Complex Case Manager - Care Coordination & Self-Management

Kaiser Permanente; Atlanta (GA); On-site; USD 65,000 - 85,000; Full time

Job summary

Kaiser Permanente in Atlanta is seeking a qualified Complex Case Manager to handle comprehensive evaluations, coordinate healthcare services, and monitor case management effectiveness. The role demands a minimum of five years of experience in nursing or social work, along with a relevant license in Georgia. Strong collaboration skills and experience with chronic condition management are crucial for ensuring quality care.

The ideal candidate will also have a solid understanding of Medicare and Medicaid, along with knowledge of coding systems. Join us in promoting member satisfaction and quality outcomes.

Qualifications

• Minimum five years of RN Clinical Nursing, social work, case management or utilization management.
• License as a Master Social Worker or Registered Nurse in Georgia required.
• Complex Case Management experience/certification preferred.

Responsibilities

• Perform comprehensive evaluations on complex cases to develop care plans.
• Coordinate services needed with inpatient care managers and social workers.
• Continuously monitor and evaluate care effectiveness and appropriateness.

Skills

Chronic condition management

Collaboration with healthcare professionals

Knowledge of ICD9/ICD10 coding

EMR usage

Education

High School Diploma or GED

Bachelor's Degree in Nursing

Job description

Kaiser Permanente in Atlanta is seeking a qualified Complex Case Manager to handle comprehensive evaluations, coordinate healthcare services, and monitor case management effectiveness. The role demands a minimum of five years of experience in nursing or social work, along with a relevant license in Georgia. Strong collaboration skills and experience with chronic condition management are crucial for ensuring quality care.

The ideal candidate will also have a solid understanding of Medicare and Medicaid, along with knowledge of coding systems. Join us in promoting member satisfaction and quality outcomes.