Regional Telephonic Case Manager RN
Pleasanton, 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: Full-time
- Job Level: Individual Contributor
- Travel: No
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.”
Regional Telephonic Case Manager RN
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Coordinates w/physicians, staff, facilities, non-Kaiser providers, insurers, 3rd party administrators, & employers regarding patient care. In conjunction w/physicians, develops treatment plan, monitors all clinical activities, makes recommendations for alternative levels of care, identifies cost effective protocols, & develops guidelines for care..
- Guides, facilitates & expedites the care & maximum recovery for employees with work related illnesses or injuries through telephone and electronic communication with patients, carriers, employers, providers (internal & external), & Kaiser Permanente staff. Coordinates patient education & monitors & evaluates the options & services necessary to meet the individual patients needs.
- Facilitates and assists physicians and disability case managers in return to work duties.
- Coordinates the interdisciplinary approach to providing continuity of care, including utilization management, transfer coordination, discharge planning, & facilitates authorizations and approvals as needed for outside services for patients/families.
- Educates & informs patient & family regarding treatment plan & facilitates return to wellness. Evaluates variance from treatment guidelines caused and takes remedial actions. Encourages member to follow prescribed course of care (e.g., drug therapy, physical therapy). Makes referrals to appropriate community services.
- Identifies & recommends opportunities for cost savings & improving the quality of care across the continuum.
- Develops & collects data, & trends relating to utilization of health care resources. Interprets regulations, health plan benefits, policies, & procedures for members, physicians, medical office staff,contract providers, and outside agencies.
- Coordinates transmission of clinical & benefit treatment to patients, families & outside agencies. Acts as liaison for outside agencies, nonplan facilities, & outside providers.
- Coordinates repatriation of patients & monitors their quality of care.
- Kaiser Permanente conducts compensation reviews of positions on a routine basis. At any time, Kaiser Permanente reserves the right to reevaluate and change job descriptions, or to change such positions from salaried to hourly pay status. Such changes are generally implemented only after notice is given to affected employees.
- Minimum of two (2) years working within an occupational health/industrial environment.
- Minimum of four (4) years of ongoing experience evaluating patients & work processes from a variety of industries.
- Bachelors degree in nursing or health related field, OR four (4) years of experience in a directly related field.
- High School Diploma or General Education Development (GED) required.
- Registered Nurse License (California)
- Certified Occupational Health Nurse or Certified Case Manager certification required (or fulfilled within two (2) years of hire).
- Knowledge of current California Workers Compensation system & laws.
- Demonstrated experience in utilization management, return to work planning &/or case management.
- Knowledge of Nurse Practice Act.
- Must be able to work in a Labor/Management Partnership environment.
- Previous case management experience preferred.
- Masters degree preferred.
- Preference for Certified Case Manager credential.
- Must have California workers' compensation experience/knowledge.
Notes:
The position is for an RN.
Preference for Certified Case Manager credential. Must obtain the CCM credential within 2 years of hire.
Kaiser Permanente is an equal opportunity employer committed to fair, respectful, and inclusive workplaces. Applicants will be considered for employment without regard to race, religion, sex, age, national origin, disability, veteran status, or any other protected characteristic or status. Submit Interest
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