Lead, Onsite RN Inpatient Case Manager

Kaiser Permanente • Atlanta, GA

102d

About The Position

The Lead Onsight Inpatient Case Manager assists the Managers and Director in managing the overall operations of the Inpatient case management department for Kaiser Permanente Core Facilities in accordance with current Federal and State regulations and guidelines. The Lead Onsight Inpatient Case Manager works in collaboration with the Managers, Director, and Sr. Director of Inpatient Case Management to manage and implement the strategic plan for the Inpatient Case Management department as assigned. The Lead Onsight Inpatient Case Manager collaborates with the Hospitalists and CWD physician leaders. The Lead Onsight Inpatient Case Manager reports to the Manager of Inpatient Case Management. The Lead Onsight Inpatient Case Manager has frequent contact with the support staff, QRM staff, CWD physicians, Hospitalists, Core staff, Directors, Sr. Directors, contracted providers and community resources as well as contact with patients/families.

Requirements

• Minimum two (2) years of experience in utilization management, case management, discharge planning in an acute care setting.
• Minimum two (2) years of current clinical nursing in an acute care setting.
• Bachelors Degree in Nursing required.
• Registered Professional Nurse License (Georgia).
• Knowledge of ACMA, CMSA, and NASW Standards of Practice.
• Knowledge of available health care and community resources.
• A broad knowledge base of health care delivery and case management within a managed care environment.
• Comprehensive knowledge of laws, regulations, and professional standards affecting case management practice in an integrated delivery system.
• Strong critical thinking, problem resolution and time management abilities, and customer relation skills.
• Functional knowledge of computer systems.

Nice To Haves

• Minimum two (2) years of supervisory/lead experience in UM/Case Management in a hospital case management/discharge planning environment.
• CCM/ANCC Certification or Board Certification equivalent preferred.
• Experience in planning, leading, and organizing the resources of a team preferred.
• Experience inpatient care or health education in a variety of settings is preferred.
• Leadership experience in acute case management is preferred.
• Masters in Nursing or Case Management preferred.

Responsibilities

• Effectively manages the activities of the care coordination team, providing leadership and guidance.
• Recommends staffing plans, interviews, recommends for hire, coaches, and evaluates staff.
• Acts as a resource for onsite ICM team as well as physicians, health plan administrators, and contracted vendors.
• Assists in problem solving for difficult cases.
• Works with Managers/Director/Sr. Director to identify department goals and objectives, develops and communicates action plans through regular staff meetings and other communications.
• Uses team approach to problem solving and sets clear expectations.
• Works directly with staff to effectively move patients through the continuum of care through the hospital course and into post-acute settings.
• Monitors, coaches, intervenes, and removes barriers to ensure safe, appropriate comprehensive discharge plans are enacted.
• Collaborates with multiple providers in the care continuum to ensure optimal transitions of care.
• Obtains and maintains proficiency in the Kaiser Permanente standard Utilization Management and discharge planning process.
• Identifies training needs and develops and participates in staff training and onboarding of new hires.
• Provides supportive environment and delegates appropriately.
• Participates in on-call leader coverage as scheduled.
• May be designee for key operational meetings.
• Expected to float between core facilities based on business needs.
• Runs and manages reports as delegated by director.
• Demonstrates behaviors of a leader based on the Kaiser Permanente Vision.
• Participates as hands on team member.
• Maintains professional growth and development.

What This Job Offers

• Industry: Ambulatory Health Care Services
• Education Level: Bachelor's degree