Case Manager Extended Care Coord RN
Tustin, 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: Yes, 15 % 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 Extended Care Coord RN
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Responsible for the oversight and management of skilled patients and temporary skilled patients in rehabilitation in contracted Skilled Nursing facilities; this includes checking benefits, managing up to discharge and issuing denial letters. With primary care, specialist physicians and healthcare team, coordinates the implementation of a chronic disease care management program for patients. Coordinates with the assigned physician to manage Skilled nursing patients and directs families, patients, physicians, nurse practitioners and SNF staff to the appropriate level of care and identifies those patients who do not meet the criteria for Continued Skilled stay. Responsible for managing Custodial patients who require long term care for chronic disease management in SNFs. Complies with other duties as described. Must be able to work collaboratively with the Multidisciplinary team.
- In conjunction with physicians and healthcare team, develops an individual care plan based on patient assessment/evaluation and diagnostic tests.
- Monitors/evaluates patient progress and modifies treatment plan as appropriate in collaboration with the Multidisciplinary team.
- Recommends additional levels of care, therapy/rehabilitation when medically indicated as appropriate.
- Monitors levels and appropriateness of therapeutic and/or rehabilitative care.
- Implements strategies to assure that patients and caregivers comply with and understand the importance of follow through on plan of care in collaboration with the Multidisciplinary team.
- Provides individualized patient/family education which focuses on teaching self management.
- Conducts individual and team conferences to assist patients and family identify risk factors.
- Facilitates patients return to normal daily activities by teaching and making appropriate referrals for outside services/continued care collaboratively.
- In conjunction with physicians and healthcare team, develops treatment program procedures, clinical guidelines/protocols and program evaluation/outcomes measures.
- Educates the Inpatient Case managers about appropriateness of transfers to the Skilled Nursing facility and protocol for transfers.
- Ensures that the patient has a safe and appropriate discharge.
- Orders DME as ordered by the physician.
- Screens by using senior metrics for Skilled patient expected Length of Stay.
- Responsible for educating the Inpatient Case managers/designees about the appropriateness of admissions to the Skilled Nursing facility and protocols for admission.
- Intervenes when there are quality issues surrounding the transfers.
- Notifies members about the co-payment associated with the Skilled Nursing transfer.
- Communicates with physicians and other care givers regarding patient progress by monitoring, evaluating and analyzing clinical, functional and psycho-social status/progress.
- Issues reports.
- Participates in inter-disciplinary case conferences and consultations.
- Consults with the physician regarding the Senior metrics for the appropriate length of stay for the Skilled population.
- Contributes to medical and nursing staff education by giving periodic in-service presentations.
- Recommended to be present at the inpatient UM staff meetings.
- Participates in review/evaluation of the quality, appropriateness and outcomes of diagnostic and therapeutic services and treatment programs.
- Participates in committees, teams or other work projects/duties as assigned.
Basic Qualifications:
Experience
· Minimum two (2) years clinical experience as an RN in an acute care setting required.
· ECC Antelope Valley: One (1) year of Utilization Management experience, to include Discharge Planning.
Education
· Please refer to Minimum Work Experience and Qualifications Sections.
License, Certification, Registration
· Registered Nurse License (California)
· Driver's License (California)
· Basic Life Support
Additional Requirements:
· Demonstrated ability to utilize/apply the general and specialized principles, practices, techniques and methods of utilization review/management, discharge planning and 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.
· Computer literacy skills required.
Preferred Qualifications:
· Case Management Certification preferred.
· Clear driving record for the past two (2) years.
· Proof of automobile insurance as required by law.
· Case Management Certification preferred.
· Bachelor's degree in nursing or healthcare related field preferred or current equivalent related work experience.
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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