Kaiser Permanente
Case Manager Liaison Nurse - Outpatient - Complex Case Management 1.0 FTE Silve
Kaiser Permanente, Silverdale, Washington, United States, 98315
Case Manager Liaison Nurse – Outpatient, Complex Case Management (1.0 FTE)
Location: Silverdale, WA
Work schedule: 40 hrs/week, 5 days on-site (Monday – Friday 8:00 a.m. – 4:30 p.m.), 2 days remote per week (flexible)
The Care Manager will work in two settings on a rotating schedule, planning discharge and follow‑up care for Kaiser Foundation Health Plan of Washington patients hospitalized at a nearby network facility and managing a case load in one of the Kaiser Foundation Health Plan of Washington medical centers. Some weekends and holidays are required, and scheduled days of the week are variable. Primary responsibility is to focus on achievement of optimal patient health care outcomes while ensuring appropriate utilization of health care resources. Working closely with primary care teams, specialty care teams and medical providers, the Liaison Nurse will establish a collaborative plan of care to assure adherence to the medical plan, improve functional status, and improve ability to self‑manage.
Essential Responsibilities
Ensures patients referred to case management meet established criteria. Assesses all patients to determine physical, mental, financial, psychosocial status using comprehensive, standardized criteria to identify needs. Develop patient‑centered case management plans with goals, objectives, and specific timeframes. Evaluate availability of caregivers. Coordinate interventions and recommend additional services to PCP. Conduct ongoing assessment of progress.
Collaborates with health care professionals regarding care plans, monitors outcomes, and recommends alternative settings based on needs and resource utilization. Documents interventions and interactions per policy.
Directs and guides the plan of care to ensure seamless continuum of care. Facilitates referrals for home health, long‑term care, hospice, and other services. Participates in care conferences and evaluates quality outcomes.
Experience & Qualifications
Basic Qualifications:
Minimum three (3) years of recent RN medical/surgical/ambulatory clinical experience. Minimum two (2) years of RN experience in ambulatory case management, care coordination or disease management.
Education:
Bachelor's degree.
License, Certification & Registration:
Registered Nurse license (Washington) or Compact License required at hire. Basic Life Support required at hire. Case Manager Certificate within 36 months of hire.
Additional Requirements:
Effective, independent nursing judgment; evidence‑based clinical decision making; knowledge in chronic disease management; nursing process and collaborative care planning; effective collaboration with care team members.
Preferred Qualifications:
Minimum two (2) years of RN experience in utilization review, ambulatory case management, care coordination or disease management. Bachelor of Science in Nursing.
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Work schedule: 40 hrs/week, 5 days on-site (Monday – Friday 8:00 a.m. – 4:30 p.m.), 2 days remote per week (flexible)
The Care Manager will work in two settings on a rotating schedule, planning discharge and follow‑up care for Kaiser Foundation Health Plan of Washington patients hospitalized at a nearby network facility and managing a case load in one of the Kaiser Foundation Health Plan of Washington medical centers. Some weekends and holidays are required, and scheduled days of the week are variable. Primary responsibility is to focus on achievement of optimal patient health care outcomes while ensuring appropriate utilization of health care resources. Working closely with primary care teams, specialty care teams and medical providers, the Liaison Nurse will establish a collaborative plan of care to assure adherence to the medical plan, improve functional status, and improve ability to self‑manage.
Essential Responsibilities
Ensures patients referred to case management meet established criteria. Assesses all patients to determine physical, mental, financial, psychosocial status using comprehensive, standardized criteria to identify needs. Develop patient‑centered case management plans with goals, objectives, and specific timeframes. Evaluate availability of caregivers. Coordinate interventions and recommend additional services to PCP. Conduct ongoing assessment of progress.
Collaborates with health care professionals regarding care plans, monitors outcomes, and recommends alternative settings based on needs and resource utilization. Documents interventions and interactions per policy.
Directs and guides the plan of care to ensure seamless continuum of care. Facilitates referrals for home health, long‑term care, hospice, and other services. Participates in care conferences and evaluates quality outcomes.
Experience & Qualifications
Basic Qualifications:
Minimum three (3) years of recent RN medical/surgical/ambulatory clinical experience. Minimum two (2) years of RN experience in ambulatory case management, care coordination or disease management.
Education:
Bachelor's degree.
License, Certification & Registration:
Registered Nurse license (Washington) or Compact License required at hire. Basic Life Support required at hire. Case Manager Certificate within 36 months of hire.
Additional Requirements:
Effective, independent nursing judgment; evidence‑based clinical decision making; knowledge in chronic disease management; nursing process and collaborative care planning; effective collaboration with care team members.
Preferred Qualifications:
Minimum two (2) years of RN experience in utilization review, ambulatory case management, care coordination or disease management. Bachelor of Science in Nursing.
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