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Case Manager Specialist RN - Fontana Med Center - Population Management - FT

Fontana, California

At Kaiser Permanente our nurses are leaders, clinicians, researchers, innovators, and scientists who are contributing toward being an industry-leading voice for advancing evidence-based care. Whether supporting the patient directly in our hospitals or clinics, providing care at home, serving our patients through innovative virtual technology, or managing care delivery teams, Kaiser Permanente nurses utilize scientific evidence and our integrated care model to optimize the total health of our members and the communities we serve. We invite nurses who are passionate about nursing excellence, high-quality compassionate care delivery, professionalism, integrity, teamwork and patient and family centeredness to join our teams so that we can continue to sustain and build upon our culture of excellence.

  • Job Type: Full-time
  • Job Level: Individual Contributor
  • Travel: Yes, 10 % of the Time

Success Profile

We’re looking for Registered Nurses who possess the following traits.

  • Collaborative
  • Compassionate
  • Flexible
  • Leadership
  • Socially Conscientious
  • Trustworthy

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We offer several benefits to our nurses.

  • Medical, Vision & Dental

  • Retirement Plans

  • Educational Opportunities & Tuition Reimbursement

  • Supportive Teams & Resources

  • Career Growth & Development

Our Culture

At Kaiser Permanente, we cultivate an environment of compassion, integrity, trust, and open communication that helps our teams do their best work. We believe that lifelong learning will expand our knowledge so we can better serve our patients. Our practice is rooted in research and evidence-based care. Our nurses reflect the rich diversity of our members and communities and provide culturally responsive and competent care that promotes 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

Kristen

Relief Charge Nurse

Working as a nurse at Kaiser Permanente has allowed me the perfect flexible schedule so that I can volunteer as Girl Scout Leader and room parent for both my children. My kids know that I am a hardworking mother who can provide, as well as a mom who can be present and be there for them – and that means everything to me.

Jazmin

RN, Advice Nurse

Working for Kaiser Permanente has allowed me to take control of my future and make my goals a possibility. I feel that Kaiser Permanente allows me to keep climbing and moving. Having that ability truly makes me feel empowered.

Stella

Registered Nurse IV

Kaiser Permanente has taken me on a personal and educational growth journey. I am supported by a culture of excellence that allows me to be dedicated to patients and patients’ families every day at work. What an honor to be part of Kaiser Permanente..

Caitlin

Inpatient Lactation Consultant

As an RN/IBCLC in Maternal Child, I’m meeting families at a pivotal time — I’m there to help launch a new family into the world. Everything I do has the potential to impact a family’s health for generations to come.

Kimberly

Quality Coordinator RN

In Hawaii, your community is your family — or ‘ohana.’ I am able to provide extraordinary patient-centered care to my ohana.

David

Appointment and Advice RN

The location is fantastic. Kaiser Permanente is all over the country. You can pick almost any environment you want – from ocean to mountain to city. You’ll still be able to contribute to our mission of providing high quality health care at a local facility.

Shawn

BSN, RN

I chose Kaiser Permanente because their staff and providers really show that they care about you. Also, throughout my 12 years of working here I’m always learning something new, and I’ve had many opportunities for growth and development.
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Case Manager Specialist RN - Fontana Med Center - Population Management - FT

Primary Location Fontana, California Job Number 1058518 Date posted 03/18/2023
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Description:

Works collaboratively with an assigned panel of physicians to manage the patient's specialized needs. The managing team does differ according to the chronic disease. Duties include assessment to identify member needs and development of specific care management plan to address needs. In conjunction with the Physician, implements care/treatment plan by coordinating access to health services across multiple providers/ disciplines, monitors care, makes determination to arrange transportation and transfer patient if indicated, identifies cost-effective measures, makes recommendations for alternative levels of care and utilization of resources, promotes self-care management and ensures paper work is completed. Is an indirect caregiver. Complies with other duties as described. Must be able to work collaboratively with the Multidisciplinary team.


Essential Responsibilities:

  • Evaluates and identifies members' needs. Interfaces with Primary Care Physicians, Specialists and various disciplines on the development of case management plans/programs.

  • Monitors and evaluates the effectiveness of the case management plans and modifies as necessary.

  • 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.

  • Acts as a clinical liaison, per their specialty, with outside agencies such as County CCS, non-plan facilities, outside providers, employers and/or workers' compensation carriers and third party administrators.

  • Prepares reports, communicates program changes to appropriate staff and develops protocols in accordance with state regulations.

  • Acts as a patient advocate and educator to assure that the patient has the knowledge to care for his/her condition and patient is educated and empowered to be responsible for participating in the plan of care.

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

  • Develops and updates training and educational materials and presents to appropriate staff, members and families. Facilitates patients' return to normal daily activities by teaching and making appropriate referrals for outside services/continued care.

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

  • May need to facilitate transportation and housing arrangements for patient. Coordinates transmission of clinical and benefit treatment to patients, families and outside agencies.

  • Participates in data collection and analysis of clinical outcomes of care and customer satisfaction standards. Participates in the formulation and implementation/monitoring of action strategies and outcomes of care or customer service. Ensures that accurate records are maintained of the care associated with each patient.

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

  • Basic Qualifications:


    Experience



    • Minimum two (2) years of clinical experience as an RN in an acute care or ambulatory care setting required.

    • Cancer Program: Two (2) years clinical experience in Oncology.

    • For positions in OB/Gyn: (2) years recent (within the past three (3) years) clinical experience in Maternal Child Health, FCC, Ob/Gyn or Women's Health in acute care or ambulatory care.

    • Demonstrated knowledge of maternal/fetal medicine, including high risk pregnancies.

    • For positions in Neonatal Intensive Care Unit: Two (2) years clinical experience in a Level III NICU.

    • For positions in High Risk Infant Program: Two (2) years experience in a Regional or Community NICU; one (1) year of which should be in an HRIF program or as a discharge planner for an NICU and/or in a community-based Medically Vulnerable Infant Program.

    • This experience may have been at a comparable out-of-state facility. Case management of patients in a High Risk Infant Program. Ability to manage annual Synagis Clinic for at-risk population. Previous case management experience preferred (usually two (2) years chronic disease case management).

    • Total Joint Replacement Travel Surgery Program (OC): One (1) year clinical experience in Orthopedics.

    • Home Based Cardiac Rehab Program: One (1) year clinical experience in Cardiology.



    Education



    • Bachelor's degree or equivalent experience four (4) years required.

    • For positions in High Risk Infant Program: Bachelor's degree in nursing or related field required.



    License, Certification, Registration



    • Current California RN license required.

    • BLS.

    • Cancer Program:  OCN required within one (1) year of hire.

    • High Risk Infant Program:  Meet requirements to be a CCS paneled provider.

    • Regional Genetic Screening Program:  BLS is not 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 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.

    • Must be able to lift up to 35 pounds.

       



    Computer literacy skills required.




    Preferred Qualifications:



    • Cancer Program: Two (2) years experience in Ambulatory Oncology.

    • Total Joint Replacement Travel Surgery Program (OC):  One (1) year experience in Total Joint Replacement.






    • Bachelor's degree in nursing or healthcare related field preferred.

    • For positions in High Risk Infant Program:  Masters degree and PHN preferred.

    • Case Management Certification or certification in the area of specialty preferred.



    Notes:




    • May support KP Membership fairs

    • May include Saturdays and Sundays.

    • May include travel.



    Primary Location: California,Fontana,Palm Court II Scheduled Weekly Hours: 40 Shift: Day Workdays: Mon, Tue, Wed, Thu, Fri, Working Hours Start: 08:30 AM Working Hours End: 05:00 PM Job Schedule: Full-time Job Type: Standard Employee Status: Regular Employee Group/Union Affiliation: B21|AFSCME|SCNSC Job Level: Individual Contributor Department: Fontana Med Center - Population Management - 0806 Pay Range: $58.43 - $71.51 / hour Travel: Yes, 10 % 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.

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