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Posted: Sunday, March 4, 2018 6:22 AM

Description: Coordinates w/physicians, staff, facilities, non-Kaiser providers, insurers, 3rd party administrators, & employers regarding patient care. In conjunction w/physicians, develops treatment plan, monitors all clinical activities, makes recommendations for alternative levels of care, identifies cost effective protocols, & develops guidelines for care..

Essential Responsibilities:
  • Guides, facilitates & expedites the care & maximum recovery for employees with work related illnesses or injuries through telephone and electronic communication with patients, carriers, employers, providers (internal & external), & Kaiser Permanente staff. Coordinates patient education & monitors & evaluates the options & services necessary to meet the individual patient's needs.
  • Facilitates and assists physicians and disability case managers in return to work duties.
  • Coordinates the interdisciplinary approach to providing continuity of care, including utilization management, transfer coordination, discharge planning, & facilitates authorizations and approvals as needed for outside services for patients/families.
  • Educates & informs patient & family regarding treatment plan & facilitates return to wellness. Evaluates variance from treatment guidelines caused and takes remedial actions. Encourages member to follow prescribed course of care (e.g., drug therapy, physical therapy). Makes referrals to appropriate community services.
  • Identifies & recommends opportunities for cost savings & improving the quality of care across the continuum.
  • Develops & collects data, & trends relating to utilization of health care resources. Interprets regulations, health plan benefits, policies, & procedures for members, physicians, medical office staff,contract providers, and outside agencies.
  • Coordinates transmission of clinical & benefit treatment to patients, families & outside agencies. Acts as liaison for outside agencies, nonplan facilities, & outside providers.
  • Coordinates repatriation of patients & monitors their quality of care.
  • Kaiser Permanente conducts compensation reviews of positions on a routine basis. At any time, Kaiser Permanente reserves the right to reevaluate and change job descriptions, or to change such positions from salaried to hourly pay status. Such changes are generally implemented only after notice is given to affected employees.

    Basic Qualifications:
  • Minimum of two (2) years working within an occupational health/industrial environment.
  • Minimum of four (4) years of ongoing experience evaluating patients & work processes from a variety of industries.
  • Bachelor's degree in nursing or health related field, OR four (4) years of experience in a directly related field.
  • High School Diploma or General Education Development (GED) required.
    License, Certification, Registration
  • Current RN license.

    Additional Requirements:
  • Certified Occupational Health Nurse or Certified Case Manager certification required (or fulfilled within two (2) years of hire).
  • Knowledge of current California Workers Compensation system & laws.
  • Demonstrated experience in utilization management, return to work planning &/or case management.
  • Knowledge of Nurse Practice Act.
  • Must be able to work in a Labor/Management Partnership environment.

    Preferred Qualifications:
  • Previous case management experience preferred.

  • Master's degree preferred.

    Primary Location: California,Oakland,1800 Harrison 1800 Harrison
    Scheduled Weekly Hours: 40
    Shift: Day
    Workdays: Mon, Tue, Wed, Thu, Fri
    Working Hours Start: 8:00 AM
    Working Hours End: 5:00 PM
    Job Schedule: Full-time
    Job Type: Standard
    Employee Status: Regular
    Employee Group/Union Affiliation: Non-Union, Non-Exempt
    Job Level: Individual Contributor
    Job Category: Nursing Licensed
    Department: Regional Occupational Health
    Travel: No
    Kaiser Permanente is an equal opportunity employer committed to a diverse and inclusive workforce. Applicants will receive consideration for employment without regard to race, color, religion, sex (including pregnancy), age, sexual orientation, national origin, marital status, parental status, ancestry, disability, gender identity, veteran status, genetic information, other distinguishing characteristics of diversity and inclusion, or any other protected status.

    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 and state laws, as well as applicable local ordinances, including but not limited to the San Francisco and Los Angeles Fair Chance Ordinances.
    Click here for additional requirements >

    Associated topics: cardiothoracic, care unit, ccu, domiciliary, intensive care, mhb, neonatal, nurse clinical, recovery, staff nurse


  • • Location: East Bay

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