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RN Care Manager-Quest Integration

Wailuku, Hawaii

Our nurse leaders maintain a strong commitment to the highest standards of professional nursing practice and to sustain a culture of excellence. You will encourage your teams to use evidence-based practice to deliver high-quality patient care, contribute to research, and spread innovation beyond Kaiser Permanente. Backed by the resources of one of the nation’s largest health care providers, you’ll motivate and inspire your team to achieve goals, value individual contributions, and celebrate accomplishments in meaningful ways while realizing your own potential as a leader.

  • Job Type: Full-time
  • Job Level: Individual Contributor
  • Travel: Yes, 50 % of the Time

Success Profile

We’re looking for Nurse Leaders who possess the following traits.

  • Adaptable
  • Collaborative
  • Compassionate
  • Leadership
  • Problem-Solver
  • Results-Oriented

Benefits

Our compensation and benefits are designed to help you and your family stay healthy and thrive.

  • Medical, Vision & Dental

  • Retirement Plans

  • Tuition Reimbursement

  • Tuition Reimbursement

  • Supportive Team & Resources

  • Career Growth & Development

Our Culture

Our Nurse Leaders cultivate an environment of compassion, integrity, trust, and open communication that helps our teams do their best work. Together, we pursue lifelong learning in the belief that it expands our knowledge so we can better serve our patients. We participate in research to inform our evidence-based care. Our nurses reflect the rich diversity of our members and communities, and provide culturally responsive and competent care that promotes the 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

Ghada, PhD, RN, NEA-BC, CENP

SCAL Regional Director
Patient Care Services

So proud to be a Kaiser Permanente nurse leader. Despite all the challenges we experienced with the pandemic, we remained true to our mission to provide safe, quality care to our patients and members, and continue to encourage our employees to grow and develop professionally. I have completed my Doctor of Philosophy in Nursing and lead with an exceptional team. There are boundless opportunities here.

Gertrude, RN, BSN, MSA

Administrative Service Director
Nursing Administration

Kaiser Permanente has a mission of providing affordable health care not just for our members, but also the community — which is a passion of mine. I consider myself very fortunate to work for an organization that values their employees. As a nurse leader, I LOVE what I do! We provide endless possibilities for growth and professional development.

Michele, JD, MBA, RN

Director
Nursing Professional Development and
Simulation/Magnet Journey

Kaiser Permanente provides its nurse leaders with opportunities to innovate and thrive in an evidence-based practice that’s advancing the science of nursing and embracing a culture of excellence.

Philidah, MSN, RN

Sr. Director of Nursing

It’s a privilege to work for Kaiser Permanente. They support nurses through a variety of learning opportunities, from self-paced learning to leadership courses and stretch assignments. It enables equitable opportunities for professional growth and career advancement.

Mervin

Assistant Medical Center Administrator

I’m incredibly grateful for the support I received from Kaiser Permanente. I would not be where I am right now without the mentoring from outstanding leaders, the strong relationships I built with my team, and the partnership with other departments.

Melissa

Assistant Nurse Manager

I’m in my first position here, but I’ve already had the opportunity to be part of the Magnet Journey, quality and safety committees, and co-chair Professional Nursing Excellence Council. Kaiser Permanente continues to help me grow through leadership training programs like Activate and stretch assignments.

Aletha

Department Manager

Kaiser Permanente has many resources and tools to help us grow professionally. We have courses and financial aid for individuals who choose to advance.I love being a leader because I love to encourage, inspire, and develop my team. I also embrace challenges and enjoy collaborating in projects that positively impact our members.

Adriana

Department Manager RN

Kaiser Permanente allows me to focus on preventive health care, which contrasts with my acute care background. I appreciate the preventive care services that we offer our members and the different forms of communication based on personal preference.

RN Care Manager-Quest Integration

Primary Location Wailuku, Hawaii Worker Location Flexible Facility Wailuku Medical Offices Job Number 1273617 Date posted 04/22/2024
Submit Interest

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Description:
Job Summary:

Completes face to face Health Functional Assessments (HFA) to identified members, as directed by DHS guidelines both in the community and health care institutional facilities. Develops a client focused QI service plan collaboratively with primary care physician (PCP) and other decision makers. Assists with access to medical care and services.  Coordinates all home community based services, supplies and equipment, for adults and children needing Long Term Support and Services (LTSS) to live independently in the community.

Essential Responsibilities:


  • Provides care management (CM) and care coordination to both QI community and institutional members. Completes the Face to Face Health Functional Assessment and Service plan. Care management is provided across the continuum of health care needs - the community, hospital, skilled nursing facility or institution.

  • Maintains required documentation using KPHC electronic health record. Updates members service plan, updates and documents assessments and health care in medical records to indicate progress, changes and continuity of care.

  • Works closely with the Member Care Services Associate to navigate home community based services, supplies and equipment for LTSS needing members.

  • Promotes Early and Periodic Screening, Diagnosis and Treatment (EPSDT) for members 0-20 years of age. Works closely with Member Care services Associates for EPSDT tracking and audits.

  • May provide direct patient care per DHS Face to Face HFA requirements.





  • 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:
Experience


  • One (1) year Case Management experience in a hospital or clinical setting.

Education

  • Bachelors degree in nursing OR four (4) years of experience in a directly related field.
License, Certification, Registration
  • Registered Nurse License (Hawaii) required at hire
  • Drivers License (in location where applicable)
  • Basic Life Support from American Heart Association
Additional Requirements:

  • Demonstrated knowledge of and skill in adaptability, conflict resolution, decision making, customer service, influence, interpersonal relations, oral communication, problem solving, teamwork and written communication.
  • Demonstrated knowledge of and skill in word processing.
Preferred Qualifications:

  • One (1) year recent experience in a clinical area or equivalent preferred.
  • Community case management experience preferred.
Primary Location: Hawaii,Wailuku,Wailuku Medical Offices Scheduled Weekly Hours: 40 Shift: Day Workdays: Mon, Tue, Wed, Thu, Fri Working Hours Start: 08:00 AM Working Hours End: 05:00 PM Job Schedule: Full-time Job Type: Standard Worker Location: Flexible Employee Status: Regular Employee Group/Union Affiliation: NUE-HI-01|NUE|Non Union Employee Job Level: Individual Contributor Department: Regional Administrative Office - Med Ofc- Quest Medical Mgt - 1208 Pay Range: $116600 - $150810 / year The ranges posted above reflect the location in the job posting. The salary range may vary if you reside in a different location or state than the location posted. Travel: Yes, 50 % of the Time Flexible: Work location is on-site at a KP location, with the flexibility to work from home. Worker location must align with Kaiser Permanente's Authorized States policy. 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. Submit Interest

Recognized for Excellence

Ensuring our members’ needs are met

Our nurse leaders ensure we provide culturally responsive and competent care that meets our members’ needs and preferences.

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