Nurse Case Manager, Cardiovascular Care

Kaiser Permanente • San Francisco, CA

244d

About The Position

In addition to the responsibilities listed below, this position is also responsible for providing case management services for cardiology patients to ensure quality of care using an interdisciplinary approach; creating population-based reports on outcomes specific to cardiology patients; acting as medical liaison between cardiology patients, families, community resources, and medical staff/providers; making post disposition follow-up calls to all patients who are not referred to an ambulatory case/care management program with guidance; and facilitating a smooth transfer to home or an alternate facility, and acting as a contact person for dispositions while resolving standard and non-standard issues.

Requirements

• Minimum three (3) years of cardiovascular care, cardiac rehabilitation, or heart failure experience.
• Bachelors degree in Nursing or related field AND minimum three (3) years of experience in nursing, case management, or a directly related field.
• Registered Nurse License (California) required at hire.

Nice To Haves

• Knowledge of Cardiovascular Case Management Care.
• Strong written communication skills.
• Understanding of health care compliance.
• Ability to maintain confidentiality.
• Experience in business relationship management.
• Skills in managing diverse relationships and relationship building.
• Focus on member service and patient safety.
• Knowledge of quality assurance and effectiveness in community health.

Responsibilities

• Pursues effective relationships with others by proactively providing resources, information, advice, and expertise with coworkers and members.
• Listens to, seeks, and addresses performance feedback; provides mentoring to team members.
• Pursues self-development; creates plans and takes action to capitalize on strengths and develop weaknesses; influences others through technical explanations and examples.
• Adapts to and learns from change, challenges, and feedback; demonstrates flexibility in approaches to work; helps others adapt to new tasks and processes.
• Supports and responds to the needs of others to support a business outcome.
• Completes work assignments autonomously by applying up-to-date expertise in subject area to generate creative solutions; ensures all procedures and policies are followed; leverages an understanding of data and resources to support projects or initiatives.
• Collaborates cross-functionally to solve business problems; escalates issues or risks as appropriate; communicates progress and information.
• Supports, identifies, and monitors priorities, deadlines, and expectations.
• Identifies, speaks up, and implements ways to address improvement opportunities for team.
• Drives services related to the initial case assessment by interviewing patients and their families to evaluate needs, goals, and current services with minimal day-to-day supervision.
• Determines initial eligibility, benefits, and education for all admissions independently.
• Reviews and enters authorization data and identifying and documenting inaccuracies.
• Recommends research plans that identify new and/or existing options to assure that quality, cost-efficient care is provided.
• Provides services related to monitoring and evaluating plan of care by coordinating resources and services to assure continuity and quality of care.
• Creates a client-focused case management plan with treatment goals based on the patients and familys/caregivers needs under limited direction.
• Supports efforts to remain updated on current research, policies, and procedures by attending seminars, workshops, and approved educational programs.
• Provides services related to patient disposition by identifying patients ready for disposition planning activities under limited guidance.
• Connects patients with existing services by assisting patients with gaining access to care based on their needs.
• Serves as liaison between internal and external care by reviewing benefits/services available based on regulations or specific coverage.

What This Job Offers

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