Mar 15, 2026
Kaiser Permanente
Job Summary: In addition to the responsibilities listed below, this position is also responsible for applying advanced clinical and regulatory knowledge of evidence-based guidelines, insurance policies, and clinical criteria to consult on the level of care and duration of treatment required for complex and/or escalated reviews, and providing guidance to team members and collaborating with the health care team, members, and caregivers to assist in discharge planning, cost of care options, and/or coordinating and/or adjudicating referrals to appropriate services based on medical necessityReports directly to the Hospital Administrator and coordinates with physicians, staff, the interdisciplinary team, regional partners, and non-Kaiser providers and facilities regarding patient care Responsible for evaluating all incoming admission referrals to Kula Hospital to ensure clinical appropriateness, bed availability, and alignment with hospital capabilities. This role...
Professional Diversity Network
Kula, HI, USA
Full-Time
