Skip to Main Content

Kaiser Permanente Careers

Licensed Nurses & Physician Assistants

The Front Line of Patient Care

Our nurse professionals embody what it means to provide the best patient interactions possible. They also advance the art and science of nursing in a patient-centered, healing environment.

Inpatient Case Manager

Location: Atlanta, GA Additional Locations:
Job Number: 777804 Date posted: 03/25/2019
Description:

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 patient's 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 patient's  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 Master's degree in Case Management Program in lieu of minimum years of experience.

  • Education

  • Associate's degree nursing.

  • License, Certification, Registration

  • Unrestricted current Registered Nurse (RN) licensure in the state of Georgia required or documentation to show intent to seek license.


  • 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. 

  • Bachelor's degree in nursing, health care or master's degree in case management.
  • Primary Location: Georgia,Atlanta,Emory University Hospital - Midtown 550 Peachtree Scheduled Weekly Hours: 8 Shift: Day Workdays: Sat, Sun (Every other weekend) Working Hours Start: 8:00 AM Working Hours End: 4:30 PM Job Schedule: Short Hour Job Type: Standard Employee Status: Regular Employee Group/Union Affiliation: Non-Union, Non-Exempt Job Level: Individual Contributor Job Category: Nursing Licensed Department: Medical Office Administration Travel: Yes, 5 % 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 Nursing & Physician Assistant Careers

    Nursing Careers

    Through professional practice and leadership, nurses at Kaiser Permanente continually advance the art and science of nursing. But we recognize that what we do is more than clinical practice. We believe that every interaction — whether it is with a patient, a colleague, a physician, or anyone else — has the potential to be extraordinary. And we find that approaching our daily routine with this in mind gives each and every action new meaning and allows us to focus on the moment, empowering us to deliver expert care.

    No matter where you are in your nursing career, the size and scope of our organization means you have the resources, technology, tools, and support you need to make a lasting impact.

    Passion. Committment. Excellence. Discover Nursing At KP.

    Passion. Committment. Excellence. Discover Nursing Management at KP.

    Physician Assistant Careers

    Physician assistants play a powerful and important role in delivering high-quality, informative care. Working directly with patients, their families, colleagues, and supervising physicians, they are vital in defining the overall care experience.

    Being a physician assistant at Kaiser Permanente is centered on promoting a healing environment — one that maintains a caring, comforting practice while honoring the unity of the whole patient: mind, body, and spirit.

    Glassdoor Logo

    See What People are Saying About Working at KP

    Sep 27, 2018

    "RN"

    Glassdoor Ratings

    Current Employee - Anonymous Employee

    • Recommends
    • Positive Outlook

    I have been working at Kaiser Permanente full-time

    Pros

    KP is a dynamic employer that takes staff development and members wellbeing to a level that is unparallel to other employers.Full Review

    More Kaiser Permanente Ratings & Reviews (3,975)

    Thanks
    to Our
    Employees

    Kaiser Permanente has been named one of the 2019 Best Places to Work. Check out what our employees like best about working at KP!

    glassdoor 2019 Best Places to Work - Employees' Choice

    Our Events

    Come introduce yourself to a member of the Kaiser Permanente team at an upcoming career or professional event. We look forward to meeting you in person.

    Recently Viewed Jobs

    You do not have any recently viewed jobs.

    Join Kaiser Permanente's Talent Network

    Please fill out the fields below and click "Join Now" to receive information about opportunities that relate to your selections.

    Interested InSearch for a category and select one from the list of suggestions. Search for a location and select one from the list of suggestions. Finally, click “Add” to create your job alert.

    • Nursing Licensed & Physician Assistants, Atlanta, Georgia, United StatesRemove

    Interested in internships or early career opportunities? Click here to join our University Talent Network. Are you a Veteran? Click here to join our Military Talent Network.