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Licensed Nurses & Physician Assistants

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RN Case Manager - OHS

Location: City of Industry, CA Job Number: 720718 Date posted: 08/05/2018
Description: The OHS Case Manager guides, facilitates, and expedites the care and maximum recovery of patients and/or employees with work related injuries and illnesses. This consists of liaison work and communication between the patients and their employers and/or worker's compensation carriers and the medical staff and sub specialists. The OHS Case Manager is closely involved in organizing, assessing and communicating patient evaluation, treatment, continuity of care, follow-up, information regarding work status, need for further treatment, vocational rehabilitation and rehabilitation including guidance of patients and medical staff through the complexities of the workers' compensation system. The OHS Case Manager provides organized, efficient, and efficacious managed medical care to return injured patients to work as soon as medically and administratively possible.

Essential Responsibilities:
  • Assures that all OHS patients are case managed by: identifying the required level of case management and overseeing the deployment of the appropriate level of staff necessary to deliver service to the required level of management; development and implementation of an individualized case management plan and documentation of clinical resolution of care.
  • Manages all patients who have complex or catastrophic injuries by: monitoring and evaluating the treatment plan and identifying variances to the treating physician; assuring that the patient has access to care and moves through the OHS in an efficacious manner; monitoring, evaluating the achievement of patients' progress through comparison, guidelines and treatment plan and performing work site assessments when necessary.
  • Participates in the OHS Quality Management program by: data collection and analysis of clinical outcomes of care and customer satisfaction standards; participation on the OHS Practice Team in the formulation and implementation/monitoring of action strategies and outcomes of care or customer service.
  • Acts as a medical liaison between employers, carriers and third party administrators and injured workers by: communicating frequently (as indicated by the customers' standards) with employers, carriers, TPA's concerning work restrictions, treatment plans and progress, issues and problems and focusing on continually improving service and relationship.
  • Acts as a patient advocate and educator to assure that the patient has the knowledge to care for his/her injury and the patient is educated/empowered to be responsible for participating in the plan of care.
  • Participates as an OHS Management team member in decision making and execution of strategies to achieve the predetermined cost, quality, and service outcomes.


  • Basic Qualifications:
    Experience
  • Minimum two (2) years of experience as a case manager in Occupational Medicine or related area including knowledge of workers' compensation and laws.
    Education
  • Graduate of an accredited school of nursing required.
  • High School Diploma or General Education Development (GED) required.
    License, Certification, Registration
  • Current and valid California RN license required.

    Additional Requirements:
  • Demonstrated ability to utilize/apply the general and specialized principles, practices, techniques and methods of utilization review/management, care coordination, transfer coordination, discharge planning and case management.
  • Demonstrated ability to utilize written and verbal communication, interpersonal, critical thinking and problem-solving skills required.
  • Must be able to work in a Labor/Management Partnership environment.

    Preferred Qualifications:

  • Bachelor's degree in nursing or healthcare related field (preferred) OR current equivalent related work experience (4) four years.
  • Certified Occupational Health Nurse, preferred.
  • Experience working in an ambulatory clinic setting-preferred.
  • Ability to multi-task-preferred.
  • Excellent time management skills-preferred.
  • Experience with Outlook, Microsoft Word and Excel-preferred.
  • Excellent interpersonal skills-preferred.

    Primary Location: California,City of Industry,Crossroads Occupational Medicine 12801 Crossroads Scheduled Weekly Hours: 40 Shift: Day Workdays: Mon, Tue, Wed, Thu, Fri Working Hours Start: 9:00 AM Working Hours End: 5:30 PM Job Schedule: Full-time Job Type: Standard Employee Status: Regular Employee Group/Union Affiliation: Non-Union, Non-Exempt Job Level: Individual Contributor Job Category: Nursing Licensed Specialty: Occupational Health Department: Occupational Medicine Travel: No
    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.
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