Case Manager & Care Coordinator - Maui Lani

Provides case management services to targeted patients/families by interviewing and evaluating their needs. Develops work plans to assist patients/families in meeting identified needs. Coordinates resources and services to assure continuity and quality of care. Maintains working knowledge of community resources. Interprets Kaiser Permanente benefits/services to patients, families, and members of community.

Monitors high-risk members and assists them with access to care. Integrates patients into existing programs/services. Evaluates outcomes and makes recommendations for change.

Assists patients/families with identified problems/concerns.

Meets with Continuing Care providers and PCP Team to monitor targeted patients. Assists Team by coordinating community care. Explores options to assure that quality, cost-efficient care is provided.

Makes daily hospital rounds for early identification of UM and discharge planning activities. Assists physician/patient/family in planning discharge. to facilitate smooth transfer to home or alternate facility.

Reports any Risk/Quality/Utilization Management issues to Neighbor Island Management Team.

Acts as contact person for MOA/Oahu discharges. Assists patients with smooth transfer to home.

Participates in community hospital interdisciplinary team meetings.

Maintains confidentiality of all patient information.

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.

Develops and maintains collegial and consultative working relationship with Government Programs office staff to assure that all regulatory requirements are met and necessary changes are implemented.

Attends community seminars and workshops specific to professional needs. Participates in approved educational programs.

Assists in developing, implementing, maintaining, evaluating, and enhancing Total Quality Management activities within organization. Makes suggestions for change/improvement as indicated.

Incorporates the KP Nursing Vision, Model and Values through out their Nursing Practice.

Basic

Qualifications

Experience

Minimum one (1) year of working with low income/high risk patients, preferably in healthcare setting, including experience or successful completion of training program (pre-hire, post-hire, or on-the-job) in area of specialty, if applicable.

Education

Bachelors degree in nursing OR four (4) years of experience in a directly related field. License, Certification, Registration Registered Nurse License (Hawaii) required at hire

Basic Life Support from American Heart Association

Additional

Requirements

Case management/community outreach experience. Demonstrated knowledge of and skill in oral communication, written communication, interpersonal relations, customer service, change management, multi-task and problem solving. Demonstrated knowledge of and skill in word processing, spreadsheet and database PC applications. Preferred

Qualifications

Program development and operations level implementation. Geriatric experience in outpatient clinic setting. Supervisory/lead experience.

• PrimaryLocation : Hawaii,Wailuku,Maui Lani Medical Offices
• HoursPerWeek : 40
• Shift : Day
• Workdays : Mon, Tue, Wed, Thu, Fri
• WorkingHoursStart : 12:01 AM
• WorkingHoursEnd : 11:59 PM
• Job

Schedule

Full-time Job Type : Standard Employee Status : Regular Employee Group/Union Affiliation : NUE-HI-01|NUE|Non Union Employee Job Level : Individual Contributor Job Category : Nursing Licensed & Nurse Practitioners Department : Maui Lani Medical Offices - Utilization Management - 1208 Travel : No 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.