Job Details
Description: Job Summary:
The Manager of Inpatient Continuing Care serves as liaison between Kaiser Permanente (KP) Health Plan, MAPMG providers, staff and faculty at hospital facilities, to facilitate open communication and ensure smooth transitions of care between KP and other care delivery systems. This position is also responsible for supervising and managing teams of personnel who support utilization management, transitions of care and discharge planning activities. This position ensures compliance with NCQA, state, federal and other regulatory accreditation standards.
Essential Responsibilities:
- Performs as an organizational liaison between Health Plan, MAPMG providers and faculty and staff at facility.
- Promotes relationships and communication between KP members, Health Plan, MAPMG providers and faculty and
- staff at facility.
- Develops collaborative relationships within MAPMG, facility faculty and staff and other KP departments to provide and facilitate transitions of care.
- Manages and directs Patient Care Coordinators and support staff to ensure utilization management and discharge planning activities are applied in a consistent and effective manner. Oversees day to day activities of assigned staff, to include staff scheduling, caseload assignment, appropriate utilization of resources and timely discharge planning.
- Ensures member benefits are interpreted and applied correctly and in compliance with state and federal regulations.
- Conducts case level reviews and provides feedback to Patient Care Coordinator staff on a regular basis.
- Participates in multidisciplinary rounds. Ensures that transitions of care to alternative levels of care are smooth and
- coordinated with Health Plan, facility, providers and KP member/family.
- Provides support and oversight of UM activities (i.e., use of UM guidelines / criteria and UM processes).
- Partners with other members of the UMOC and Continuing Care teams to develop and implement collaborative
- processes.
- Supports professional growth by providing education, training and appropriate resources.Conducts performance
- evaluations, provides coaching and acts as a mentor to direct reports.
- Performs other related duties as assigned.
M-F with rotating on call weekend Basic Qualifications: Experience
- Minimum of five (5) years of experience in a clinical setting.
- Minimum of two (2) of the five (5) years of experience as a Registered Nurse OR in Utilization Management OR Case Management.
- Minimum of two (2) of the five (5) years of supervisory OR as a Kaiser Permanente Patient Care Coordinator experience.
Education
- Bachelors degree in nursing, health care administration or related field.
License, Certification, Registration
- This job requires credentials from multiple states. Credentials from the primary work state are required before hire. Additional Credentials from the secondary work state(s) are required post hire.
- Registered Nurse License (Virginia) within 6 months of hire AND Registered Nurse License (Maryland) 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
- Basic Life Support from American Heart Association
Additional Requirements: - Proficient in computer applications including Microsoft Word, PowerPoint and Excel required.
- Strong interpersonal skills, with good verbal and written communication skills required.
- Skills in problem-solving and collaboration with other professions/ disciplines required.
- Ability to work comfortably and effectively in a hospital and managed care setting required.
Preferred Qualifications: - Experience working with various member populations in a community setting.
- Knowledge of KP or other integrated health care delivery system.
- Working knowledge of KP or experience working with state Medicaid/Medicare plans.
- Certification in Case Management from Commission for Case Manager Certification or Nursing Case Manager Certification from American Nurses Credentialing Center.
- Masters degree in nursing, health care administration or related field.
Primary Location: Maryland,Silver Spring,Holy Cross
Scheduled Weekly Hours: 40
Shift: Day
Workdays: Mon, Tue, Wed, Thu, Fri, Sat, Sun
Working Hours Start: 08:00 AM
Working Hours End: 05:00 PM
Job Schedule: Full-time
Job Type: Standard
Worker Location: Onsite
Employee Status: Regular
Employee Group/Union Affiliation: NUE-MAS-01|NUE|Non Union Employee
Job Level: Manager with Direct Reports
Department: Holy Cross Hospital - UR-Discharge Planning - 1808
Pay Range: $130900 - $169290 / year The ranges posted above reflect the location in the job posting. The salary range may vary if you reside in a different location or state than the location posted.
Travel: Yes, 20 % of the Time
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. At Kaiser Permanente, equity, inclusion and diversity are inextricably linked to our mission, and we aim to make it a part of everything we do. We know that having a diverse and inclusive workforce makes Kaiser Permanente a better place to receive health care, a more supportive partner in our communities we serve, and a more fulfilling place to work. Working at Kaiser Permanente means that you agree to and abide by our commitment to equity and our expectation that we all work together to create an inclusive work environment focused on a sense of belonging and wellbeing.
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. Submit Interest