of this requirement. Demonstrated ability to work on a multidisciplinary team. Must have solid psychosocial assessment skills. Knowledge of chronic and acute disease and how it impacts patient and family functioning. Demonstrated excellent oral/telephone communication skills and written documentation. Must be computer-literate and, preferably, experienced in automated clinical information systems. Must demonstrate ability to effectively and efficiently handle demanding workload involving multiple tasks. Demonstrated ability to function independently as a collaborative, supportive team member. Must be able to master detailed and complex information regarding benefits and coordination of care. Must be willing to work in a Labor Management Partnership environment. Also refer to Position Specifications outlined in the appropriate collective bargaining agreement.Duties: Hospital/Clinic: Provide psychodynamic interventions, crisis intervention, grief/bereavement counseling, problem solving, stress reduction and developing healthy coping strategies in individual/family/group settings. Provide counseling for disease acceptance and understanding. Responsible for developing and implementing individual Plan of Treatment which assist patients and families to cope and/or restore social, emotional, financial and environmental factors which affect and/or affected by illness. Completes psychosocial assessments. Partners with patient to identify needs and develop and implement individual treatment plan based on mutually agreed upon treatment plan. Discuss options for care proactively including Kaiser resources and external community/government resources to assist patient and family in developing short and long term care plans as appropriate. Team with other disciplines in assessing, planning and providing services for patients utilizing biopsychosocial information. Assist patient in advocating for self to receive appropriate services within Kaiser and in the community. Assist patient and family with care planning and discharge plans. Takes, reviews, evaluates and prioritizes written and oral referrals. Maintains documentation, records and data collections. Responsible for completion of required documents in a complete and timely manner. Functions as part of the Skilled Nursing Facility Team to assure appropriate, timely placement of Kaiser members in nursing facilities. Liaison between patient and Kaiser maintaining positive relationship with Kaiser and providing for continuity of care. Identifies appropriate levels of care and facilities for referred patients, were applicable. Obtains placements, where applicable. Collaborate with internal and external resources in Kaiser and the community to meet mutually agreed upon goals and objectives. Provides information and referral to community resources as requested. Coordinates exchange of information between Kaiser, families, members and skilled nursing facilities. Determines application of Kaiser, Medicare and Medi-Cal benefits to specific patient situations. Participates in Utilization Management/Quality Assurance activities. Assist in coordinating communication between regional offices, clinics, hospitals, and field staff, triaging of phone calls from members´/families. Works with referral sources to clarify and complete required clinical and psychosocial information. Perform other related duties as necessary.

This position supports Kaiser Permanente´s code of conduct and compliance by adhering to all laws and regulations, accreditation and Licensure requirements, and internal policies and procedures. Kaiser Permanente is proud to be an equal opportunity/affirmative action employer.DEPARTMENT: GMCSCHEDULE: Full-time, Regular; 40hrs/week; Day Shift: Monday - Friday 8:00AM - 5:00PMEDUCATION: Master´s Degree in Social Work from an accredited college or university and a valid licensed Clinical Social Worker License in the state of California required. Current CA Driver´s License and proof of insurance required.POSITION SUMMARY: This position is part of the Medi-Cal Pilot Study Care Management Team and with the RN applies a team approach to manage the care of Medi-Cal members across the continuum. Consults with care providers to include physicians, psychiatric and allied health professional team and chronic conditions programs care managers, other team members, non-Kaiser providers and agencies/facilities develops plans of care, monitors all clinical activities and clinical treatment program, makes recommendations for alternative levels of care, identifies cost-effective protocols, and develops guidelines for care, for Medi-Cal members with acute or chronic psychiatric disorders. Coordinates follow-up appointments to medical care, education programs, community referrals. The settings may include inpatient, medical office, home and community. The study will be conducted in certain Northern CA services area for the Kaiser Medi-Cal Managed Care Alameda Alliance for Health(AAH), Geographic Managed Care (GMC), or Partnership Health Plan of CA (PHC) contracts. As a team member, this position will track intervention activities to ensure the pilot study can be evaluated for effectiveness.QUALIFICATIONS: Minimum of two year post licensure experience in the use of psychosocial assessment and psychotherapeutic methods and measure in a hospital, clinic or agency setting and experience working with complex chronic medical conditions. Demonstrated ability to collaborate and coordinate care across disciplines and within the community. Previous clinical responsibility to include crisis intervention, individual and group psychotherapy, previous case management experience preferred. Previous critical care and/or supervisory experience preferred. Experience and knowledge of the Medi-Cal and underserved populations. Demonstrated experience in utilization management, discharge planning or transfer coordination. Strong oral communication, diplomacy, organizational and analytic skills. Self-directed, assertive and creative in problem solving, systems planning and patient care in high volume work environment. Cultural and linguistic proficiency. Basic Computer skills. Ability to work effectively and collaboratively with multidisciplinary teams. Knowledge of Nurse Practice Act, JCAHO, NCQA, and other Federal/State/Local regulations. Must be willing to work in a Labor Management Environment.DUTIES: Either on-site or telephonically: Plans, develops, assesses, and evaluate care provided to Medi-Cal members. In conjunction with physicians, evaluates and develops discharge and care plans, recommends alternate levels of care, and ensures compliance and adherence of developed plans. Develops and maintains care management policies and procedures. Coordinates, directs and performs concurrent and retrospective reviews, and monitors levels of quality of care, 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 the Medi-Cal members/families. Consults with physicians, health care providers, discharge palling, and outside agencies regarding continued care/treatment or hospitalizations. Encourages and works to ensure Medi-Cal members follow plans of care (I.E. drug therapy, physical therapy, ETC). Makes referrals to appropriate internal Kaiser and community services. Identifies and recommends opportunities for cost saving and improving the quality of care across the continuum. Develops and collects data, and trends utilization of health care resources. This position regularly required travel within the services area and to the regional office. Consistently supports compliance and the Principles of Responsibility (KP´s code of conduct) by maintaining confidentiality, protecting the assets of the organization, acting with ethics and integrity, reporting non-compliance, and adhering to applicable Federal and State laws and regulations, accreditation and licensure requirements, and KP policies and procedures.

Manager Social Services opportunity available in San Jose, CA!

DEPARTMENT: Continuity of CareSCHEDULE: Full time regular, 40 hours/week, Day shift, Mon-Fri, 8:00am-5:00pm. Required to be on call for social services department 24/7.EDUCATION/LICENSE/CERTIFICATION: Master�s degree in Social Work from an institution accredited by the Council of Social Work Education. LCSW required.JOB SUMMARY: Develops and monitors the social services programs for the CSA. Establishes and maintains standards, quality levels, cost effective, and customer focused services. Establishes interfaces with community services.QUALIFICATIONS: Previous supervisory experience and field medical social work (usually 5 years). Sound knowledge of fiscal management theories and principles. Knowledge of different levels of health care; understanding of human development and psychodynamic theories. Must be able to work in a Labor/Management Partnership environment.DUTIES: Plans, develops, implements and maintains social services policies and procedures, delivery of social work programs, and discharge planning services. Oversees social services case management activities. Manages staff activities, ensures their competencies, and develops/presents in-services. Recommends, develops, and implements new programs enhancing services to specialized patient populations and reducing hospital and office visit utilization. Develops and manages departmental budget. Identifies and implements opportunities for cost reduction and improved services. Identifies community resources for our members. Collaborates with community organizations in developing new programs or enhancing current community services which are available to Kaiser members. Develops, implements, and monitors the quality assurance of the social services programs and staff. Identifies issues which interfere with the delivery of services and develops techniques to resolve them. Collaborates with medical center departments, community agencies and health plan members on matters related to discharge planning and ensures that services are provided in an integrated fashion. Ensures compliance with federal, state, and local requirements. Kaiser Permanente conducts compensation reviews of positions on a routine basis. At any time, Kaiser Permanente reserves the right to reevaluate and change job descriptions, or to change such positions from salaried to hourly pay status. Such changes are generally implemented only after notice is given to affected employees. Consistently supports compliance and the Principles of Responsibility (KP�s code of conduct) by maintaining confidentiality, protecting the assets of the organization, acting with ethics and integrity, reporting non-compliance, and adhering to applicable Federal and State laws and regulations, accreditation and licensure requirements, and KP policies and procedures. In addition to defined technical requirements, accountable for consistently demonstrating service behaviors and principles defined by the Kaiser Permanente Service Quality Credo, the KP Mission as well as specific departmental/organizational initiatives. Also accountable for consistently demonstrated the knowledge, skills, abilities, and behaviors necessary to provide superior and culturally sensitive service to each other, to our members, and to purchasers, contracted providers and vendors.PLEASE NOTE: - Kaiser Permanente is an AA/EEO employer

This position supports Kaiser Permanente´s code of conduct and compliance by adhering to all laws and regulations, accreditation and Licensure requirements, and internal policies and procedures. Kaiser Permanente is proud to be an equal opportunity/affirmative action employer.DEPARTMENT: Modesto PsychiatrySCHEDULE: Full-Time Regular, 40hrs/wk, Variable Shift, Sunday, Monday, Thursday, Friday, and Saturday, 3:00pm to 12:00am. Schedule may vary depending on operational needs.EDUCATION /LICENSE/CERTIFICATION: Masters degree in Social Work required from an accredited college or university. Valid Licensed Clinical Social Worker license in the State of California. Must have a National Provider Identifier (NPI), or obtain an NPI, prior to employment start date.SKILLS TESTING: N/AQUALIFICATIONS: Minimum of two years post licensure experience in the use of psychosocial assessment and psychotherapeutic methods and measures in a hospital, clinic or agency. Previous clinical responsibility to include crisis intervention, individual and group psychotherapy. Excellent interpersonal and communication skills. Knowledge of social service agencies, state regulations, professional board standards as is related to client treatment, patient rights, and client/patient confidentiality. Must be able to work in a Labor/Management Partnership environment.PREFERRED QUALIFICATIONS: EXPERIENCE WORKING IN A MEDICAL SETTING WITH AN INTERDISCIPLINARY TEAM APPROACH TO PATIENT CARE. COMPETENCY IN RESPONDING TO PHYSICIANS´ CONSULTATION REQUESTS BY PROVIDING ON-SITE ASSESSMENT, TREATMENT PLANNING SERVICES, AND CRISIS INTERVENTION.POSITION SUMMARY: Provides assessment, diagnosis, treatment and crisis intervention of members with acute or chronic psychiatric disorders. Collaborates with treating physician, psychiatric and allied health professional team to plan and direct each individual members treatment program. DUTIES: Assesses, develops and coordinates a clinical treatment program for the diagnosis, treatment, and referral of Health Plan members with acute or chronic psychiatric disorders. Participates in staff conferences to select, plan, and evaluate treatment programs. Consults with medical, nursing and psychiatric staff regarding diagnosis, strengths and deficits. Provides outpatient psychotherapy to individuals and groups. Charts members treatments and progress in accordance with state regulations and department procedures. Instructs and counsels patients regarding compliance with prescribed therapeutic regimens, including adherence to prescribed medication regimens within the scope of practice. Prepares reports, intakes, treatment plans, case summaries and maintains ongoing confidential records. Interprets psychiatric treatment to members family and helps to reduce fear and other attitudes obstructing acceptance of psychiatric care and continuation of treatment. Refers members family to community support services and resources. Utilizes resources of public and private agencies and community organizations to meet the needs of members. Collaborates with physicians in screening and evaluating patents for psychotropic medications. May supervise PSW Assistants and PSW Interns. Provides case management, including the development of relationships with community resources and services in order to make appropriate referrals. Develops, implements, and evaluates behavioral medicine program. Provides psycho-educational classes and groups. This position may be required to work on-call hours at the discretion of management. Consistently supports compliance and the Principles of Responsibility (KP´s code of conduct) by maintaining confidentiality, protecting the assets of the organization, acting with ethics and integrity, reporting non-compliance, and adhering to applicable Federal and State laws and regulations, accreditation and licensure requirements, and KP policies and procedures. In addition to defined technical requirements, accountable for consistently demonstrating service behaviors and principles defined by the Kaiser Permanente Service Quality Credo, the KP Mission as well as specific departmental/organizational initiatives. Also accountable for consistently demonstrating the knowledge, skills, abilities, and behaviors necessary to provide superior and culturally sensitive service to each other, to our members, and to purchasers, contracted providers and vendors.Other duties: complete written psychiatric evaluations in the emergency department and on inpatient medical units. These evaluations include a risk assessment, mental status examination, and a psychosocial history that leads to appropriate dispositions for patients. This includes gaining 5150 privileging in both San Joaquin and St. Anislaus counties. This also includes successful credentialing at the various valley hospitals. Experience competency in responding to physicians´ consultation requests by providing on-site assessment, treatment planning services, and crisis intervention. Assessment skills applicable to determining appropriate follow-up mental health services, including need for involuntary psychiatric hospitalization. Able to conduct DSM-focused assessment and diagnoses, crisis intervention/resolution, and brief individual and/or family interventions. Excellent interpersonal and communication skills working in an interdisciplinary medical center environment coordinate patient care with the psychiatric call center as well as with ED and hospital nursing and ancillary staff. Provide consultation services for ED and HBS physicians regarding patients´ progress and treatment; confer with attending physicians regarding hospitalized patients and recommend treatment plansThis position will be covering Emergency Rooms at area hospitals within the Modesto Area in 2009then responding to emergency rooms in the Central Valley area starting sometime in 2010. This person must be willing to travel to these various sites as needed, be available for flexible hours and shifts depending on need including weekend work.

MGR SOC SVCS CASE MGMT needed in California!

This position supports Kaiser Permanente´s code of conduct and compliance by adhering to all laws and regulations, accreditation and Licensure requirements, and internal policies and procedures. Kaiser Permanente is proud to be an equal opportunity/affirmative action employer.DEPARTMENT: Patient Care ServicesSCHEDULE: Full-Time Regular, 40hrs/wk, Day Shift, Monday-Friday, 8:00am to 5:00pm.EDUCATION/ LICENSE/CERTIFICATION: Masters degree in Social Work from an institution accredited by the Council of Social Work Education. LCSW required.SKILLS TESTING: N/AQUALIFICATIONS: Previous supervisory experience and field medical social work (usually 5 years).Sound knowledge of fiscal management theories and principles. Knowledge of different levels of health care; understanding of human development and psychodynamic theories. Must be able to work in a Labor/Management Partnership environment.POSITION SUMMARY: Develops and monitors the social services programs for the CSA. Establishes and maintains, standards, quality levels, cost effective, and customer focused services. Establishes interfaces with community services.DUTIES: Plans, develops, implements and maintains social services policies and procedures, delivery of social work programs, and discharge planning services. Oversees social services case management activities. Manages staff activities, ensures their competencies, and develops/presents inservices. Recommends, develops, and implements new programs enhancing services to specialized patient populations and reducing hospital and office visit utilization. Develops and manages departmental budget. Identifies and implements opportunities for cost reduction and improved services. Identifies community resources for our members. Collaborates with community organizations in developing new programs or enhancing current community services which are available to Kaiser members. Develops, implements, and monitors the quality assurance of the social services programs and staff. Identifies issues which interfere with the delivery of services and develops techniques to resolve them. Collaborates with medical center departments, community agencies and health plan members on matters related to discharge planning and ensures that services are provided in an integrated fashion. Ensures compliance with federal, state, and local requirements. Kaiser Permanente conducts compensation reviews of positions on a routine basis. At any time, Kaiser Permanente reserves the right to reevaluate and change job descriptions, or to change such positions from salaried to hourly pay status. Such changes are generally implemented only after notice is given to affected employees. Consistently supports compliance and the Principles of Responsibility (KP´s code of conduct) by maintaining confidentiality, protecting the assets of the organization, acting with ethics and integrity, reporting non-compliance, and adhering to applicable Federal and State laws and regulations, accreditation and licensure requirements, and KP policies and procedures. In addition to defined technical requirements, accountable for consistently demonstrating service behaviors and principles defined by the Kaiser Permanente Service Quality Credo, the KP Mission as well as specific departmental/organizational initiatives. Also accountable for consistently demonstrating the knowledge, skills, abilities, and behaviors necessary to provide superior and culturally sensitive service to each other, to our members, and to purchasers, contracted providers and vendors.

This position supports Kaiser Permanente�s code of conduct and compliance by adhering to all lawsand regulations, accreditation and Licensure requirements, and internal policies and procedures.Kaiser Permanente is proud to be an equal opportunity/affirmative action employer.DEPARTMENT: IUS Psychiatric ReferralSCHEDULE: Full-time regular, 40 hours per week, Day shift, Monday through Friday: 8:30-5:00PM. Thecost center for this position is in the Diablo Service Area but the employee will be located inHayward/Union City (with training and meetings in Martinez).Position Summary: Provides inpatient and intensive outpatient case management for high-risk,high-utilizing members with acute and/or chronic psychiatric conditions across the continuum ofcare. Develops treatment and care plans for the specific population.Education/License/Certification: Master�s (Social Work or Psychology), or PhD (Psychology) required. LCSW, MFT or PsychologistLicense required. Must have a National Provider Identifier (NPI), or obtain an NPI, prior toemployment start date.Qualifications: Previous experience (usually 2 years) in an inpatient psychiatric setting or psychiatric emergencyservice.Previous experience (usually 2 years) of care management or clinical experience, and responsibilityfor a large caseload (50-100) for an extended period of time.Demonstrated expertise in crisis management.Demonstrated experience in utilization data collection and cost benefit analysis.Knowledge of JCAHO, and other local, state, and federal regulations.Must be able to work in a Labor Partnership Environment.Duties: Plans, develops, coordinates, assesses, and evaluates services provided to members topromote quality and cost effective outcomes. Develops and maintains case management policies andprocedures to assure optimal and appropriate member utilization of services. Coordinates theinterdisciplinary approach to providing continuity of care, including utilization management,transfer coordination, discharge planning, and obtaining all authorizations/approvals for outsideservices. Participates in the development of care paths. As an Intensive Case Manager coordinatesthe care of a large caseload of high risk patients and provides assessments and interventions in thecommunity including in-home visits. Consults with internal and external physicians, health careproviders, discharge planning and outside agencies regarding continued care/treatment orhospitalization. Arranges and monitors follow-up appointments. Makes referrals to appropriatecommunity services. Identifies and recommends opportunities for cost savings and quality of careimprovements across the continuum. Develops and collects reports and data, and trends utilization ofhealth care resources. Develops and presents in-service training and communication to both internaland external stakeholders Interprets regulations, health plan benefits, policies, and procedures formembers, physicians, medical office staff, contract providers, and outside agencies. Coordinates thetransmission of clinical and benefit information and treatment to patients, families and outsideagencies including issuing Non-Coverage and Denial of Benefits letters consistent with Health PlanRegulations. Acts as liaison to psychiatry clinics outside agencies, non-plan facilities, andoutside providers.Coordinates repatriation of patients and monitors their quality of care.Provides administrative case management oversight to Inpatient Psychiatric Facilities, CrisisResidentialPrograms, and IMDs to ensure that services delivered to our members meet Kaiser�s Quality andUtilization expectations and guidelines.Provides administrative on-call to the RSR/Subregional Office.Provides Clinical and Administrative documentation in accordance with Kaiser Regional PsychiatricStandards including the Inpatient/Integrated Urgent Services Guidelines.Travel is required.Kaiser Permanente conducts compensation reviews of positions on a routine basis. At any time, KaiserPermanente reserves the right to reevaluate and change job descriptions, or to change such positionsfrom salaried to hourly pay status. Such changes are generally implemented only after notice isgiven to affected employees.Consistently supports compliance and the Principles of Responsibility (KP�s code of conduct) bymaintaining confidentiality, protecting the assets of the organization, acting with ethics andintegrity, reporting non-compliance, and adhering to applicable Federal and State laws andregulations, accreditation and licensure requirements, and KP policies and procedures.In addition to defined technical requirements, accountable for consistently demonstrating servicebehaviors and principles defined by the Kaiser Permanente Service Quality Credo, the KP Mission aswell as specific departmental/organizational initiatives. Also accountable for consistentlydemonstrating the knowledge, skills, abilities, and behaviors necessary to provide superior andculturally sensitive service to each other, to our members, and to purchasers, contracted providersand vendors.PLEASE NOTE: - Kaiser Permanente is an AA/EEO employer -

Hospital/Clinic The primary role of the Medical Social Worker II is to assist patients and families/caregivers to cope with the social/emotional issues and practical arrangements related to the patient´s illness.

DEPARTMENT: Patient Care Services, Social Work SCHEDULE: On-call, 0 hours per week, variable shift. Schedule and hours dependent upon departmental needs and may include holidays and weekends; will follow the contract for notification of schedule change. Education: Master´s Degree (M.S.W.) Licensure: LCSW preferred Position Summary: Hospital/Clinic The primary role of the Medical Social Worker II is to assist patients and families/caregivers to cope with the social/emotional issues and practical arrangements related to the patient´s illness. Under general direction of the Social Work Manager/LCSW, delivers age-appropriate social work care to patients and their caregivers in accordance with agency policy and procedure and state and federal regulations. The Medical Social Worker II serves as an integral member of the healthcare team providing assessments, coordination, treatment planning, information and referral to the complex needs of patients and families in the hospital and clinic settings. Qualifications: Experience Requirement:: * refer to the Minimum Qualifications section below Hospital/Clinic: Masters in Social Work accredited by the Council of Social Work Education. Step I: Less than two (2) years´ social work experience (M.S.W. field work not included). Step II: Two (2) to four (4) years of social work experience within the last five (5) years (M.S.W. fieldwork not included). Step III: Four (4) or more years of social work experience within the last ten (10) years (M.S.W. fieldwork not included). At least one (1) year post MSW experience in a health care setting preferred- MSW internship may be considered in lieu of this requirement. Demonstrated ability to work on a multidisciplinary team. Must have solid psychosocial assessment skills. Knowledge of chronic and acute disease and how it impacts patient and family functioning. Demonstrated excellent oral/telephone communication skills and written documentation. Must be computer-literate and, preferably, experienced in automated clinical information systems. Must demonstrate ability to effectively and efficiently handle demanding workload involving multiple tasks. Demonstrated ability to function independently as a collaborative, supportive team member. Must be able to master detailed and complex information regarding benefits and coordination of care. Must be willing to work in a Labor Management Partnership environment. Also refer to Position Specifications outlined in the appropriate collective bargaining agreement. Duties: Hospital/Clinic:: Provide psychodynamic interventions, crisis intervention, grief/bereavement counseling, problem solving, stress reduction and developing healthy coping strategies in individual/family/group settings. Provide counseling for disease acceptance and understanding. Responsible for developing and implementing individual Plan of Treatment which assist patients and families to cope and/or restore social, emotional, financial and environmental factors which affect and/or affected by illness. Completes psychosocial assessments. Partners with patient to identify needs and develop and implement individual treatment plan based on mutually agreed upon treatment plan. Discuss options for care proactively including Kaiser resources and external community/government resources to assist patient and family in developing short and long term care plans as appropriate. Team with other disciplines in assessing, planning and providing services for patients utilizing biopsychosocial information. Assist patient in advocating for self to receive appropriate services within Kaiser and in the community. Assist patient and family with care planning and discharge plans. Takes, reviews, evaluates and prioritizes written and oral referrals. Maintains documentation, records and data collections. Responsible for completion of required documents in a complete and timely manner. Functions as part of the Skilled Nursing Facility Team to assure appropriate, timely placement of Kaiser members in nursing facilities. Liaison between patient and Kaiser maintaining positive relationship with Kaiser and providing for continuity of care. Identifies appropriate levels of care and facilities for referred patients, were applicable. Obtains placements, where applicable. Collaborate with internal and external resources in Kaiser and the community to meet mutually agreed upon goals and objectives. Provides information and referral to community resources as requested. Coordinates exchange of information between Kaiser, families, members and skilled nursing facilities. Determines application of Kaiser, Medicare and Medi-Cal benefits to specific patient situations. Participates in Utilization Management/Quality Assurance activities. Assist in coordinating communication between regional offices, clinics, hospitals, and field staff, triaging of phone calls from members´/families. Works with referral sources to clarify and complete required clinical and psychosocial information. Perform other related duties as necessary. PLEASE NOTE: - Kaiser Permanente is an AA/EEO employer -