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Kaiser Permanente

Integrated healthcare provider and payer platform

Case Manager Liaison Nurse

Medical, Clinical & VeterinaryConfirmed live in the last 24 hours
Full-timeSpokane, WA, USAIn-person

About the Job

Requirements

  • At least three years of recent registered nurse medical, surgical, or ambulatory clinical experience.
  • At least two years of registered nurse experience in ambulatory case management, care coordination, or disease management.
  • A bachelor's degree is required.
  • A Washington Registered Nurse license or Compact Registered Nurse license is required at hire.
  • Basic Life Support certification is required at hire.
  • A Case Manager Certificate is required within 36 months of hire.
  • Effective, independent nursing judgment and skills, including use of evidence-based clinical decision-making criteria.
  • Knowledge of chronic disease management, the nursing process, and collaborative care planning.
  • Demonstrated skill and experience collaborating effectively with care team members.

Responsibilities

  • Assess patients referred for case management to determine physical, mental, financial, and psychosocial status, using standardized criteria to identify existing and potential needs.
  • Develop patient-centered case management plans based on assessments, including patient goals, objectives, outcomes, and time frames.
  • Evaluate designated caregivers' ability and availability to support patients.
  • Coordinate and implement interventions using evidence-based guidelines; recommend additional services to primary care providers as indicated by case management plans.
  • Assess progress against goals, update needed services, communicate with patients, families, and care teams, advocate for patient care needs, and document patient responses to interventions.
  • Collaborate with health care professionals on plans of care, variances in implementation, and actual or expected outcomes.
  • Monitor and evaluate patient responses to therapeutic interventions and analyze patterns of variance from clinical information and outcomes.
  • Recommend alternative care settings based on patient needs and appropriate utilization of health care resources.
  • Document interventions and interactions with patients or caregivers according to care management policies and procedures.
  • Participate in measuring the effectiveness of the case management program.
  • Direct and guide plans of care to support a seamless continuum of care; facilitate referrals to home health care, long-term care, hospice, and other facilities or services as needed.
  • Participate, on a limited basis, in care conferences to problem-solve for patients with complex care needs.
  • Collect data to evaluate the effects of care coordination on quality outcomes, fiscal parameters, patient satisfaction, and systems improvement.
  • Use health plan requirements and patient benefits when making care management decisions.
  • Help patients understand and comply with medical treatment plans.
  • Support patient education and activation through referrals to chronic illness classes, group visits, or community resources.
  • Plan discharges and follow-up care for health plan patients hospitalized at a nearby network facility and manage a caseload of patients at a health plan medical center on a periodic rotating schedule.
  • Work with primary care teams, specialty care teams, and medical providers to establish collaborative care plans that support adherence to medical plans, improved functional status, and patient self-management.
  • Serve as a liaison across the health plan care continuum and between the health plan and contracted providers, facilities, and resources; provide feedback on contracted service and quality.
  • Collect data and provide input to leadership regarding utilization, cost, quality, service, and care delivery concerns.

Desired Qualifications

  • At least two years of registered nurse experience in utilization review, ambulatory case management, care coordination, or disease management.
  • A Bachelor of Science in Nursing.

About the Company

Kaiser Permanente

Integrated healthcare provider and payer platform

Kaiser Permanente runs an integrated healthcare platform that lets members manage and pay medical, premium, and pharmacy bills online. It serves Medicare Advantage, Individual and Family, and non-employer plans, offering options to pay as a guest or set up payment plans. The platform works by presenting a centralized online portal where users can view bills, choose how to pay, and handle multiple types of charges in one place. Revenue comes from premiums and medical services fees, while the service aims to reduce administrative work for both providers and patients and encourage on-time payments. What sets Kaiser Permanente apart is its combination of healthcare services with a single billing experience across multiple plan types, focusing on a user-friendly, centralized payment process rather than handling billing through separate systems. Its goal is to provide a straightforward, reliable way for members to manage and pay their bills, improving convenience and payment timeliness.

Company size
10,001+
Company stage
Grant
Total funding
$7.5M
Headquarters
Oakland, CA
Founded
1945

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