CASE MGR, RN-DUAL BLS

Kaiser Permanente Northwest; Portland (OR); Hybrid; USD 73,000 - 109,000; Full time

Benefits offered by this job

Remote work flexibility

4x10 hour shifts

Job summary

Kaiser Permanente Northwest in Portland, OR is seeking an RN Case Manager to provide self-directed, patient-centered care for high-risk populations across in-person, telephone, and electronic channels.

The role emphasizes chart reviews, care planning, and collaboration with clinicians; requires five years nursing experience, including case management, and Oregon/Washington licenses; option for remote work based on operations.

Qualifications

• 5+ years nursing experience in acute or ambulatory care, with at least 2 years in case management.
• 1 year ambulatory oncology experience within the past 3 years.
• 1 year telephone triage within the past 3 years.
• RN license in applicable states within 6 months of hire.

Responsibilities

• Identify members for enrollment into case management in collaboration with clinicians.
• Complete chart reviews, screening calls and full assessments.
• Develop and document patient-centered care plans addressing short-term goals.
• Provide care coordination using available resources and monitor interventions.

Skills

Nursing

Case management

Communication

Independent work

Team collaboration

Public speaking

Data entry

Education

Graduate of accredited nursing school

Tools

Microsoft Word

Health Connect

Job description

Job Summary

The RN Case Manager functions in a self-directed role with a high degree of autonomy in an expanded clinical role guiding appropriate use of resources for a variety of chronic conditions. RN Case Management Services will have accountability for a designated population defined in conjunction with the clinicians in the medical home, and assists the organization in meeting regulatory service and care needs for these populations. The RN Case Manager works collaboratively as a member of the health care team to deliver high quality health care to patients supporting Kaiser Permanente's mission, vision and values. The RN Case Manager provides a variety of nursing services both in person, by phone and via electronic media utilizing nursing process and leadership skills to address acute and chronic needs of Health Plan members and other patients of the Kaiser Permanente Health Care Program. He/she works under the general direction of the designated supervisor and may function in multiple settings within the system, the community and home to provide support for a high risk population.

Essential Responsibilities

• Utilize regional population stratification information and processes to identify appropriate members for enrollment into case management in collaboration with clinicians and health care team.
• Independently and proactively complete chart reviews, screening calls and full assessments related to the anticipated level of care and document findings using standardized approved documentation tools.
• Triage findings from member assessments, identifying needs and issues, engage patients to define a plan of care and appropriate level of self management and interventions. Determine Level of Care. Communicate findings and actions to involved care providers through succinct summaries that include findings, actions and further recommendations.
• With the member/family and appropriate KP staff and providers, develop and document a patient-centered care plan that addresses short term goals that are specific, attainable and measurable.
• Provide care coordination and management services for members with identified needs: Creatively using available and appropriate resources, including KP staff and providers, to support the unique needs of each member; Facilitating access to internal and external services; Monitoring the effectiveness of the interventions; and reinforces the treatment plan. Advising and coaching patients and families; Succinctly document interventions in KP HealthConnect as needed by other providers to ensure coordination of care and services.
• Strengthen and improve Case Management Services: Establish strong relationships with clinicians and other health care team members. Communicate data on population case managed, utilization and outcomes. Education of staff/clinicians. Development and distribution of education, tools and materials for member coordination. Contributing to ongoing process improvement including related procedures, policies, patient support and documentation tools.
• Act as a liaison between the patient and appropriate care delivery team.

Experience

Basic Qualifications

• Within the last eight (8) years a minimum five (5) years of nursing experience in acute care or ambulatory care/clinic/extended setting including two (2) of those 5 years in a case management/care coordination role.
• 1 year of ambulatory oncology experience within the past 3 years.
• 1 year telephone triage within the past 3 years.

Education

• Graduate of accredited school of nursing.

License, Certification, Registration

• This job requires credentials from multiple states. Credentials from the primary work state are required at hire. Additional Credentials from the secondary work state(s) are required post hire.
• Registered Nurse License (Washington) within 6 months of hire OR Compact License: Registered Nurse within 6 months of hire
• Registered Nurse License (Oregon) within 6 months of hire
• Drivers License (in location where applicable)
• Basic Life Support required at hire

Additional Requirements

• Knowledge of case management principles.
• Demonstrates clinical nursing and leadership skills.
• Ability to work independently in an unstructured environment with minimal supervision
• Able to type 20 words per minute.
• Demonstrates effective interpersonal, communication and problem-solving skills.
• Willingness to learn computerized information systems.
• Demonstrates ability to work within teams and within a dynamic work environment.
• Demonstrates customer-focused service skills.
• Knowledge of community resources for the care of the elderly, and patients with chronic conditions.
• Demonstrated ability to organize, coordinate, and manage care plans. Thorough knowledge of levels of care within outpatient, acute care, and extended care settings.
• Demonstrated ability to work as part of a multidisciplinary team.
• Effective written and verbal communication skills.
• Ability to present reports verbally in a public setting (public speaking).
• Demonstrated data entry skills and ability to use Microsoft Word software.

Preferred Qualifications

• Minimum two (2) years of experience in case management, care coordination, or population care.
• Previous experience with population care/case management, triage and advice.
• Microsoft Word, Excel, and Health Connect experience.
• Quality management methodology and utilization management experience.
• Case Management Certification.
• Current or future bachelors degree in nursing or related field.
• RN with BSN or Bachelor-s degree in health related field.
• ONCC Certification.

Work Schedule

Four 10 hour shifts with ability to work remote based on clinic operations

Primary Location

Oregon, Portland, Central Interstate Medical Offices

Scheduled Weekly Hours

40

Shift

Day

Workdays

Tues, Wed, Thu, Fri

Working Hours Start

07:15 AM

Working Hours End

05:45 PM

Job Schedule

Full-time

Job Type

Standard

Worker Location

Onsite

Employee Status

Regular

Employee Group/Union Affiliation

W01|AFT|Local 5017

Job Level

Individual Contributor

Department

Interstate - Central Med Ofcs - Oncology-Clinical Nurse - 1008

Pay Range

$53.28 - $79.02 / hour

Travel

No

Work Setting

Onsite

Location Policy

Worker location must align with Kaiser Permanente's Authorized States policy.

Equal Opportunity

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.