RN QRM Acute Transitional Case Manager

-Basic-Qualifications:-

• Experience
• Minimum-three-(3)-years-acute-hospital-discharge-planning-or-prior-experience-in-case-management-as-an-RN.
• Education
• High-School-Diploma-or-General-Education-Development-(GED)-required.
• License,-Certification,-Registration
• Registered-Professional-Nurse-License-(Georgia)-OR-Licensed-Clinical-Social-Worker-(Georgia)-OR-Licensed-Master-Social-Worker-(Georgia)-

Additional-Requirements:

• Complex-Case-Management-experience.
• Experience-acute-patient-populations-including-Medicare-members.
• Functional-knowledge-of-computers.
• Must-be-able-to-travel-within-the-Atlanta-metro-area
• Preferred-Qualifications:
• Bachelors-Degree-in-Nursing-or-four-(4)-years-of-experience-in-a-directly-related-field.

custom_fields.LocationDescription-Georgia,Atlanta,Regional-Office---9-Piedmont custom_fields.NurseResidencyTheme-QA-/-UR-/-Case-Management custom_fields.VisionServicesTheme-QA-/-UR-/-Case-Management custom_fields.ExternalReferenceCode-1412895 custom_fields.InternalReferralTheme-QA-/-UR-/-Case-Management custom_fields.PhysicianAssistantTheme-QA-/-UR-/-Case-Management custom_fields.CFIsSignOnBonusAvailable-Yes custom_fields.FacilityServicesandMaterialsManagementTheme-QA-/-UR-/-Case-Management"> RN QRM Acute Transitional Case Manager at Kaiser Permanente

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RN QRM Acute Transitional Case Manager

Primary Location Atlanta, Georgia Schedule Full-time Shift Day Salary $44.48 - $56.02 / hour

Job Number 1412895 Date posted 04/28/2026

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Our nurse leaders maintain a strong commitment to the highest standards of professional nursing practice and to sustain a culture of excellence. You will encourage your teams to use evidence-based practice to deliver high-quality patient care, contribute to research, and spread innovation beyond Kaiser Permanente. Backed by the resources of one of the nation's largest health care providers, you'll motivate and inspire your team to achieve goals, value individual contributions, and celebrate accomplishments in meaningful ways while realizing your own potential as a leader.

• Job Type:Standard

• Job Level:Entry Level

• Travel:No

Success Profile

We're looking for Nurse Leaders who possess the following traits.

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• Leadership
• Problem-Solver
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Our compensation and benefits are designed to help you and your family stay healthy and thrive.

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Our Nurse Leaders cultivate an environment of compassion, integrity, trust, and open communication that helps our teams do their best work. Together, we pursue lifelong learning in the belief that it expands our knowledge so we can better serve our patients. We participate in research to inform our evidence-based care. Our nurses reflect the rich diversity of our members and communities, and provide culturally responsive and competent care that promotes the understanding of our members' needs and preferences. At Kaiser Permanente, nurses are highly skilled professionals who exemplify leadership, critical thinking, and collaborative problem-solving, and deliver the right care, at the right time, in the right setting.

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Ghada, PhD, RN, NEA-BC, CENP

SCAL Regional Director

Patient Care Services

So proud to be a Kaiser Permanente nurse leader. Despite all the challenges we experienced with the pandemic, we remained true to our mission to provide safe, quality care to our patients and members, and continue to encourage our employees to grow and develop professionally. I have completed my Doctor of Philosophy in Nursing and lead with an exceptional team. There are boundless opportunities here.

Gertrude, RN, BSN, MSA

Administrative Service Director

Nursing Administration

Kaiser Permanente has a mission of providing affordable health care not just for our members, but also the community - which is a passion of mine. I consider myself very fortunate to work for an organization that values their employees. As a nurse leader, I LOVE what I do! We provide endless possibilities for growth and professional development.

Michele, JD, MBA, RN

Director

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Simulation/Magnet Journey

Kaiser Permanente provides its nurse leaders with opportunities to innovate and thrive in an evidence-based practice that's advancing the science of nursing and embracing a culture of excellence.

Philidah, MSN, RN

Sr. Director of Nursing

It's a privilege to work for Kaiser Permanente. They support nurses through a variety of learning opportunities, from self-paced learning to leadership courses and stretch assignments. It enables equitable opportunities for professional growth and career advancement.

Mervin

Assistant Medical Center Administrator

I'm incredibly grateful for the support I received from Kaiser Permanente. I would not be where I am right now without the mentoring from outstanding leaders, the strong relationships I built with my team, and the partnership with other departments.

Melissa

Assistant Nurse Manager

I'm in my first position here, but I've already had the opportunity to be part of the Magnet Journey, quality and safety committees, and co-chair Professional Nursing Excellence Council. Kaiser Permanente continues to help me grow through leadership training programs like Activate and stretch assignments.

Aletha

Department Manager

Kaiser Permanente has many resources and tools to help us grow professionally. We have courses and financial aid for individuals who choose to advance.I love being a leader because I love to encourage, inspire, and develop my team. I also embrace challenges and enjoy collaborating in projects that positively impact our members.

Adriana

Department Manager RN

Kaiser Permanente allows me to focus on preventive health care, which contrasts with my acute care background. I appreciate the preventive care services that we offer our members and the different forms of communication based on personal preference.

RN QRM Acute Transitional Case Manager

Primary Location Atlanta, Georgia Schedule Full-time Shift Day Salary $44.48 - $56.02 / hour

Job Number 1412895 Date Posted 04/28/2026

Submit Interest Save Job

Description:

Job Summary:

Responsible for coordinating care for identified members with complex medical conditions in collaboration with hospital physicians, QRM staff (IPCC, CM, SW, PTSP), practitioners, medical office staff and other providers. The goal is to support and facilitate a smooth transition from the acute care setting or skilled nursing facility to alternative levels of care or home. Collaborates with physicians, telephonic care coordinators, inpatient case management/ social workers, telephonic to create a safe discharge plan for identified complex patients. Key job functions include assessment of identified members, development of a safe discharge plan from acute inpatient, skilled nursing, LTAC and Inpatient Rehab facilities. Coordinates post-acute services and follow- up medical care to ensure continuity of care. The Acute Transitional Case Manager (TCM) will identify and communicate any barriers to discharge plan. Ensures appoints and coordination of post-acute services with vendors.

Essential Responsibilities:

• Responsible for all transitional case management activities outlined above.
• Conducts timely reviews and refers Transitional Case Management Program or Complex Case Management within designated timeframe per policy and procedure and evaluates priority for continuity of care case management based on established guidelines.
• Performs a thorough and objective telephonic assessment of the member including physical, psychosocial, environmental, financial, and health status expectation through the use of hospital records, contact with the member/family or significant others.
• Develops an individual, mutually established plan of care based on the assessment and utilizing motivational techniques, in conjunction with the KP Hospitalists and other practitioners that identifies specific interventions, objectives and goals with anticipated targeted dates for accomplishment.
• Attends patient care conferences (rounds) as scheduled with QRM physicians, and Telephonic IPCC work together to discuss clinical course, discharge planning and provide feedback on planned interventions, or barriers to care for member self-management to avoid delays and promote smooth transition.
• Proactively, implements the plan of care and specific interventions that will lead to the accomplishment of goals as defined. This may entail implementation prior to member discharge.
• Coordinates the resources necessary to accomplish the goals,and makes recommendations for modifications to the plan of care as necessary.
• Performs telephonic outreach to identified members within 48 hours post hospital discharge and completes assessment of member status.
• Coordinates and communicates plan of care to the Primary and/or Specialist Care providers, including follow-up appointment.
• Makes referral to other KP programs for continued care support.
• Documents all case management interactions and interventions according to departmental guidelines.
• Coordinates and participates in complex case management conferences on a regular basis for members involved in the care and updates the plan of care as necessary.
• Continuously coordinates, monitors, tracks and evaluates all care and services rendered to ensure that quality care is being delivered and in the most appropriate setting.
• Re-assess and reinforce members self-management skills, including symptom and medication management.
• Acts as a resource to facility Case Managers and discharge planners.
• Provides case management updates to practitioners and health care teams.
• Collaborates with the healthcare team to provide referral information and regarding community resource referrals.
• Arranges, coordinates and facilitates appointments for the member as necessary.
• Builds effective working relationships with practitioners and other departments within the health plan.
• Works in conjunction with disease specific population based care department as appropriate.
• Consults with Chief of QRM for potential non-approvals, benefit exceptions and other issues as appropriate.
• Assists in the development of guidelines and protocols.
• Investigates, identifies and reports problems and inefficiencies in existing systems, and recommends changes when appropriate to the Supervisor.
• Under the guidance of the Supervisor and in consultation with other QRM staff, participates in the coordination, planning, development, implementation, and maintenance of all QRM policies and procedures.
• Monitors utilization trends concerning inpatient and outpatient care in the market area, keeping appropriate management informed.
• Refers cases identified as risk management, peer review or quality issues to Quality and Risk Management.
• Provides documentation regarding any pertinent patient information or arrangements for inclusion in the members medical record.
• Works cross-functionally with other departments in striving to meet organizational goals and objectives.
• Participates in call rotation to support after hours and weekend referrals for quality resource management services.
• Acts as a team coach for respective areas of responsibility regarding enhanced customer service, quality of work performed and productivity of staff.
• Knowledgeable and compliant with regional personnel policies and procedures.
• Knowledgeable and compliant with QRM departmental and unit specific policies and procedures.
• Participates in annual regional and departmental compliance training.
• Knowledgeable and compliant with Principles of Responsibility.
• Develops and maintains an awareness of how to report compliance issues and concerns. Consistently supports compliance and the Principles of Responsibility (Kaiser Permanentes Code of Conduct) by maintaining the privacy and confidentiality of information, protecting the assets of the organization, acting with ethics and integrity, reporting non-compliance, and adhering to applicable federal, state and local laws and regulations, accreditation and licenser requirements (if applicable), and Kaiser Permanentes policies and procedures.
• Your access to protected health information (PHI) will be limited to the minimum necessary required to effectively perform your job.
• May perform other duties as assigned.
• Other duties as assigned.

Basic Qualifications:

Experience

• Minimum three (3) years acute hospital discharge planning or prior experience in case management as an RN.

Education

• High School Diploma or General Education Development (GED) required.

License, Certification, Registration

• Registered Professional Nurse License (Georgia) OR Licensed Clinical Social Worker (Georgia) OR Licensed Master Social Worker (Georgia)

Additional Requirements:

• Complex Case Management experience.
• Experience acute patient populations including Medicare members.
• Functional knowledge of computers.
• Must be able to travel within the Atlanta metro area

Preferred Qualifications:

• Bachelors Degree in Nursing or four (4) years of experience in a directly related field.

Primary Location: Georgia,Atlanta,Regional Office - 9 Piedmont Scheduled Weekly Hours: 40 Shift: Day Workdays: Mon, Tue, Wed, Thu, Fri, Sat, Sun Working Hours Start: 08:30 AM Working Hours End: 05:00 PM Job Schedule: Full-time Job Type: Standard Worker Location: Onsite Employee Status: Regular Employee Group/Union Affiliation: GUP|UFCW|Local 1996 Job Level: Entry Level Department: Regional Office - 9 Piedmont - Rgnl Clinical Innovation - 2808 Pay Range: $44.48 - $56.02 / hour Travel: No On-site: Work location is on-site (KP designated office, medical office building or hospital). Worker location must align with Kaiser Permanente's Authorized States policy. Kaiser Permanente is an equal opportunity employer committed to fair, respectful, and inclusive workplaces. Applicants will be considered for employment without regard to race, religion, sex, age, national origin, disability, veteran status, or any other protected characteristic or status.

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