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Kaiser Permanente Careers

Quality Assurance, UR & Case Management

Passion + Vision + Integrity = Excellence

Ensure consistency and the highest ethical standards across our entire organization. Our quality assurance team drives ongoing improvement by fostering an environment of support, providing technical and specialized consultative services, and inspiring ongoing excellence.

Inpatient Continuing Care Supervisor

Location: Arlington, VA Additional Locations:
Job Number: 793929 Date posted: 06/10/2019

The Supervisor of Inpatient Continuing Care serves as liaison between Kaiser Permanente (KP) Health Plan, MAPMG providers, staff and faculty at hospital facilities, to facilitate open communication and ensure smooth transitions of care between KP and other care delivery systems. This position is also responsible for supervising and managing teams of personnel who support utilization management, transitions of care and discharge planning activities. This position ensures compliance with NCQA, state, federal and other regulatory accreditation standards.

Essential Responsibilities:

  • Works in partnership with the manager to serve as liaison between Health Plan, MAPMG providers and faculty and staff at facility.

  • Promotes relationships and communication between KP members, Health Plan, MAPMG providers and faculty and staff at facility.

  • Develops collaborative relationships within MAPMG, facility faculty and staff and other KP departments to provide and facilitate transitions of care.

  • Supervises Patient Care Coordinators and support staff to ensure utilization management and discharge planning activities are applied in a consistent and effective manner.

  • Oversees day to day activities of assigned staff, to include staff scheduling, caseload assignment, appropriate utilization of resources and timely discharge planning.

  • Ensures member benefits are interpreted and applied correctly and in compliance with state and federal regulations.

  • Conducts case level reviews and provides feedback to Patient Care Coordinator staff on a regular basis.

  • Participates in multidisciplinary rounds. Ensures that transitions of care to alternative levels of care are smooth and coordinated with Health Plan, facility, providers and KP member/family.

  • Provides support and oversight of UM activities (i.e., use of UM guidelines/criteria and UM processes).

  • Partners with other members of the UMOC and Continuing Care teams to develop and implement collaborative processes.

  • Supports professional growth by providing education, training and appropriate resources.

  • Conducts performance evaluations, provides coaching and acts as a mentor to direct reports.

  • Performs other related duties as assigned.

  • Will support Reston Hospital Center, Stafford Hospital, NOVA Non-Core Hospitals and Virginia Hospital Center, along with the NOVA inpatient continuing care manager.

    Basic Qualifications:


  • Minimum of three (3) years of experience in a clinical setting.

  • Minimum of one (1) year of experience in Utilization Management or Case Management.

  • Minimum of one (1) year of supervisory or management experience.

  • Education

  • Bachelor's degree required, OR four (4) years of experience in a directly related field.

  • High School Diploma or General Education Development (GED) required.

  • License, Certification, Registration

  • Must hold valid RN license in VA or compact state.

  • Current American Heart Association BLS required.


    Additional Requirements:

  • Proficient in computer applications including Microsoft Word, PowerPoint and Excel required.

  • Strong interpersonal skills, with good verbal and written communication skills required.

  • Skills in problem-solving and collaboration with other professions/ disciplines required.

  • Ability to work comfortably and effectively in a hospital and managed care setting required.


    Preferred Qualifications:

  • Experience working with various member populations in a community setting.

  • Knowledge of KP or other integrated health care delivery system.

  • Working knowledge of KP or experience working with state Medicaid/Medicare plans.

  • Certification in Case Management from Commission for Case Manager Certification or Nursing Case Manager Certification from American Nurses Credentialing Center. 

  • Master's degree in nursing, health care administration or related field.
  • Primary Location: Virginia,Arlington,Virginia Hospital Center Scheduled Weekly Hours: 40 Shift: Day Workdays: Mon, Tue, Wed, Thu, Fri, Occasional weekend Working Hours Start: 8:00 AM Working Hours End: 5:00 PM Job Schedule: Full-time Job Type: Standard Employee Status: Regular Employee Group/Union Affiliation: Salaried, Non-Union, Exempt Job Level: Team Leader/Supervisor Job Category: QA / UR / Case Management Department: Utilization Management Travel: Yes, 50 % of the Time 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.

    External hires must pass a background check/drug screen. Qualified applicants with arrest and/or conviction records will be considered for employment in a manner consistent with federal and state laws, as well as applicable local ordinances, including but not limited to the San Francisco and Los Angeles Fair Chance Ordinances.

    About QA, Ur & Case Management Careers

    Careers In QA, Ur & Case Management

    As an organization, we are committed to delivering the same exemplary care no matter who you are, where you are, or what your needs. But how are those standards defined, measured, and assessed? That's where our quality assurance team comes in. Implementing the action plans and initiatives that will drive successful practices, you'll work across the organization to foster the necessary education, communication, and innovation that will enable us to operate as one KP — with our mission and goals in complete alignment.

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