Case Manager ED, Kona/Hilo
Primary Location Kailua-Kona, Hawaii
Facility Kona Medical Offices I
Job Number 1249381 Date posted 05/07/2024
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Description:
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.
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 Responsibilities:
- Implements Continuing Care programs and initiatives with Continuing Care providers and PCP Team. Assists with integrating programs and initiatives into daily practice. Makes clinic/location-specific adaptations as necessary to insure successful implementation of model. Monitors and evaluates outcomes.
- Provides case management services to targeted patients/families by interviewing and evaluating their needs. Develops work plans to assist patients/families in meeting identified needs. Coordinates resources and services to assure continuity and quality of care. Maintains working knowledge of community resources. Interprets Kaiser Permanente benefits/services to patients, families, and members of community.
- Monitors high-risk members and assists them with access to care. Integrates patients into existing programs/services. Evaluates outcomes and makes recommendations for change.
- Assists patients/families with identified problems/concerns.
- Meets with Continuing Care providers and PCP Team to monitor targeted patients. Assists Team by coordinating community care. Explores options to assure that quality, cost-efficient care is provided.
- Makes daily hospital rounds for early identification of UM and discharge planning activities. Assists physician/patient/family in planning discharge. to facilitate smooth transfer to home or alternate facility.
- Reports any Risk/Quality/Utilization Management issues to Neighbor Island Management Team.
- Acts as contact person for MOA/Oahu discharges. Assists patients with smooth transfer to home.
- Participates in community hospital interdisciplinary team meetings.
- Maintains confidentiality of all patient information.
- 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.
- Develops and maintains collegial and consultative working relationship with Government Programs office staff to assure that all regulatory requirements are met and necessary changes are implemented.
- Attends community seminars and workshops specific to professional needs. Participates in approved educational programs.
- Assists in developing, implementing, maintaining, evaluating, and enhancing Total Quality Management activities within organization. Makes suggestions for change/improvement as indicated.
- Incorporates the KP Nursing Vision, Model and Values through out their Nursing Practice.
Basic Qualifications:
Experience
- Minimum one (1) year of working with low income/high risk patients, preferably in healthcare setting, including experience or successful completion of training program (pre-hire, post-hire, or on-the-job) in area of specialty, if applicable.
Education
- Bachelors degree in nursing OR four (4) years of experience in a directly related field.
License, Certification, Registration
- Registered Nurse License (Hawaii) required at hire
- Basic Life Support from American Heart Association
Additional Requirements:
- Case management/community outreach experience.
- Demonstrated knowledge of and skill in oral communication, written communication, interpersonal relations, customer service, change management, multi-task and problem solving.
- Demonstrated knowledge of and skill in word processing, spreadsheet and database PC applications.
Preferred Qualifications:
- Program development and operations level implementation.
- Geriatric experience in outpatient clinic setting.
- Supervisory/lead experience.
Primary Location: Hawaii,Kailua Kona,Kona Medical Offices I
Scheduled Weekly Hours: 40
Shift: Variable
Workdays: Mon, Tue, Wed, Thu, Fri
Working Hours Start: 12:01 AM
Working Hours End: 11:59 PM
Job Schedule: Full-time
Job Type: Standard
Employee Status: Regular
Employee Group/Union Affiliation: NUE-HI-01|NUE|Non Union Employee
Job Level: Individual Contributor
Department: Kona Medical Offices - Utilization Management - 1208
Pay Range: $116600 - $150810 / year
The ranges posted above reflect the location in the job posting. The salary range may vary if you reside in a different location or state than the location posted.
Travel: Yes, 25 % of the Time
At Kaiser Permanente, equity, inclusion and diversity are inextricably linked to our mission, and we aim to make it a part of everything we do. We know that having a diverse and inclusive workforce makes Kaiser Permanente a better place to receive health care, a more supportive partner in our communities we serve, and a more fulfilling place to work. Working at Kaiser Permanente means that you agree to and abide by our commitment to equity and our expectation that we all work together to create an inclusive work environment focused on a sense of belonging and wellbeing.
Kaiser Permanente is an equal opportunity employer committed to a diverse and inclusive workforce. Applicants will receive consideration for employment without regard to race, color, religion, sex (including pregnancy), age, sexual orientation, national origin, marital status, parental status, ancestry, disability, gender identity, veteran status, genetic information, other distinguishing characteristics of diversity and inclusion, or any other protected status. Submit Interest
Kaiser Permanente is an equal opportunity employer committed to a diverse and inclusive workforce. Applicants will receive consideration for employment without regard to race, color, religion, sex (including pregnancy), age, sexual orientation, national origin, marital status, parental status, ancestry, disability, gender identity, veteran status, genetic information, other distinguishing characteristics of diversity and inclusion, or any other protected status. Submit Interest
