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Geriatric Care Manager
2 months ago
Kaiser Permanente is an equal opportunity employer committed to a diverse and inclusive workforce.
This role is responsible for coordinating patient care and population-based management for patients in specifically defined geriatric or other specifically defined patient populations.
Key Responsibilities:- Develop and implement comprehensive, multi-disciplinary care plans to manage health conditions, utilization of resources, and patient self-care.
- Coordinate with physicians, staff, and non-Kaiser providers/facilities to ensure seamless care transitions and optimal patient outcomes.
- Plan, develop, and evaluate care provided to members, including baseline medical and psychosocial evaluations and individualized patient care/treatment plans.
- 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 monitors level and quality of care.
- Collaborate with internal and external physicians, healthcare providers, and discharge planning teams to ensure continuity of care.
- Make referrals to appropriate community services and outside providers as needed.
- Ensure timely and accurate transmission of clinical and benefit information to patients, families, and outside agencies.
- Participate in committees, teams, or other work projects/duties as assigned.
- 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.
- Demonstrated ability to utilize written and verbal communication, interpersonal, critical thinking, and problem-solving skills.