Nurse Case Manager
21 hours ago
Kaiser Permanente is seeking a skilled Nurse Case Manager to join their team in Orange, California.
Job Description & Requirements- Specialty: Case Management
- Discipline: RN
- Duration: Ongoing
- 40 hours per week
- Shift: 8 hours, days
- Employment Type: Staff
Job Summary:
The successful candidate will work collaboratively with an assigned panel of physicians to manage patients with specialized needs. Key responsibilities include assessing patient needs, developing individualized care management plans, and coordinating access to health services across multiple providers and disciplines. The ideal candidate will possess excellent communication and interpersonal skills, with the ability to work effectively in a fast-paced environment.
Essential Responsibilities:- Evaluate patient needs and develop comprehensive care management plans.
- Collaborate with primary care physicians, specialists, and other healthcare professionals to ensure seamless care coordination.
- Monitor and evaluate the effectiveness of care management plans, making adjustments as necessary.
- Coordinate interdisciplinary approaches to providing continuity of care, including utilization management, transfer coordination, and discharge planning.
- Act as a clinical liaison with outside agencies, such as County CCS, non-plan facilities, and third-party administrators.
- Prepare reports and communicate program changes to relevant staff.
- Develop and update training and educational materials, presenting to staff, members, and families.
- Facilitate patient return to normal daily activities by teaching and making referrals for outside services or continued care.
- Consult with internal and external physicians, healthcare providers, and discharge planners regarding continued care or hospitalization.
- May need to facilitate transportation and housing arrangements for patients.
- Coordinate transmission of clinical and benefit information to patients, families, and outside agencies.
- Participate in data collection and analysis of clinical outcomes and customer satisfaction standards.
- Interpret regulations, health plan benefits, policies, and procedures for members, physicians, and contract providers.
Basic Qualifications:
Experience
· Minimum two (2) years clinical experience as an RN in an acute care or ambulatory care setting required.
Education
· Bachelor's degree or equivalent experience four (4) years required.
License, Certification, Registration
· Registered Nurse License (California)
· Basic Life Support
Additional Requirements:
· Demonstrated ability to utilize/apply the general and specialized principles, practices, techniques, and methods of utilization review/management, care coordination, transfer coordination, discharge planning, or case management.
· Working knowledge of regulatory requirements and accreditation standards (TJC, Medicare, Medi-Cal, etc.).
· Demonstrated ability to utilize written and verbal communication, interpersonal, critical thinking, and problem-solving skills required.
· Computer literacy skills required.
· Bilingual (English/Spanish) Level II required.
Preferred Qualifications:
· Case Management Certification or certification in the area of specialty preferred.
· Bachelor's degree in nursing or healthcare-related field preferred.
Notes:
Kaiser Permanente Job ID #1283110.
About Kaiser PermanenteAt the heart of health care, you'll find Kaiser Permanente. As the nation's leading not-for-profit, integrated health plan, we make a difference in the lives of members, patients, and communities across the country.
With 39 hospitals and more than 734 locations in eight states and the District of Columbia, we proudly serve more than 12.7 million members from coast to coast. Whether you choose to join a hospital in the Northwest, a clinic in Southern California, or a medical office in the Mid-Atlantic, we have many opportunities for you to shape the future of care.
Our teams are empowered to advance impactful and extraordinary care for all by pioneering health outcomes, encouraging diverse viewpoints, and creating new opportunities for learning and advancement. This covers more than our members and our employees; it also reaches far into our communities. Together, we're proudly working as one for a healthier today and tomorrow.
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