Inpatient Continuing Care Manager

2 weeks ago


Upper Marlboro, Maryland, United States Kaiser Permanente Full time
Job Summary:

The Manager of Inpatient Continuing Care serves as a liaison between Kaiser Permanente and healthcare providers to facilitate open communication and ensure smooth transitions of care. This position is responsible for supervising and managing teams of personnel who support utilization management, transitions of care, and discharge planning activities. The Manager ensures compliance with regulatory accreditation standards and promotes relationships between healthcare providers and Kaiser Permanente.

Key Responsibilities:
  • Develops and maintains collaborative relationships with healthcare providers and Kaiser Permanente departments to provide and facilitate transitions of care.
  • Manages and directs Patient Care Coordinators and support staff to ensure utilization management and discharge planning activities are applied consistently and effectively.
  • Ensures member benefits are interpreted and applied correctly and in compliance with state and federal regulations.
  • Conducts case-level reviews and provides feedback to Patient Care Coordinator staff on a regular basis.
  • Participates in multidisciplinary rounds and ensures that transitions of care to alternative levels of care are smooth and coordinated.
  • Provides support and oversight of UM activities, including the use of UM guidelines and processes.
  • Partners with other members of the UMOC and Continuing Care teams to develop and implement collaborative processes.
  • Supports professional growth by providing education, training, and resources to direct reports.
Requirements:
  • Minimum of five years of experience in a clinical setting.
  • Minimum of two years of experience as a Registered Nurse or in Utilization Management or Case Management.
  • Minimum of two years of supervisory experience or as a Kaiser Permanente Patient Care Coordinator.
Preferred Qualifications:
  • Experience working with various member populations in a community setting.
  • Knowledge of Kaiser Permanente or other integrated healthcare delivery systems.
  • Working knowledge of Kaiser Permanente or experience working with state Medicaid/Medicare plans.
  • Certification in Case Management from Commission for Case Manager Certification or Nursing Case Manager Certification from American Nurses Credentialing Center.


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