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Case Manager Pediatrics - HEM/ONC

Location: Honolulu, HI Additional Locations:

Hospital/Medical Offices 3288 Moanalua Rd., 3288 Moanalua Rd., Honolulu,Hawaii, 96819
Job Number: 818585 Date posted: 08/13/2019
Pediatric Case Manager works in a collaborative process of assessment, planning, facililtation, care coordination, evaluation, and advocacy for options and services to meet the child with special care needs and family's comprehensive health needs. The Pediatric Case Manager is responsible for providing care coordination services to a group of complex, special needs pediatric population and their families across the continuum of care. The Pediatric Case manager assesses, plans, implements, coordinates and evaluates the plan of care in partnership with the family, Pediatric Developmental Providers, Primary Care Provider and other members of the Health care team.

Essential Responsibilities:
  • Provides case management services for pediatric patients with special health needs to insure quality of care using an interdisciplinary approach. Utilizing the case management process, the Pediatric case manager performs a pediatric biopsychosocial assessment, identifies the pediatric client's needs, goals, and current services. Identifies potential pediatric clients for case management and verifies that the pediatric client's assignment for case management services is consistent with established guidelines and standards for the Case Management Society of America or the American Nurses Credentialing Center. Engages the pediatric client and family in the development of a case management plan and develops a client-focused case management plan. Validates case management plan is consistent with evidence-based practice, regulatory, accreditation and regional guidelines Travels to different clinics around the state for patient care.
  • Identifies and advocates for available resources within Hawaii Kaiser Region and within the community to meet established goals included in the case management plan. Integrates factors related to quality, safety, access, and cost effectiveness in assessing, monitoring, and evaluating resources for the pediatric client with special care needs. Develops, coordinates, implements and monitors population based activities/programs and plan of care to meet Regional goals, customer needs and regulatory requirements. Provides ongoing communication with health care providers.
  • Serves as resource to staff. Develops and updates training and educational materials and presents to appropriate staff, members and families.
  • Maintains and documents program activities. Creates and provides population-based reports on outcomes specific to pediatric patients. Follows necessary documentation for billing and coding of services.
  • Develops and implements plans/projects to improve operational efficiency and effectiveness. Monitors status and progress and reports to supervisor. Provides direct patient care on an as needed basis. Participates in problem solving and quality improvement monitoring. Identifies opportunities to improve care and services for special needs pediatric population and participates in strategic planning of program.
  • May perform patient care to the extent necessary to maintain clinical expertise, competency, and licensing necessary to fulfill job responsibilities and to direct the provision of care on the unit.
  • Provides direct patient care on an as needed basis. Provides services that are within scope of license and in compliance with all legal, regulatory, and policy requirements relevant to clinical role performed.
  • Incorporates the KP Nursing Vision, Model and Values throughout their Nursing Practice.
  • Basic Qualifications:
  • Minimum two (2) years of direct pediatric patient care experience.
  • Education
  • Bachelor's degree in nursing.
  • License, Certification, Registration
  • Valid Hawaii RN license (must meet education requirement(s) for Hawaii State licensure) upon date of hire.
  • Current BLS for Healthcare Provider CPR or CPR/AED for the Professional Rescuer certification.

  • Additional Requirements:
  • Ability to travel around state for patient care needs.

  • Preferred Qualifications:
  • Minimum one (1) year of case management or care coordination experience.
  • Master's degree in public health, clinical nursing, or related field.
  • Certified Case Manager (CCM) by the Commission for Case Manager Certification (CCMC) or American Nurses Credentialing Center (RN-BC)
  • Knowledge of or skills related to developmental disabilities or medically complex pediatric patients.
  • Demonstrated knowledge of and skill in word processing, spreadsheet, and database PC applications.
  • Primary Location: Hawaii,Honolulu,Mapunapuna Medical Offices 2828 Pa'a St. Scheduled Weekly Hours: 40 Shift: Day Workdays: Mon, Tue, Wed, Thu, Fri 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: Individual Contributor Job Category: Nursing Licensed Specialty: Case Management Department: Pediatrics-Specialty Travel: Yes, 10 % 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.

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