We have other current jobs related to this field that you can find below
-
Decatur, United States Health eCareers Full timeJob SummaryResponsible for working collaboratively with physician partners to optimize quality and efficiency of care for hospitalized members by carrying out daily utilization and quality review, monitoring for inefficiencies and opportunities to improve care, developing a safe discharge plan to include recommending alternative levels and sites of care when...
-
Decatur, United States Kaiser Permanente Full timeJob SummaryResponsible for working collaboratively with physician partners to optimize quality and efficiency of care for hospitalized members by carrying out daily utilization and quality review, monitoring for inefficiencies and opportunities to improve care, developing a safe discharge plan to include recommending alternative levels and sites of care when...
-
RN, Inpatient Case Manager
4 weeks ago
Decatur, United States Kaiser Permanente Full time$10,000 SIGN-ON BONUS FOR ELIGIBLE EXTERNAL HIRESJob SummaryResponsible for working collaboratively with physician partners to optimize quality and efficiency of care for hospitalized members by carrying out daily utilization and quality review, monitoring for inefficiencies and opportunities to improve care, developing a safe discharge plan to include...
-
RN, Inpatient Case Manager, Full Time
1 week ago
Decatur, United States Kaiser Permanente Full time$10,000 SIGN-ON BONUS FOR ELIGIBILE EXTERNAL HIRES!Job SummaryResponsible for working collaboratively with physician partners to optimize quality and efficiency of care for hospitalized members by carrying out daily utilization and quality review, monitoring for inefficiencies and opportunities to improve care, developing a safe discharge plan to include...
-
Decatur, GA, United States Kaiser Permanente Full timeJob SummaryResponsible for working collaboratively with physician partners to optimize quality and efficiency of care for hospitalized members by carrying out daily utilization and quality review, monitoring for inefficiencies and opportunities to improve care, developing a safe discharge plan to include recommending alternative levels and sites of care when...
-
RN, Inpatient Case Manager, Full Time
1 day ago
Decatur, GA, United States Kaiser Permanente Full time$10,000 SIGN-ON BONUS FOR ELIGIBLE EXTERNAL HIRESJob SummaryResponsible for working collaboratively with physician partners to optimize quality and efficiency of care for hospitalized members by carrying out daily utilization and quality review, monitoring for inefficiencies and opportunities to improve care, developing a safe discharge plan to include...
-
RN Case Manager
1 week ago
Decatur, United States Agape Hospice Care Full timeJob DescriptionJob DescriptionJoin Agape Hospice Care as a RN Case Manager!No two days are ever the same in healthcare. But, with the support of your team behind you, nothing is impossible to overcome. This is why we are completely committed to the well-being of our employees. Here, you have all you need to grow an incredible healthcare career – from...
-
Inpatient Education Nursing Specialist
2 weeks ago
Decatur, United States Adams Memorial Hospital Full timeThe MSU/ICU Inpatient Education RN coordinates education development with patients and nursing staff relating to the needs of the inpatient MSU and ICU units. Collaborates with the MSU and ICU preceptors, staff nurses and other team members within the interdisciplinary model to ensure effective, timely patient and staff education. Participates in patient and...
-
RN Case Manager
4 weeks ago
Decatur, United States Get It Recruit - Transportation Full timeAt our company, we are dedicated to making healthcare more accessible and fulfilling for patients and providers alike. Led by physicians, we focus on leveraging predictive analytics and AI to streamline administrative tasks and enhance the delivery of high-quality healthcare outcomes.Join us in reshaping healthcare for the better!Job DescriptionAs an RN Case...
-
RN Community Case Manager
2 months ago
Decatur, United States ChenMed Full timeWe're unique. You should be, too. We're changing lives every day. For both our patients and our team members. Are you innovative and entrepreneurial minded? Is your work ethic and ambition off the charts? Do you inspire others with your kindness and joy? We're different than most primary care providers. We're rapidly expanding and we need great people to...
-
Healthcare Case Manager
6 days ago
Decatur, Illinois, United States Get It Recruit - Transportation Full timeAt Get It Recruit - Transportation, we are committed to enhancing the accessibility and satisfaction of healthcare services for both patients and providers. Our approach is driven by a team of physicians who utilize predictive analytics and artificial intelligence to simplify administrative processes and improve the quality of healthcare delivery.Join us in...
-
Case Manager
4 weeks ago
Decatur, United States TASC Full timeJob DescriptionJob DescriptionDescription: At TASC (Treatment Alternatives for Safe Communities) our mission is to build a healthier, safer, more just society. Since 1976, we have been guided by the belief that every individual holds the potential for positive change. We advocate, support, and most importantly, empower people to break barriers, find...
-
Medical Case Manager
2 months ago
Decatur, United States Positive Impact Health Centers INC Full timeJob DescriptionJob DescriptionDescription:Positive Impact Health Centers (PIHC) is a community leader in providing HIV prevention, care and treatment services. The PIHC model of care assures that persons with HIV have access to medical, pharmacy, dental, behavioral health and social services, providing the best opportunity for patients to achieve...
-
Medical Case Manager
2 weeks ago
Decatur, United States Positive Impact Health Centers INC Full timeJob DescriptionJob DescriptionDescription:Positive Impact Health Centers (PIHC) is a community leader in providing HIV prevention, care and treatment services. The PIHC model of care assures that persons with HIV have access to medical, pharmacy, dental, behavioral health and social services, providing the best opportunity for patients to achieve...
-
RN Case Manager
1 month ago
Decatur, United States Get It Recruit - Transportation Full timeJoin our team at a leading healthcare organization committed to enhancing healthcare affordability and improving patient outcomes. We empower our team to make a meaningful impact by leveraging advanced analytics and technology, allowing physicians to prioritize high-quality, patient-focused care.Why Join Us?At our organization, we're dedicated to...
-
Medical Case Manager
1 month ago
Decatur, United States Positive Impact Health Centers INC Full timeJob DescriptionJob DescriptionDescription:Are you seeking a career with a growing company, a place where you can make an impact in the community? Then Positive Impact Health Centers is the company for you.Positive Impact Health Centers (PIHC) is a community leader in providing HIV prevention, care and treatment services located in Metro Atlanta. The PIHC...
-
RN Case Manager, PRN, 1st Shift
2 months ago
Decatur, United States Huntsville Hospital Health System Full timeOverview The case manager coordinates with physicians, nurses, social workers and other health team members to expedite medically appropriate, cost-effective care (Care Coordination). The case manager applies clinical expertise and medical appropriateness criteria and works with physicians to determine appropriateness of hospital stay and appropriate level...
-
Housing Case Manager
2 months ago
Decatur, United States Step Up Full timeJob DescriptionJob DescriptionDBHDD HSP, Housing Case ManagerREPORTS TO: Program ManagerHOURS: Full time – 40 hoursCLASSIFICATION: Non-ExemptSUMMARY: The Housing Case Manager (HCM) will provide outreach, engagement, intake, housing search/placement and on-going support services to homeless persons to obtain a Georgia Housing Voucher and be placed in...
-
Inpatient Rehab Manager
1 month ago
Decatur, United States Memorial Health University Medical Center Full timeOverview: Provide management oversight for inpatient therapy programs including departments of Physical Therapy, Occupational Therapy, Speech Pathology, Health Psychology and Therapeutic Recreation. Perform as an integral member of the rehab leadership team. Provide management, planning, direction and coordination of initiatives within his/her areas of...
-
Case Manager
3 months ago
Decatur, United States Prairieland Service Coordination, Inc. Full timeJob DescriptionJob DescriptionWe are looking to add to our Prairieland family in Decatur, IL. Prairieland is seeking a Case Manager/QIDP to serve Macon and Piatt counties. Bachelors degree in human service related field and one-year cumulative experience providing direct service to individuals with developmental disabilities required. The one-year cumulative...
![Kaiser Permanente](https://media.trabajo.org/img/noimg.jpg)
RN, Inpatient Case Manager
2 months ago
$10,000 SIGN-ON BONUS FOR ELIGIBILE EXTERNAL HIRES
Job Summary:
Responsible for working collaboratively with physician partners to optimize quality and efficiency of care for hospitalized members by carrying out daily utilization and quality review, monitoring for inefficiencies and opportunities to improve care, developing a safe discharge plan to include recommending alternative levels and sites of care when appropriate. The activities will include daily review of hospital care by chart review and discussion with attending physician, admission and concurrent review for inpatient admissions, meetings with patient and families to develop discharge planning, identification of patients for ambulatory case management, communication with case managers, home care reviewers, social workers, members and providers, quality improvement reviews, and education of the member/family, provider and hospital staff. Achieves desired utilization and quality outcomes and promotes high customer satisfaction to the population served.
Essential Responsibilities:
-
Plans, develops, assesses and evaluates care provided to members. Collaborates with physicians, other members of the multidisciplinary health care team and patient/family in the development, implementation and documentation of appropriate, individualized plans of care to ensure continuity, quality and appropriate resource use. Reviews, monitors, evaluates and coordinates the patients hospital stay to assure that all appropriate and essential services are delivered timely and efficiently. Communicates via huddles with hospitalist partner multiple times throughout the day.
-
Reviews all new inpatient admissions within 24 hours and begins the discharge planning process immediately. Assesses high risk patients in need of post-hospital care planning. Develops and coordinates the implementation of a discharge plan to meet each patients identified needs; communicates the plan to physicians, patient, family/caregivers, staff and appropriate community agencies to enhance the effect of a seamless transition from one level of care to another across the continuum. Ensures that the appropriate level of care is being delivered in the most appropriate setting. Recommends alternative levels of care and ensures compliance with federal, state and local requirements.
-
Performs psychosocial assessments on all patients that meet the high risk indicators for discharge planning. Comprehensively assesses patients goals as well as their biophysical, psychosocial, environmental, economic/financial, and discharge planning needs. Provides patients with education to assist with their discharge and help them cope with psychological problems related to acute and chronic illness. Refers patients to the ambulatory case managers, care managers and/or social workers as appropriate. Documents all admissions and discharges in the patients Kaiser Permanente electronic medical record. Makes post discharge follow-up calls to all patients who are not referred to an ambulatory case/care management program.
-
Attends scheduled rounds 2 times/week with the Physician Director of Resource Stewardship to discuss clinical course and discharge planning for assigned patients identifying any real or potential delays in care or quality of care issues.
-
Acts as a liaison between inpatient facility and referral facilities/agencies and provides case management to patients referred, serving as an advocate for patients and families. Coordinates transfer of patients to appropriate facilities; maintains and provides required documentation. Builds highly effective working relationships with physicians, SNF staff, vendors, and other departments within the health plan.
Basic Qualifications:
Experience
- Minimum two (2) years of experience in patient care delivery or completion of Masters degree in Case Management Program in lieu of minimum years of experience.
Education
- Associates Degree Nursing.
License, Certification, Registration
-
Registered Professional Nurse License (Georgia)
-
Licensed Registered Nurse (Temporary - Georgia)
Additional Requirements:
-
Demonstrated advanced communication and interpersonal skills with all levels of internal & external customers, including but not limited to medical staff, patients and families, clinical personnel, support and technical staff, outside agencies, and members of the community.
-
Ability to collaborate effectively with multidisciplinary healthcare team.
-
Excellent time management skills with the ability to work successfully in a fast-paced environment. Must be self-directed, and have the ability to tolerate frequent interruptions and a demanding work load.
-
Functional knowledge of computers.
-
Experience with managed health care delivery including Medicare.
-
Experience in a payer environment highly desirable.
-
Knowledge of funding, resources, services, clinical standards, and outcomes is preferred.
-
Complex Case Management Certification preferred.
-
Knowledge of the Nurse Practice Act, TJC, DMHC, CMS, NCQA, HIPPA, ERISA, EMTALA & all other applicable federal/state/local laws & regulations.
-
Demonstrated strong communication and customer service skills, problem-solving, critical thinking, & clinical judgment abilities.
-
Fundamental word processing & computer navigation skills & the ability to interpret & use analytic data in day to day operations.
-
Knowledge of healthcare benefits associated with various business lines.
Preferred Qualifications:
-
Minimum five (5) years of clinical nursing experience in a hospital setting.
-
Minimum five (5) years of professional practice experience in an acute care setting.
-
Minimum two (2) years of experience in utilization review, case management, and discharge planning preferred.
-
Bachelors Degree in Nursing, Health Care or Masters degree in Case Management.
COMPANY: KAISER
TITLE: RN, Inpatient Case Manager
LOCATION: Decatur, Georgia
REQNUMBER: 1216855
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, state and local laws, including but not limited to the San Francisco Fair Chance Ordinance. All qualified applicants will receive consideration for employment without regard to race, color, religion, sex, national origin, sexual orientation, gender identity, protected veteran, or disability status.