Case Manager Continuing Care Coord RN-PD
San Diego, CaliforniaOur 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: Per Diem
- Job Level: Individual Contributor
- Travel: Yes, 75 % 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.
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Medical, Vision & Dental
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Retirement Plans
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Tuition Reimbursement
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Tuition Reimbursement
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Supportive Team & Resources
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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.”
Case Manager Continuing Care Coord RN-PD
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Essential Functions:
- Plans, develops, assesses and evaluates care provided to members.
- In conjunction with primary care and specialist physicians, evaluates and develops baseline medical and psychosocial evaluations and individualized patient care/treatment plans.
- Develops individualized patient/family education plan focused on self-management; delivers patient/family education specific to a disease state.
- Encourages member to follow prescribed course of care (e.g., drug therapy, physical therapy).
- Coordinates care/services with utilization and/or quality reviewers and monitors level and quality of care.
- 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.
- Makes referrals to appropriate community services and outside providers.
- Coordinates transmission of clinical and benefit treatment to patients, families and outside agencies.
- Consults with internal and external physicians, health care providers, discharge planning and outside agencies regarding continued care/treatment, hospitalization or referral to support services or placement.
- Arranges and monitors follow-up appointments.
- Coordinates repatriation of patients and monitors their quality of care.
- Develops and collects data; trends utilization of health care resources.
- Produces population based reports on outcomes specific to defined patient populations.
- Develops and maintains case management policies and procedures.
- Identifies and recommends opportunities for cost savings and improving the quality of care across the continuum.
- Interprets regulations, health plan benefits, policies,and procedures for members, physicians, medical office staff, contract providers, and outside agencies.
- Acts as liaison for outside agencies, non-plan facilities, and outside providers.
- Participates in committees, teams or other work projects/duties as assigned.
Experience
• Minimum one (1) year clinical experience as an RN in an acute care setting, plus two (2) years of clinical experience as an RN in a licensed home health or hospice agency required.
• For positions in Special Needs&Care Programs (Care Plus/Guidance): two (2) years of clinical experience as an RN in an acute care setting required.
Education
• Please refer to Minimum Work Experience and Qualifications Sections.
• Current California RN license required.
• AHA BLS.
• Demonstrated ability to utilize/apply the general and specialized principles, practices, techniques and methods of utilization review/management, 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.
• Computer literacy skills required.
Preferred Qualifications:
• Bachelor's degree in nursing or healthcare related field preferred.
• Case Management Certification preferred.
Notes:
• 7 days a week service.
• Day shift and location assignment can vary based on operational needs.
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
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