Nurse Care Manager, Part Time, NOVA Service Area

Kaiser Permanente

Springfield, VA

JOB DETAILS
SKILLS
Case Management, Certified Case Manager (CCM), Child Protection/Welfare, Clinical Medicine, Coaching, Communication Skills, Disease Prevention and Control, Documentation, Health Plan, Healthcare, Identify Issues, Interviewing Skills, Maintain Compliance, Maternal-Fetal Medicine, Medicaid, Medicare, Member Orientation, Needs Assessment, Nephrology, Nursing, Nursing Management, Pediatrics, Presentation/Verbal Skills, Preventive Medicine, Psychiatry and Mental Health, Psychology, Quality of Life, Registered Nurse (RN), Risk, Training/Teaching, Writing Skills
LOCATION
Springfield, VA
POSTED
5 days ago

Description:

Job Summary:


The nurse care manager is responsible for coordination of appropriate, cost-effective services that enhance a members quality of life, focus on a members optimal level of independence, and reduces inappropriate utilization of medical services. The nurse care manager collaborates with members and the health care team to achieve evidence based clinical objectives and goals specific to preventative health measures and improved disease self-management.

Essential Responsibilities:


  • In close collaboration with the member/members family, and members of the health care team, assesses the members health status, functional limitations, psychological status, social support systems, resources, environmental factors, and response to treatment.
  • Uses motivational interviewing techniques to identify members readiness for change, creates appropriate care plan based on assessments, assists member with health system navigation and connection to community resources.
  • Provides supportive counseling and education to members, families and caregivers, members of the health care team, and others including end-of-life issues and Advance Directives.
  • Effectively manages and coordinates assigned caseload consistent with established criteria. Ensures consistent and reliable documentation of case management activities in compliance with all organization and department standards.
  • Facilitates application process for accessing local, state, and federally funded programs (e.g., Medicaid, Medicare, Disability) and/or refers to appropriate community-based resources.
  • Provides education and coaching to improve overall self-management, health, and wellness.
  • Monitors chronic health conditions to achieve optimal self-management.

Basic Qualifications:

Experience

  • Minimum two (2) years of experience in case management or three (3) years of clinical experience are required.

  • For Virginia Medicaid: Minimum one (1) year of experience working directly with individuals who meet the Cardinal Care Priority Population criteria:

  • Individuals involved with Child Protective Services, foster care, and/or former foster youth

  • Individuals with Substance Use Disorder

  • Youth with a mental health diagnosis

  • Minimum one (1) year of experience working directly with individuals who meet the Cardinal Care Priority Population criteria (Individuals with Substance Use Disorder, Youth with a mental health diagnosis, Individuals involved with Child Protective Services, foster care, and/or former foster youth)

Education

  • Associates degree in nursing required.

License, Certification, Registration

  • This job requires credentials from multiple states. Credentials from the primary work state are required at hire. Additional Credentials from the secondary work state(s) are required post hire.

  • Registered Nurse License (Maryland) within 6 months of hire AND Registered Nurse License (Virginia) within 6 months of hire

OR

  • Compact License: Registered Nurse within 6 months of hire

  • Registered Nurse License (District of Columbia) within 6 months of hire

Additional Requirements:

  • Must have reliable transportation and be able to complete in-person assessments in the home and community. (For anyone hired after April 1, 2025).
  • Exceptional oral and written communication skills to interact with diverse members and providers and present care plan.
  • Exceptional listening skills to assess needs and identify problems.
  • Cultural humility to appreciate unique perspectives, backgrounds, and differences.

Preferred Qualifications:

  • Case Manager Certificate (CCM) preferred.
  • Pediatrics: Minimum one (1) year of recent experience with pediatric/adolescent population preferred.
  • Perinatal: Minimum one (1) year of recent experience with recent labor and delivery of predominately high-risk obstetrics or perinatal population preferred.
  • Renal: Minimum one (1) year of recent experience with nephrology or renal population preferred.
  • Bachelors preferred.

Notes:

  • PDN/ Vent Population

About the Company

K

Kaiser Permanente

At Kaiser Permanente, we are relentless in our pursuit of excellence. Driven by our mission to provide the highest quality preventive medicine, we are committed to eliminating health care disparities, and to making lives better through innovation, technology, and research. Our desire to deliver the best possible care inspires us to promote wellness among our members, communities, and each other. It also fuels our belief that everyone — regardless of circumstance — deserves access to affordable care, which further drives our motivation to expand our reach. Founded nearly 80 years ago, our unique business model sets us apart — positioning us to drive improvements across the industry and around the world.
COMPANY SIZE
10,000 employees or more
INDUSTRY
Healthcare Services
FOUNDED
1945
WEBSITE
http://www.kp.org/careers