Senior Complex Case Manager – Care Coordination Expert

Kaiser Permanente; Atlanta (GA); On-site; USD 69,000 - 90,000; Full time

Job summary

Kaiser Permanente seeks a Complex Case Manager in Georgia (Atlanta area) to perform comprehensive assessments, develop care plans, and coordinate services across inpatient and outpatient teams. The role emphasizes education, self-management, and adherence to NCQA Standards of Excellence.

Strong collaboration with providers, social workers, and care teams is required. Minimum five years in RN clinical nursing, social work, case management, or utilization management, with a high school diploma; a

Qualifications

• RN clinical nursing background required or equivalent.
• Experience in case management and utilization management.
• Knowledge of managed care delivery and Medicare/Medicaid beneficial.

Responsibilities

• Perform comprehensive assessments and develop care plans.
• Coordinate with hospital and community resources to meet goals.
• Educate members and caregivers on self-management strategies.
• Document interactions and monitor progress in EMR systems.
• Collaborate with interdisciplinary teams to ensure quality care.

Skills

RN Clinical Nursing

Case management

Utilization management

Managed care

Education

High School Diploma

BSN preferred

Job description

Kaiser Permanente seeks a Complex Case Manager in Georgia (Atlanta area) to perform comprehensive assessments, develop care plans, and coordinate services across inpatient and outpatient teams. The role emphasizes education, self-management, and adherence to NCQA Standards of Excellence.

Strong collaboration with providers, social workers, and care teams is required. Minimum five years in RN clinical nursing, social work, case management, or utilization management, with a high school diploma; a