- Plans, develops, assesses and evaluates care provided to members. Collaborates with physicians, other members of the multidisciplinary health care team and patient/family in the development, implementation and documentation of appropriate, individualized plans of care to ensure continuity, quality and appropriate resource use. Reviews, monitors, evaluates and coordinates the patients hospital stay to assure that all appropriate and essential services are delivered timely and efficiently. Communicates via huddles with hospitalist partner multiple times throughout the day.
- Reviews all new inpatient admissions within 24 hours and begins the discharge planning process immediately. Assesses high risk patients in need of post-hospital care planning. Develops and coordinates the implementation of a discharge plan to meet each patients identified needs; communicates the plan to physicians, patient, family/caregivers, staff and appropriate community agencies to enhance the effect of a seamless transition from one level of care to another across the continuum. Ensures that the appropriate level of care is being delivered in the most appropriate setting. Recommends alternative levels of care and ensures compliance with federal, state and local requirements.
- Performs psychosocial assessments on all patients that meet the high risk indicators for discharge planning. Comprehensively assesses patients goals as well as their biophysical, psychosocial, environmental, economic/financial, and discharge planning needs. Provides patients with education to assist with their discharge and help them cope with psychological problems related to acute and chronic illness. Refers patients to the ambulatory case managers, care managers and/or social workers as appropriate. Documents all admissions and discharges in the patients Kaiser Permanente electronic medical record. Makes post discharge follow-up calls to all patients who are not referred to an ambulatory case/care management program.
- Attends scheduled rounds 2 times/week with the Physician Director of Resource Stewardship to discuss clinical course and discharge planning for assigned patients identifying any real or potential delays in care or quality of care issues.
- Acts as a liaison between inpatient facility and referral facilities/agencies and provides case management to patients referred, serving as an advocate for patients and families. Coordinates transfer of patients to appropriate facilities; maintains and provides required documentation. Builds highly effective working relationships with physicians, SNF staff, vendors, and other departments within the health plan.
- Minimum two (2) years of experience in patient care delivery or completion of Masters degree in Case Management Program in lieu of minimum years of experience.
- Associates Degree Nursing.
- Registered Professional Nurse License (Georgia)
- Licensed Registered Nurse (Temporary - Georgia)
- Demonstrated advanced communication and interpersonal skills with all levels of internal & external customers, including but not limited to medical staff, patients and families, clinical personnel, support and technical staff, outside agencies, and members of the community.
- Ability to collaborate effectively with multidisciplinary healthcare team.
- Excellent time management skills with the ability to work successfully in a fast-paced environment. Must be self-directed, and have the ability to tolerate frequent interruptions and a demanding work load.
- Functional knowledge of computers.
- Experience with managed health care delivery including Medicare.
- Experience in a payer environment highly desirable.
- Knowledge of funding, resources, services, clinical standards, and outcomes is preferred.
- Complex Case Management Certification preferred.
- Knowledge of the Nurse Practice Act, TJC, DMHC, CMS, NCQA, HIPPA, ERISA, EMTALA & all other applicable federal/state/local laws & regulations.
- Demonstrated strong communication and customer service skills, problem-solving, critical thinking, & clinical judgment abilities.
- Fundamental word processing & computer navigation skills & the ability to interpret & use analytic data in day to day operations.
- Knowledge of healthcare benefits associated with various business lines.
- Minimum five (5) years of clinical nursing experience in a hospital setting.
- Minimum five (5) years of professional practice experience in an acute care setting.
- Minimum two (2) years of experience in utilization review, case management, and discharge planning preferred.
- Bachelors Degree in Nursing, Health Care or Masters degree in Case Management.
-
Case manager
2 days ago
thryvlgbt Atlanta, United StatesWe are seeking a highly organized Case Manager to join our team in Atlanta, GA. The successful candidate will be responsible for managing a caseload of clients, coordinating services, and ensuring that clients receive the support they need to achieve their goals. · Responsibiliti ...
-
Case Manager
2 days ago
Talantage Atlanta, United StatesJob title: · Case Manager · Position Summary: · Responsible for providing case management services to Choice Neighborhoods residents to support their advancement toward economic self-sufficiency and improved quality of life, particularly in achieving the self-sufficiency outcome ...
-
Case Manager
2 days ago
Sonder Health Plans, Inc. Atlanta, United StatesSalary Range $70k to $110,000 annually.LocationHybrid- Atlanta, GAPrimary Responsibilities Assess current health status, socioeconomic status, resource utilization, gaps in care, past and present treatment plans and/or integrated care plans, strengths, and barriers for assigned m ...
-
Case Manager
1 day ago
CEO Lawyer Atlanta, United StatesWe are seeking a Full-Time Personal Injury Case Manager Rockstar · WHAT ARE OUR REQUIREMENTS? · Drafting LORs, completing intakes, filing claims, connect clients with medical providers. · Completing personal injury files from intake to disbursements. · Compiling medical records/b ...
-
Case Manager
2 days ago
Aniz Inc Atlanta, United StatesCase Management · Accomplishes clients' care by assessing treatment needs; developing, monitoring, and evaluating treatment plans and progress; facilitating interdisciplinary approaches; monitoring staff performance. · Admits new clients by reviewing records and applications; con ...
-
Case Manager
8 hours ago
Acuity International, LLC Atlanta, United StatesOur vision aims to empower our clients by actively leveraging our broad range of services. With our global presence, we have career opportunities all across the world which can lead to a unique, exciting and fulfilling career path. Pick your path today To see what career opportun ...
-
Case Manager
8 hours ago
Holston & Huntley LLC Atlanta, United StatesJob Title: Case Manager · Status: Full Time · Department: Legal · FLSA Status: Hourly - non-exempt · POSITION SUMMARY · The Case Manager will be a pro-active settlement negotiator and assist the attorney(s) by providing clerical and research support services including docume ...
-
Case Manager
8 hours ago
Sonder Health Plans, Inc. Atlanta, United StatesSalary Range · $70k to $110,000 annually. · Location · Hybrid- Atlanta, GA · Primary ResponsibilitiesAssess current health status, socioeconomic status, resource utilization, gaps in care, past and present treatment plans and/or integrated care plans, strengths, and barriers ...
-
Case Manager
6 days ago
Holston & Huntley, LLC Atlanta, United StatesJob Description · Job DescriptionJob Title: Case Manager · Status: Full Time · Department: Legal · FLSA Status: Hourly - non-exempt · POSITION SUMMARY · The Case Manager will be a pro-active settlement negotiator and assist the attorney(s) by providing clerical and research suppo ...
-
Case Manager
4 days ago
Sonder Health Plans Atlanta, United StatesJob Description · Job DescriptionSalary Range · $70k to $110,000 annually. · Location · Hybrid- Atlanta, GA · Primary ResponsibilitiesAssess current health status, socioeconomic status, resource utilization, gaps in care, past and present treatment plans and/or integrated care pl ...
-
Case Manager
3 days ago
Georgia Harm Reduction Coalition Atlanta, United StatesJob Description · Job DescriptionSalary: $35,000-$38,000 annually · Under the supervision of the Lead Behavioral Specialist, the Case Manager will provide counseling, deliver interventions, and referral to medical, essential, and supportive services to GHRC's clients . Case Manag ...
-
Case Manager
3 days ago
In the Network LLC Atlanta, United StatesJob Description · Job DescriptionWanted: Case Manager in AtlantaCase Manager at In the Network LLCWhat We Are Looking For · We are looking for a friendly and energetic candidate with strong organizational and communication skills who wants to be part of a growing company in Atlan ...
-
Case Manager
3 days ago
Ace Care Management Atlanta, United StatesJob Description · Job DescriptionThe role of the Case Manager is to be an advocate for the members. The role operates in a team-like approach which provides support to new incoming case managers and existing ones. Targets are collective and each team member supports the other in ...
-
Case Manager
6 days ago
The Angell Law Firm, LLC Atlanta, United StatesJob Description · Job DescriptionWe are a highly reputable personal injury law firm based in Atlanta, Georgia. With a strong commitment to excellence and client satisfaction, The Angell Law Firm has established itself as a leader in the legal industry. We pride ourselves on provi ...
-
Case Manager
2 days ago
Integrated Resources, Inc Atlanta, GA, United StatesLocation: Remote + Field Visits · Remote position but there will be an expectation of field visits 3 days a week to conduct face-to-face visits with the members. · Must live within 30 minutes of driving time to all of the following: Arlington Heights, Barrington, Bartlett, Elgi ...
-
Manager, Case Manager
2 days ago
Spectraforce Technologies Inc Atlanta, GA, United StatesPosition: Care Manager I (RN) · Location: Remote-CA (PST, but MUST have CA licensure) · Education/Experience : Graduate from an Accredited School of Nursing. Bachelor's degree in Nursing preferred. 2+ years of pediatric clinical nursing experience in a clinical, acute care, or ...
-
Inpatient Case Manager
1 day ago
Kaiser Permanente Atlanta, United States Full time*SIGN-ON BONUS OF $10,000 AVAILABLE FOR ELIGIBLE EXTERNAL HIRES* · Job Summary: · Responsible for working collaboratively with physician partners to optimize quality and efficiency of care for hospitalized members by carrying out daily utilization and quality review, monitoring f ...
-
Case Manager Supervisor
2 days ago
thryvlgbt Atlanta, United StatesWe are seeking a highly motivated and experienced Case Manager Supervisor to join our team. The successful candidate will be responsible for overseeing a team of case managers and ensuring that all cases are managed effectively and efficiently. · Responsibilities: · Supervise a ...
-
Case Manager
2 days ago
The National Coalition of Healthcare Recruiters Sandy Springs, United StatesAtlanta / Marietta / Sandy Springs · (Only QUALIFIED Healthcare Professionals accepted) · Case Manager-RN - Shift: · Monday - Days · Sign on Bonus: $10,000 · The RN Case Manager is responsible for systematic collection and review of patient activities related to appropriaten ...
-
Associate Case Manager
3 days ago
Exlservice, LLC Atlanta, United StatesEXL (NASDAQ: EXLS) is a leading operations management and analytics company that designs and enables agile, customer-centric operating models to help clients improve their revenue growth and profitability. Our delivery model provides market-leading business outcomes using EXL's p ...
Inpatient Case Manager - Atlanta, United States - Kaiser
Description
*SIGN-ON BONUS OF $10,000 AVAILABLE FOR ELIGIBLE EXTERNAL HIRES*Job Summary:
Responsible for working collaboratively with physician partners to optimize quality and efficiency of care for hospitalized members by carrying out daily utilization and quality review, monitoring for inefficiencies and opportunities to improve care, developing a safe discharge plan to include recommending alternative levels and sites of care when appropriate. The activities will include daily review of hospital care by chart review and discussion with attending physician, admission and concurrent review for inpatient admissions, meetings with patient and families to develop discharge planning, identification of patients for ambulatory case management, communication with case managers, home care reviewers, social workers, members and providers, quality improvement reviews, and education of the member/family, provider and hospital staff. Achieves desired utilization and quality outcomes and promotes high customer satisfaction to the population served.
Essential Responsibilities:
HoursPerWeek : 36
Shift : Night
Workdays : Fri, Sat, Sun
WorkingHoursStart : 07:30 PM
WorkingHoursEnd : 08:00 AM
Job Schedule : Part-time
Job Type : Standard
Employee Status : Regular
Employee Group/Union Affiliation : NUE-GA-01|NUE|Non Union Employee
Job Level : Individual Contributor
Job Category : Nursing Licensed & Nurse Practitioners
Department : Emory Saint Josephs - Medical Office Administration - 2808
Travel : Yes, 5 % of the Time
Kaiser Permanente is an equal opportunity employer committed to a diverse and inclusive workforce. Applicants will receive consideration for employment without regard to race, color, religion, sex (including pregnancy), age, sexual orientation, national origin, marital status, parental status, ancestry, disability, gender identity, veteran status, genetic information, other distinguishing characteristics of diversity and inclusion, or any other protected status.
By applying, you consent to your information being transmitted by beBee to the Employer, as data controller, through the Employer's data processor SonicJobs.
See Kaiser Privacy Policy at and SonicJobs Privacy Policy at and Terms of Use at
