Lead, Onsite RN Inpatient Case Manager

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The Lead Onsite Inpatient Case Manager assists Managers and Director in managing the overall operations of the Inpatient case management department for Kaiser Permanente Core Facilities in accordance with current Federal and State regulations and guidelines. The Lead collaborates with the Managers, Director, and Sr. Director of Inpatient Case Management to manage and implement the strategic plan for the department as assigned.

The Lead collaborates with Hospitalists and CWD physician leaders, reports to the Manager, and has frequent contact with support staff, QRM staff, CWD physicians, Hospitalists, Core staff, Directors, Sr. Directors, contracted providers, community resources, and patients/families.

• Effectively manage the activities of the care coordination team, providing leadership and guidance.
• Recommend staffing plans, interview, hire, coach, and evaluate staff.
• Act as a resource for the onsite ICM team, physicians, health plan administrators, and contracted vendors.
• Assist in problem solving for difficult cases.
• Work with Managers/Director/Sr. Director to identify department goals, develop and communicate action plans through staff meetings and other communications, use a team approach to problem solving, and set clear expectations.
• Work directly with staff to move patients through the continuum of care through the hospital course and into post‑acute settings, monitoring, coaching, intervening, creative problem solving, removing barriers, holding staff and self accountable to proactive practice to manage Length of Stay and ensure safe, appropriate comprehensive discharge plans.
• Collaborate with multiple providers in the care continuum to ensure optimal transitions of care, reducing readmissions and improving patient outcomes.
• Work directly with staff to obtain and maintain proficiency in the Kaiser Permanente standard Utilization Management and discharge planning process, including teaching, coaching, monitoring outcomes, and continuing education.
• In collaboration with Manager of Quality Education and Compliance, identify training needs and participate in staff training and onboarding of new hires, providing a supportive environment and delegating appropriately.
• Seek additional training opportunities through outside sources.
• Participate in on‑call leader coverage as scheduled, providing after‑hours and weekend coverage of escalations, staffing needs, and day‑to‑day operations.
• Might be designee for key operational meetings.
• Expected to float between core facilities based on business needs.
• Live daily assignment or work schedule fluctuates with business needs.
• Run and manage reports as delegated by director.
• Demonstrate behaviors of a leader based on the Kaiser Permanente Vision.
• Participate as a hands‑on team member.
• Maintain professional growth and development.

• Minimum two (2) years of experience in utilization management, case management, or discharge planning in an acute care setting.
• Minimum two (2) years of current clinical nursing in an acute care setting.

• Bachelor’s degree in Nursing required.

• Registered Professional Nurse License (Georgia).

• Knowledge of ACMA, CMSA, and NASW Standards of Practice.
• Knowledge of available health care and community resources.
• A broad knowledge base of health care delivery and case management within a managed care environment.
• Comprehensive knowledge of laws, regulations, and professional standards affecting case management practice in an integrated delivery system: including CMS, Title 22, and the Joint Commission.
• Strong critical thinking, problem resolution, time management, and customer relation skills.
• Functional knowledge of computer systems.

• Minimum two (2) years of supervisory/lead experience in UM/Case Management in a hospital case management or discharge planning environment.
• CCM/ANCC Certification or Board Certification equivalent preferred.
• Experience planning, leading, and organizing the resources of a team preferred.
• Experience in inpatient care or health education in a variety of settings preferred.
• Leadership experience in acute case management preferred.
• Master’s in Nursing or Case Management preferred.

Mid‑Senior level

Full‑time

Health Care Provider – Hospitals and Health Care