Nurse Manager I - Utilization Management (Continuum of Care) Renton WA

Kaiser Permanente • Renton, WA

86d

About The Position

The Nurse Manager I - Utilization Management oversees clinical review, transition of care, post-hospital discharge nurses, and high-cost claimant work with approximately 28 direct reports. This position is responsible for implementing best practice models, patient care delivery systems, and practice standards across multiple locations. The role involves investigating and resolving patient/family/member concerns regarding patient care and services, collaborating with healthcare providers to ensure optimal patient care, and monitoring resource needs in assigned clinical areas. The Nurse Manager also ensures the safe environment for patients and employees, maintains clinical expertise, provides clinical supervision, and performs clinical duties as required.

Requirements

• Bachelor's degree in Nursing (BSN).
• Minimum three (3) years of experience in business operations, clinical health care, or a directly related field.
• Minimum two (2) years of experience in a leadership role.
• Minimum two (2) years of customer or member/patient service experience.
• Registered Nurse License (Washington) required at hire OR Compact License: Registered Nurse required at hire.
• Basic Life Support certification required at hire.

Nice To Haves

• Knowledge of Evidence-Based Medicine Principles.
• Knowledge of Compliance Management.
• Skills in Conflict Resolution and Stakeholder Management.
• Familiarity with Health Care Quality Standards and Information Systems.

Responsibilities

• Provides developmental opportunities for others and builds collaborative, cross-functional relationships.
• Solicits and acts on performance feedback; works closely with employees to set goals and provide open feedback and coaching.
• Pursues professional growth and develops training and development opportunities for talent.
• Leads and adapts to organizational change, challenges, and industry trends.
• Fosters open dialogue among team members and promotes collaboration.
• Delegates tasks and decisions appropriately and provides support and guidance.
• Manages designated work unit or team by translating business plans into tactical action items.
• Aligns team efforts and builds accountability for achieving results.
• Fosters the development of work plans to meet business priorities and deadlines.
• Removes obstacles impacting performance and guides performance improvement.
• Manages continuum of care operations to support patient care.
• Ensures standardized care delivery by developing strategic partnerships and managing complex work streams.
• Manages improvements to operations and technology processes.

What This Job Offers

• Job Type: Full-time
• Career Level: Manager
• Industry: Ambulatory Health Care Services
• Education Level: Bachelor's degree