Kaiser Permanente RN Care Mgr-Quest Integration in Wailuku, Hawaii

Completes face to face Health Functional Assessments (HFA) to identified members, as directed by DHS guidelines both in the community and health care institutional facilities. Develops a client focused QI service plan collaboratively with primary care physician (PCP) and other decision makers. Assists with access to medical care and services. Coordinates all home community based services, supplies and equipment, for adults and children needing Long Term Support and Services (LTSS) to live independently in the community.

Essential Responsibilities:

  • Provides care management (CM) and care coordination to both QI community and institutional members. Completes the Face to Face Health Functional Assessment and Service plan. Care management is provided across the continuum of health care needs - the community, hospital, skilled nursing facility or institution.

  • Maintains required documentation using KPHC electronic health record. Updates members' service plan, updates and documents assessments and health care in medical records to indicate progress, changes and continuity of care.

  • Works closely with the Member Care Services Associate to navigate home community based services, supplies and equipment for LTSS needing members.

  • Promotes Early and Periodic Screening, Diagnosis and Treatment (EPSDT) for members 0-20 years of age. Works closely with Member Care services Associates for EPSDT tracking and audits.

  • May provide direct patient care per DHS Face to Face HFA requirements.

  • 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.

  • Provides direct patient care on an as needed basis. Provides services that are within scope of license and in compliance with all legal, regulatory, and policy requirements relevant to clinical role performed.

  • Incorporates the KP Nursing Vision, Model and Values throughout their Nursing Practice.

Basic Qualifications:

Experience

  • Minimum one (1) year of case management experience in a hospital or clinical setting.

Education

  • Bachelor's degree in nursing OR four (4) years of experience in a directly related field.

License, Certification, Registration

  • Valid Hawaii RN license (must meet education requirement(s) for Hawaii State licensure).

  • Current BLS for Healthcare Provider CPR or CPR/AED for the Professional Rescuer certification.

  • Valid driver's license.

Additional Requirements:

  • Demonstrated knowledge of and skill in adaptability, conflict resolution, decision making, customer service, influence, interpersonal relations, oral communication, problem solving, teamwork and written communication.

  • Demonstrated knowledge of and skill in word processing.

Preferred Qualifications:

  • One (1) year recent experience in a clinical area or equivalent preferred.

  • Community case management experience preferred.

COMPANY: KAISER

TITLE: RN Care Mgr-Quest Integration

LOCATION: Wailuku, Hawaii

REQNUMBER: 682283

External hires must pass a background check/drug screen. Qualified applicants with arrest and/or conviction records will be considered for employment in a manner consistent with Federal, state and local laws, including but not limited to the San Francisco Fair Chance Ordinance. All qualified applicants will receive consideration for employment without regard to race, color, religion, sex, national origin, sexual orientation, gender identity, protected veteran, or disability status.