Alia Gupta
Patient Care Coordinator @Kaiser Permanente
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WORK HISTORY
Patient Care Coordinator @Kaiser Permanente
Responsible for utilization review, discharge planning and transitions in care, in collaboration with MAPMG rounder in acute or alternative settings of care.• Utilization Review. According to department policy, procedure and protocols, consistently apply and verbally communicate approved utilization review criteria and guidelines for services delivered in acute or alternative care settings.• Eligibility and Benefit Verification. Confirm eligibility status and ensure the appropriate administration of benefits in accordance with department policies and procedures.• Assessing Right Venue of Care with Hospitalist. Collaboration with Hospitalist to assess the appropriate level of care for patients (i.e, Medical Unit, Surgical Unit, Tele Unit, TCU, ICU) and post-(Home, Continuum or Community-based Services) hospitalization.• Coordination of Care. Driving patient care plan through assuring daily plan is executed, and management of transitions and post-hospital care.• Effective Discharge Planning. Prompt, clinically appropriate discharge planning beginning at time of admission.• Variance Management. Timely steps in identification of delays in throughput, escalation to correct delays, and recording delays to identify patterns and trends that will require corrective actions.• Quality Screening. Demonstrate competency to assess all aspects of care across the continuum for variations from quality and utilization standards.
EDUCATION
Florida State University
Bachelor's Degree, Registered Nursing
Florida State University
Bachelor of Applied Science - BASc
Marymount University
Master of Business Administration (M.B.A.), Health Care Management
Montgomery College
Associate's Degree, Registered Nursing
ABOUT ALIA GUPTA
Experienced Case Manager with a demonstrated history of working in the hospital & health…
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