Nurse Case Manager

3 weeks ago

Wailuku HI, United States Kaiser Permanente Full time

Job Summary:

Kaiser Permanente is seeking a highly skilled Registered Nurse (RN) Case Manager to join our team. As a key member of our nursing staff, you will be responsible for coordinating patient care and ensuring seamless transitions between healthcare settings.

Key Responsibilities:

  • Coordinates with physicians, staff, and non-Kaiser providers and facilities regarding patient care.
  • Develops plans of care and discharge plans, monitors all clinical activities, makes recommendations for alternative levels of care, identifies cost-effective protocols, and develops guidelines for care.
  • Performs daily pre-admission, admission, and concurrent utilization reviews to determine appropriate levels of care and readiness for discharge.
  • Escalates utilization and system problems which have not been resolved immediately.
  • Performs rounds and reviews patient admissions under Kaiser Skilled Nursing Facility (SNF) benefit.
  • Utilizes knowledge and experience of Medicare regulations and Health Plan benefits to determine medical necessity.
  • Monitors the progression of the plan of care and facilitates discussions with the multidisciplinary teams.
  • Collaborates with and provides information to patients, families, physicians, and staff regarding the provisions of care.
  • Ensures continuity of care for outside services for the patient.
  • Monitors level of care.
  • Develops, evaluates, and coordinates a comprehensive discharge plan in conjunction with the patient/family, physician, nursing, social services, and other healthcare providers and agencies.
  • Monitors care processes and participates in the development and implementation of guidelines, pre-printed physician orders, care paths, etc. for patient care.
  • Identifies and assists in the implementation of opportunities for cost-savings and improvements in the quality of care across the continuum.
  • Establishes and maintains effective relationships between Kaiser Permanente and the community facilities.
  • Identifies quality improvement and relationship building opportunities.
  • Monitors high-cost cases and reports findings to Hospital Administration, Director of Continuing Care and/or Community Medical Services.
  • Keeps abreast of current changes in health care benefits, laws or regulatory requirements which influence health plan benefit issues.
  • May perform patient care to the extent necessary to maintain clinical expertise, competency, and licensing necessary to fulfill job responsibilities and to direct the provision of care on the unit.
  • Provides direct patient care on an as needed basis.
  • Provides services that are within scope of license and in compliance with all legal, regulatory, and policy requirements relevant to clinical role performed.
  • Incorporates the KP Nursing Vision, Model and Values throughout their Nursing Practice.

Requirements:

  • Four (4) years of acute or sub-acute inpatient care experience.
  • One (1) year of Care Management experience OR successful completion of the MHS Case Management Internship within 6 months of hire.
  • Bachelors degree in nursing OR four (4) years of directly related experience.
  • Demonstrated knowledge of and skill in word processing, spreadsheet and database PC applications.
  • Analytical and interpretive ability of data in daily operations.
  • Minimum two (2) years of experience in Care Management.
  • Professional certification in Case Management.
  • Masters Degree in health care administration, nursing, or related field.

  • Registered Nurse Case Manager

    4 weeks ago

    Wailuku, HI, United States Kaiser Permanente Full time

    Position Overview:Kaiser Permanente is in search of a dedicated Registered Nurse (RN) specializing in Case Management. This role is pivotal in ensuring optimal patient care through effective coordination and collaboration.Key Responsibilities:1. Collaborate with healthcare professionals, including physicians and staff, to enhance patient care.2. Develop and...

  • Registered Nurse Case Manager

    3 weeks ago

    Wailuku, HI, United States Kaiser Permanente Full time

    Job Summary:Kaiser Permanente is seeking a Registered Nurse (RN) Case Manager to coordinate patient care and develop plans of care in a nursing job in Hawaii.Key Responsibilities:Coordinates with physicians, staff, and non-Kaiser providers and facilities regarding patient care.Develops plans of care and discharge plans, monitors all clinical activities,...

  • Home Health RN Case Manager

    4 weeks ago

    Wailuku, United States Ohana Pacific Health Full time

    Join our team as a Home Health RN Case Manager with a $2,000 Retention Bonus!The Company:We are Ohana Pacific Health. We positively impact thousands of lives each year with the "Ohana Experience", an organizational culture based on excellence and genuine care.Hawaii's largest, locally owned post-acute healthcare company.Our vision is to transform how...

  • Home Health RN Case Manager

    4 weeks ago

    Wailuku, United States Ohana Pacific Health Full time $102,747 - $108,165

    Join our team as a Home Health RN Case Manager with a $2,000 Retention Bonus!Are you the right applicant for this opportunity Find out by reading through the role overview below.The Company:We are Ohana Pacific Health. We positively impact thousands of lives each year with the "Ohana Experience", an organizational culture based on excellence and genuine...

  • Medical Unit

    3 days ago

    Wailuku, HI, United States Kaiser Permanente Full time

    Kaiser Permanente is seeking a Registered Nurse (RN) Case Management Level I for a nursing job in Wailuku, Hawaii. Specialty: Case Management ~ Shift: 8 hours, days ~ Employment Type: Staff Provides case management and outreach services to selected patients. Provides discharge planning services and assists with follow-up for Health Plan members...

  • Hospital Case Manager

    2 months ago

    Wailuku, United States Kaiser Permanente Full time

    Job Summary: Coordinates with physicians, staff, and non-Kaiser providers and facilities regarding patient care. In conjunction with physicians, develops plans of care and discharge plans, monitors all clinical activities, makes recommendations for alternative levels of care, identifies cost-effective protocols, and develops guidelines for care. Essential...

  • RN Case Manager

    2 months ago

    Wailuku, United States Ohana Pacific Management Company Full time

    Job DescriptionJob DescriptionJoin our team as a RN Case Manager with a $2,000 Retention Bonus!**Relocation Assistance may be provided**The Company:We are Ohana Pacific Health. We positively impact thousands of lives each year with the "Ohana Experience", an organizational culture based on excellence and genuine care.Hawaii's largest, locally owned...

  • Case Manager

    5 days ago

    Wailuku, United States Kaiser Permanente Full time

    Job Summary:Provides case management and outreach services to selected patients. Provides discharge planning services and assists with follow-up for Health Plan members hospitalized at community hospitals. Incorporates Risk Management, Quality Management and Utilization Management concepts into daily hospital and clinic activities. Essential...

  • Case Manager

    5 days ago

    Wailuku, United States Kaiser Permanente Full time

    Job Summary:Provides case management and outreach services to selected patients. Provides discharge planning services and assists with follow-up for Health Plan members hospitalized at community hospitals. Incorporates Risk Management, Quality Management and Utilization Management concepts into daily hospital and clinic activities. Essential...

  • RN Case Manager

    1 week ago

    Wailuku, United States Ohana Pacific Management Company Full time

    About the RoleWe are seeking a skilled Registered Nurse to join our team as a Case Manager in Home Health Services. As a key member of our interdisciplinary team, you will provide high-quality nursing care to patients in their homes, working closely with patients, families, and healthcare professionals to achieve optimal health...

  • Case Manager

    5 days ago

    Wailuku, HI, United States Kaiser Permanente Full time

    Job Summary:Provides case management and outreach services to selected patients. Provides discharge planning services and assists with follow-up for Health Plan members hospitalized at community hospitals. Incorporates Risk Management, Quality Management and Utilization Management concepts into daily hospital and clinic activities. Essential...

  • Hospital Case Manager

    4 weeks ago

    Wailuku, United States HealthEcareers - Client Full time

    Job Summary: Coordinates with physicians, staff, and non-Kaiser providers and facilities regarding patient care. In conjunction with physicians, develops plans of care and discharge plans, monitors all clinical activities, makes recommendations for alternative levels of care, identifies cost-effective protocols, and develops guidelines for care.Essential...

  • Hospital Case Manager

    6 days ago

    Wailuku, United States CMP Full time

    Job Summary: Coordinates with physicians, staff, and non-Kaiser providers and facilities regarding patient care. In conjunction with physicians, develops plans of care and discharge plans, monitors all clinical activities, makes recommendations for alternative levels of care, identifies cost-effective protocols, and develops guidelines for care.Essential...

  • Hospital Case Manager

    2 weeks ago

    Wailuku, United States Recruitics JB Full time

    Job Summary: Coordinates with physicians, staff, and non-Kaiser providers and facilities regarding patient care. In conjunction with physicians, develops plans of care and discharge plans, monitors all clinical activities, makes recommendations for alternative levels of care, identifies cost-effective protocols, and develops guidelines for care.Essential...

  • Hospital Case Manager

    5 days ago

    Wailuku, HI, United States Kaiser Permanente Full time

    Job Summary: Coordinates with physicians, staff, and non-Kaiser providers and facilities regarding patient care. In conjunction with physicians, develops plans of care and discharge plans, monitors all clinical activities, makes recommendations for alternative levels of care, identifies cost-effective protocols, and develops guidelines for care.Essential...

  • Case Manager RN

    2 weeks ago

    Honolulu, HI, United States BAYADA Home Health Care Full time

    BAYADA Habilitation is seeking a Registered Nurse (RN) to fill the position of a Case Manager for our Oahu Habilitation office. Looking for a rewarding career? Watch the video! If you are looking to transition out of bedside nursing and still have a rewarding career as a registered nurse, this is the best time to hear more about this opportunity. We are...

  • Home Health Assistant

    2 weeks ago

    Wailuku, HI, United States Kaiser Full time

    Job Summary: Coordinates and implements paraprofessional services of Kaiser members. Recommends referrals to appropriate resources/agencies within Kaiser system and in community. Under direction of Registered Nurse and/or Physical, Speech or Occupational Therapist, provides nursing and personal care to patients in their homes, preventing hospitalizations,...

  • Travel Contract

    3 weeks ago

    Kailua, HI, United States TotalMed Case Management Staffing Full time

    TotalMed Case Management Staffing is seeking a travel nurse RN Home Health for a travel nursing job in Kailua, Hawaii. Specialty: Home Health ~ Shift: 8 hours, days ~ Employment Type: Travel We are seeking a Registered Nurse-Home Health for a travel assignment in Kailua Hawaii. Pay package is based on 8 hour shifts and 40 hours per week (subject...

  • Travel Nurse RN Position

    3 weeks ago

    Wailuku, HI, United States TravelNurseSource Full time

    About the PositionTravelNurseSource is working with Host Healthcare to find a qualified Registered Nurse - ICU in a dynamic healthcare setting. We are seeking a skilled and compassionate nurse to join our team in a challenging and rewarding ICU environment.Why Choose TravelNurseSource?We are a leading travel healthcare company that offers a range of benefits...

  • Perioperative Services Manager

    3 weeks ago

    Wailuku, HI, United States Kaiser Permanente Full time

    Job SummaryKaiser Permanente is seeking a highly skilled and experienced Nursing Director to lead our Perioperative Services team. As a key member of our leadership team, you will be responsible for overseeing the strategic planning, direction, and coordination of perioperative services, ensuring the delivery of high-quality patient care and exceptional...