Sign upLog in

RN Care Manager-Quest Integration

Kaiser Permanente

Wailuku, HI

Apply
JOB DETAILS
SKILLS
Basic Life Support (BLS), Case Management, Clinical Competency, Community Health, Conflict Resolution, Customer Relations, Customer Support/Service, Develop and Maintain Customers, Documentation, Driver's License, Functional Analysis, Healthcare, Homeland Security, Hospital, Interpersonal Skills, Licensing, Licensing Compliance, Medical Record System, Medical Records, Nursing, Operating Room Nursing, Patient Care, Presentation/Verbal Skills, Primary Care, Problem Solving Skills, Registered Nurse (RN), Regulations, Regulatory Compliance, Team Player, Word Processing
LOCATION
Wailuku, HI
POSTED
6 days ago
Description:Job Summary:
Completes face to face Health Functional Assessments (HFA) to identified members, as directed by DHS guidelines both in the community and health care institutional facilities. Develops a client focused QI service plan collaboratively with primary care physician (PCP) and other decision makers. Assists with access to medical care and services. Coordinates all home community based services, supplies and equipment, for adults and children needing Long Term Support and Services (LTSS) to live independently in the community.
Essential Responsibilities:

  • Provides care management (CM) and care coordination to both QI community and institutional members. Completes the Face to Face Health Functional Assessment and Service plan. Care management is provided across the continuum of health care needs - the community, hospital, skilled nursing facility or institution.

  • Maintains required documentation using KPHC electronic health record. Updates members service plan, updates and documents assessments and health care in medical records to indicate progress, changes and continuity of care.

  • Works closely with the Member Care Services Associate to navigate home community based services, supplies and equipment for LTSS needing members.

  • Promotes Early and Periodic Screening, Diagnosis and Treatment (EPSDT) for members 0-20 years of age. Works closely with Member Care services Associates for EPSDT tracking and audits.

  • May provide direct patient care per DHS Face to Face HFA requirements.


  • May perform patient care to the extent necessary to maintain clinical expertise, competency, and licensing necessary to fulfill job responsibilities and to direct the provision of care on the unit.

  • Provides direct patient care on an as needed basis. Provides services that are within scope of license and in compliance with all legal, regulatory, and policy requirements relevant to clinical role performed.

  • Incorporates the KP Nursing Vision, Model and Values throughout their Nursing Practice.
Basic Qualifications:Experience

  • One (1) year Case Management experience in a hospital or clinical setting.

Education
  • Bachelors degree in nursing OR four (4) years of experience in a directly related field.
License, Certification, Registration
  • Driver's License (from any state) required at hire
  • Registered Nurse License (Hawaii) required at hire
  • Basic Life Support from American Heart Association
Additional Requirements:
  • Demonstrated knowledge of and skill in adaptability, conflict resolution, decision making, customer service, influence, interpersonal relations, oral communication, problem solving, teamwork and written communication.
  • Demonstrated knowledge of and skill in word processing.
Preferred Qualifications:
  • One (1) year recent experience in a clinical area or equivalent preferred.
  • Community case management experience preferred.

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