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Care Manager RN

2 months ago

Alpine, California, United States Kaiser Permanente Full time
Job Summary:

Kaiser Permanente is seeking a skilled RN to join our team as a Care Manager Continuing Care Coord RN. In this role, you will coordinate with physicians, staff, and non-Kaiser providers/facilities to plan and implement a comprehensive, multi-disciplinary approach to manage health conditions, utilization of resources and protocols, patient self-care, and implementation and evaluation of treatment plans across the care continuum.

Key Responsibilities:
  • Develop and implement individualized patient care/treatment plans in conjunction with primary care and specialist physicians.
  • Recommend alternative levels of care and ensure compliance with federal, state, and local requirements.
  • Develop and deliver patient/family education plans focused on self-management and disease-specific education.
  • Coordinate care/services with utilization and/or quality reviewers and monitor level and quality of care.
  • Make referrals to appropriate community services and outside providers.
  • Consult with internal and external physicians, healthcare providers, and outside agencies regarding continued care/treatment, hospitalization, or referral to support services or placement.
  • Develop and collect data; trend utilization of healthcare resources.
  • Produce population-based reports on outcomes specific to defined patient populations.
Requirements:
  • Minimum one (1) year clinical experience as an RN in an acute care setting, plus two (2) years clinical experience as an RN in a licensed home health or hospice agency required.
  • Registered Nurse License (California) and Basic Life Support certification required.
  • Demonstrated ability to utilize/apply the general and specialized principles, practices, techniques, and methods of utilization review/management, discharge planning, or case management.
  • Working knowledge of regulatory requirements and accreditation standards (TJC, Medicare, Medi-Cal, etc.).
Preferred Qualifications:
  • Case Management Certification preferred.
  • Bachelor's degree in nursing or healthcare-related field preferred.