Manager, Inpatient Case Management
Primary Location Atlanta, Georgia
Worker Location Onsite
Facility Emory Saint Joseph's Hospital
Job Number 1326383 Date posted 12/19/2024
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Description:
Job Summary:
Manages the day-to-day operations that are directly associate with the clinical case management with the Kaiser Permanente (Emory) core hospitals. Ensures cost effective and quality patient care by appropriate utilization of resources. Provides direction to staff which may include Outside Utilization, Extended Care, Bed Placement, Discharge Planning, Transportation, and others as assigned.
Essential Responsibilities:
- Assists in developing and maintaining policies and procedures for the Service Area or Medical Center related to Utilization Management.
- Collaborates with the multi-disciplinary teams to plan and coordinate care across the continuum.
- Coordinates and manages members care with non-KFH hospital facilities and providers. Identifies risk management and quality of care issues across the continuum.
- Surfaces issues and any suggestions to the appropriate multi-disciplinary team members.
- Manages transportation program to ensure appropriate utilization of resources which meet Health Plan guidelines and patient needs.
- Provides direction to staff regarding utilization review, care coordination, discharge planning, and other services across the continuum of care.
- Assists in conducting statistical studies in utilization trends, patterns, and outcomes.
- Hires, trains coaches, disciplines professional and clerical support staff.
Basic Qualifications:
Experience
- Minimim four (4) years of experience in management /leadership in a hospital or outpatient setting.
- Minimum three (3) years of clinical nursing in an acute care setting.
- Minimum three (3) years of previous experience in utilization management/discharge planning activities in acute care setting required.
Education
- Graduate of accredited school of nursing or Bachelors Degree in Nursing or health care related field such as management, health services administration or four (4) years of experience in a directly related field. High School Diploma or General Education Development (GED) required.
License, Certification, Registration
- Registered Professional Nurse License (Georgia)
Additional Requirements:
- Working knowledge of all federal, state, local and regulatory requirements.
- Functional knowledge or computers.
Preferred Qualifications:
- CCM/ANCC Certification or Board Certification equivalent preferred.
- Masters degree in Nursing or Case Management.
Primary Location: Georgia,Atlanta,Emory Saint Joseph's Hospital
Scheduled Weekly Hours: 40
Shift: Day
Workdays: Mon, Tue, Wed, Thu, Fri, Sat, Sun
Working Hours Start: 08:00 AM
Working Hours End: 05:00 PM
Job Schedule: Full-time
Job Type: Standard
Worker Location: Onsite
Employee Status: Regular
Employee Group/Union Affiliation: NUE-GA-01|NUE|Non Union Employee
Job Level: Manager with Direct Reports
Department: Emory Saint Josephs - Medical Office Administration - 2808
Pay Range: $102800 - $132990 / year
Kaiser Permanente strives to offer a market competitive total rewards package and is committed to pay equity and transparency. The posted pay range is based on possible base salaries for the role and does not reflect the full value of our total rewards package. Actual base pay determined at offer will be based on labor market data and a candidate's years of relevant work experience, education, certifications, skills, and geographic location.
Travel: Yes, 5 % of the Time
On-site: Work location is on-site (KP designated office, medical office building or hospital).
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
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
