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Case Manager Continuing Care Coord RN - San Diego, Per Diem - Days

San Diego, California

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: Per Diem
  • Job Level: Individual Contributor
  • Travel: Yes, 75 % 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.

Case Manager Continuing Care Coord RN - San Diego, Per Diem - Days

Primary Location San Diego, California Worker Location Onsite Job Number 1304075 Date posted 09/17/2024
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Description:
Job Summary:

Coordinates with physicians, staff, and non-Kaiser providers/facilities regarding patient care/population based management for patients in specifically defined geriatric or other specifically defined patient populations in order to plan and implement a comprehensive, multi-disciplinary approach to manage health conditions, utilization of resources and protocols, patient self-care, implementation and evaluation of treatment plan across the care continuum (primary, secondary, tertiary and continued care). In conjunction with physicians, develops treatment plan, monitors care, makes recommendations for alternative levels of care, identifies cost-effective protocols and care paths and develops guidelines for care that may require coordination across systems of multiple providers/services. Complies with other duties as described. Must be able to work collaboratively with the Multidisciplinary team.

Essential Responsibilities:


  • Plans, develops, assesses and evaluates care provided to members.

  • In conjunction with primary care and specialist physicians, evaluates and develops baseline medical and psychosocial evaluations and individualized patient care/treatment plans.

  • Recommends alternative levels of care and ensures compliance with federal, state, and local requirements.

  • Develops individualized patient/family education plan focused on self-management; delivers patient/family education specific to a disease state.

  • Encourages member to follow prescribed course of care (e.g., drug therapy, physical therapy).

  • Coordinates care/services with utilization and/or quality reviewers and monitors level and quality of care.

  • Coordinates the interdisciplinary approach to providing continuity of care, including utilization management, transfer coordination, discharge planning, and obtaining all authorizations/approvals/transfers as needed for outside services for patients/families.

  • Makes referrals to appropriate community services and outside providers.

  • Coordinates transmission of clinical and benefit treatment to patients, families and outside agencies.

  • Consults with internal and external physicians, health care providers, discharge planning and outside agencies regarding continued care/treatment, hospitalization or referral to support services or placement.

  • Arranges and monitors follow-up appointments.

  • Coordinates repatriation of patients and monitors their quality of care.

  • Develops and collects data; trends utilization of health care resources.

  • Produces population based reports on outcomes specific to defined patient populations.

  • Participates with healthcare team/providers in actualizing outcomes by planning, evaluating and implementing decisions and strategies to achieve predetermined cost, clinical, quality, utilization and service outcomes.

  • Develops and maintains case management policies and procedures.

  • Identifies and recommends opportunities for cost savings and improving the quality of care across the continuum.

  • Interprets regulations, health plan benefits, policies, and procedures for members, physicians, medical office staff, contract providers, and outside agencies.

  • Acts as liaison for outside agencies, non-plan facilities, and outside providers.

  • Participates in committees, teams or other work projects/duties as assigned.
Basic Qualifications:

Experience


  • Minimum one (1) year clinical experience as an RN in an acute care setting, plus two (2)years clinical experience as an RN in a licensed home health or hospice agency required.

  •  

  • For positions in Special Needs & Care Programs (Care Plus/Guidance):  Two (2) years clinical experience as an RN in an acute care setting required.


Education


  • Please refer to Minimum Work Experience and Qualifications Sections.


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, 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.


Preferred Qualifications:


  • Case Management Certification preferred.

  • Bachelors degree in nursing or healthcare related field preferred.


Notes:



  • 7 day a week service. Location may vary based on operational need 

Primary Location: California,San Diego,Mission Road Administration Building A Scheduled Weekly Hours: 1 Shift: Day Workdays: Mon, Tue, Wed, Thu, Fri, Sat, Sun Working Hours Start: 08:29 AM Working Hours End: 05:00 PM Job Schedule: Per Diem Job Type: Standard Worker Location: Onsite Employee Status: Regular Employee Group/Union Affiliation: B21|AFSCME|SCNSC Job Level: Individual Contributor Department: San Diego Admin Offices 1 - Geriatric Medicine - 0806 Pay Range: $71.52 - $87.52 / hour 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, 75 % of the Time On-site: Work location is on-site (KP designated office, medical office building or hospital). Worker location must align with Kaiser Permanente's Authorized States policy. 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.

For jobs where work will be performed in unincorporated LA County, the employer provides the following statement in accordance with the Los Angeles County Fair Chance Ordinance. Criminal history may have a direct, adverse, and negative relationship on the following job duties, potentially resulting in the withdrawal of the conditional offer of employment:

  • Consistently supports compliance and the Principles of Responsibility (Kaiser Permanente's Code of Conduct) by maintaining the privacy and confidentiality of information, protecting the assets of the organization, acting with ethics and integrity, reporting non-compliance, and adhering to applicable federal, state, and local laws and regulations, accreditation, and licensure requirements (where applicable), and Kaiser Permanente's policies and procedures.

  • Models and reinforces ethical behavior in self and others in accordance with the Principles of Responsibility, adheres to organizational policies and guidelines; supports compliance initiatives; maintains confidences; admits mistakes; conducts business with honesty, shows consistency in words and actions; follows through on commitments.

  • Job duties with at least occasional or possible access to: (1) patients, the general public, or other employees; (2) confidential protected health information and other confidential KP information (including employee, proprietary, financial or trade secret information); (3) KP property and assets, for example, electronic assets, medical instruments, or devices; (4) controlled substances regulated by federal law or potentially subject to diversion.
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