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RN, Inpatient Case Manager, Full Time (Day-Weekend)

Decatur, Georgia

Our nurse leaders maintain a strong commitment to the highest standards of professional nursing practice and to sustain a culture of excellence. You will encourage your teams to use evidence-based practice to deliver high-quality patient care, contribute to research, and spread innovation beyond Kaiser Permanente. Backed by the resources of one of the nation’s largest health care providers, you’ll motivate and inspire your team to achieve goals, value individual contributions, and celebrate accomplishments in meaningful ways while realizing your own potential as a leader.

  • Job Type: Part-time
  • Job Level: Individual Contributor
  • Travel: Yes, 5 % of the Time

Success Profile

We’re looking for Nurse Leaders who possess the following traits.

  • Adaptable
  • Collaborative
  • Compassionate
  • Leadership
  • Problem-Solver
  • Results-Oriented

Benefits

Our compensation and benefits are designed to help you and your family stay healthy and thrive.

  • Medical, Vision & Dental

  • Retirement Plans

  • Tuition Reimbursement

  • Tuition Reimbursement

  • Supportive Team & Resources

  • Career Growth & Development

Our Culture

Our Nurse Leaders cultivate an environment of compassion, integrity, trust, and open communication that helps our teams do their best work. Together, we pursue lifelong learning in the belief that it expands our knowledge so we can better serve our patients. We participate in research to inform our evidence-based care. Our nurses reflect the rich diversity of our members and communities, and provide culturally responsive and competent care that promotes the understanding of our members’ needs and preferences. At Kaiser Permanente, nurses are highly skilled professionals who exemplify leadership, critical thinking, and collaborative problem-solving, and deliver the right care, at the right time, in the right setting.

What Our People Are Saying

Ghada, PhD, RN, NEA-BC, CENP

SCAL Regional Director
Patient Care Services

So proud to be a Kaiser Permanente nurse leader. Despite all the challenges we experienced with the pandemic, we remained true to our mission to provide safe, quality care to our patients and members, and continue to encourage our employees to grow and develop professionally. I have completed my Doctor of Philosophy in Nursing and lead with an exceptional team. There are boundless opportunities here.

Gertrude, RN, BSN, MSA

Administrative Service Director
Nursing Administration

Kaiser Permanente has a mission of providing affordable health care not just for our members, but also the community — which is a passion of mine. I consider myself very fortunate to work for an organization that values their employees. As a nurse leader, I LOVE what I do! We provide endless possibilities for growth and professional development.

Michele, JD, MBA, RN

Director
Nursing Professional Development and
Simulation/Magnet Journey

Kaiser Permanente provides its nurse leaders with opportunities to innovate and thrive in an evidence-based practice that’s advancing the science of nursing and embracing a culture of excellence.

Philidah, MSN, RN

Sr. Director of Nursing

It’s a privilege to work for Kaiser Permanente. They support nurses through a variety of learning opportunities, from self-paced learning to leadership courses and stretch assignments. It enables equitable opportunities for professional growth and career advancement.

Mervin

Assistant Medical Center Administrator

I’m incredibly grateful for the support I received from Kaiser Permanente. I would not be where I am right now without the mentoring from outstanding leaders, the strong relationships I built with my team, and the partnership with other departments.

Melissa

Assistant Nurse Manager

I’m in my first position here, but I’ve already had the opportunity to be part of the Magnet Journey, quality and safety committees, and co-chair Professional Nursing Excellence Council. Kaiser Permanente continues to help me grow through leadership training programs like Activate and stretch assignments.

Aletha

Department Manager

Kaiser Permanente has many resources and tools to help us grow professionally. We have courses and financial aid for individuals who choose to advance.I love being a leader because I love to encourage, inspire, and develop my team. I also embrace challenges and enjoy collaborating in projects that positively impact our members.

Adriana

Department Manager RN

Kaiser Permanente allows me to focus on preventive health care, which contrasts with my acute care background. I appreciate the preventive care services that we offer our members and the different forms of communication based on personal preference.

RN, Inpatient Case Manager, Full Time (Day-Weekend)

Primary Location Decatur, Georgia Job Number 1216855 Date posted 08/28/2024
Submit Interest

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Description:
$10,000 SIGN-ON BONUS FOR ELIGIBILE EXTERNAL HIRES!


Job Summary:

Responsible for working collaboratively with physician partners to optimize quality and efficiency of care for hospitalized members by carrying out daily utilization and quality review, monitoring for inefficiencies and opportunities to improve care, developing a safe  discharge plan to include recommending alternative levels and sites of care when appropriate.  The activities will include daily review of hospital care by chart review and discussion with attending physician, admission and concurrent review for inpatient admissions, meetings with patient and families to develop discharge planning, identification of patients for ambulatory case management, communication with case managers, home care reviewers, social workers, members and providers, quality improvement reviews, and education of the member/family, provider and hospital staff.  Achieves desired utilization and quality outcomes and promotes high customer satisfaction to the population served.



Essential Responsibilities:


  • Plans, develops, assesses and evaluates care provided to members. Collaborates with physicians, other members of the multidisciplinary health care team and patient/family in the development, implementation and documentation of appropriate, individualized plans of care to ensure continuity, quality and appropriate resource use. Reviews, monitors, evaluates and coordinates the patients hospital stay to assure that all appropriate and essential services are delivered timely and efficiently. Communicates via huddles with hospitalist partner multiple times throughout the day.

  • Reviews all new inpatient admissions within 24 hours and begins the discharge planning process immediately. Assesses high risk patients in need of post-hospital care planning. Develops and coordinates the implementation of a discharge plan to meet each patients  identified needs; communicates the plan to physicians, patient, family/caregivers, staff and appropriate community agencies to enhance the effect of a seamless transition from one level of care to another across the continuum. Ensures that the appropriate level of care is being delivered in the most appropriate setting. Recommends alternative levels of care and ensures compliance with federal, state and local requirements.

  • Performs psychosocial assessments on all patients that meet the high risk indicators for discharge planning.  Comprehensively assesses patients goals as well as their biophysical, psychosocial, environmental, economic/financial, and discharge planning needs. Provides patients with education to assist with their discharge and help them cope with psychological problems related to acute and chronic illness.  Refers patients to the ambulatory case managers, care managers and/or social workers as appropriate. Documents all admissions and discharges in the patients Kaiser Permanente electronic medical record. Makes post discharge follow-up calls to all patients who are not referred to an ambulatory case/care management program.

  • Attends scheduled rounds 2 times/week with the Physician Director of Resource Stewardship to discuss clinical course and discharge planning for assigned patients identifying any real or potential delays in care or quality of care issues.

  • Acts as a liaison between inpatient facility and referral facilities/agencies and provides case management to patients referred, serving as an advocate for patients and families.  Coordinates transfer of patients to appropriate facilities; maintains and provides required documentation. Builds highly effective working relationships with physicians, SNF staff, vendors, and other departments within the health plan.

Basic Qualifications:

Experience


  • Minimum two (2) years of experience in patient care delivery or completion of Masters degree in Case Management Program in lieu of minimum years of experience.


Education


  • Associates Degree Nursing.


License, Certification, Registration


  • Registered Professional Nurse License (Georgia)



  • Licensed Registered Nurse (Temporary - Georgia)


Additional Requirements:


  • Demonstrated advanced communication and interpersonal skills with all levels of internal & external customers, including but not limited to medical staff, patients and families, clinical personnel, support and technical staff, outside agencies, and members of the community.

  • Ability to collaborate effectively with multidisciplinary healthcare team.

  • Excellent time management skills with the ability to work successfully in a fast-paced environment. Must be self-directed, and have the ability to tolerate frequent interruptions and a demanding work load.

  • Functional knowledge of computers.

  • Experience with managed health care delivery including Medicare.

  • Experience in a payer environment highly desirable.

  • Knowledge of funding, resources, services, clinical standards, and outcomes is preferred.

  • Complex Case Management Certification preferred.

  • Knowledge of the Nurse Practice Act, TJC, DMHC, CMS, NCQA, HIPPA, ERISA, EMTALA & all other applicable federal/state/local laws & regulations.

  • Demonstrated strong communication and customer service skills, problem-solving, critical thinking, & clinical judgment abilities.

  • Fundamental word processing & computer navigation skills & the ability to interpret & use analytic data in day to day operations.

  • Knowledge of healthcare benefits associated with various business lines.


Preferred Qualifications:


  • Minimum five (5) years of clinical nursing experience in a hospital setting.

  • Minimum five (5) years of professional practice experience in an acute care setting.

  • Minimum two (2) years of experience in utilization review, case management, and discharge planning preferred.

  • Bachelors Degree in Nursing, Health Care or Masters degree in Case Management.


#2024ANCC

Primary Location: Georgia,Decatur,Emory - Decatur Scheduled Weekly Hours: 36 Shift: Day Workdays: Fri, Sat, Sun Working Hours Start: 07:30 AM Working Hours End: 08:00 PM Job Schedule: Part-time Job Type: Standard Employee Status: Regular Employee Group/Union Affiliation: NUE-GA-01|NUE|Non Union Employee Job Level: Individual Contributor Department: EMORY DECATUR - Medical Office Administration - 2808 Pay Range: $68850 - $89001 / hour Sign on bonus: $10000.00 Kaiser Permanente strives to offer a market competitive total rewards package and is committed to pay equity and transparency. The posted pay range is based on possible base salaries for the role and does not reflect the full value of our total rewards package. Actual base pay determined at offer will be based on labor market data and a candidate's years of relevant work experience, education, certifications, skills, and geographic location. Travel: Yes, 5 % 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

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Our nurse leaders ensure we provide culturally responsive and competent care that meets our members’ needs and preferences.

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