Staff - Registered Nurse (RN) - Case Management - $105K-135K per year

Kaiser Permanente is seeking a Registered Nurse (RN) Case Management for a nursing job in Renton, Washington.

• Specialty: Case Management
• Discipline: RN
• Duration: Ongoing
• 40 hours per week
• Shift: 8 hours, days
• Employment Type: Staff

Job Summary:
Provides leadership and direction for Complex Care Management in multiple delivery systems. Is responsible to understand the application health insurance regulations and benefits. Is responsible to meet or exceed financial, service quality and clinical quality outcome goals established for the department and enterprise. Provides human resources management and assurance of compliance with regulatory and practice standards. Plans, promotes and implements quality assurance and quality improvement programs to enhance Care Management. Provides quality, consumer centered services by partnering with multiple disciplines, division leadership and KFHPW leadership
Essential Responsibilities:

• Leads, manages and develops staff to ensure the best use of human resources and to achieve financial, service and clinical quality outcomes. Recruits, hires, promotes, monitors, disciplines and terminates staff when necessary. Completes and presents performance evaluations. Mentors and coaches staff to meet or exceed cost, quality, service and staff satisfaction outcomes. Builds teams and develops individuals to effectively problem solve, resolve conflict and demonstrate appropriate team behavior.


• Participates in the planning, implementation, evaluation and continual improvement of services to respond to customer expectations and meet KFHPW goals and objectives. Problem solves and develops systems to meet external and internal customer expectations with multiple family practice clinics, specialty clinics and other KFHPW-wide services including home health, behavioral health, pharmacy, lab, and radiology in both a Contracted provider and Staff model setting. Applies content and system expertise to leverage services in a collaborative setting within the KFHPW delivery system and external delivery system. Supports KFHPW and division/district level service delivery planning. In collaboration with Care Management leadership team, identifies strategies to ensure all Care Management programs and services meet the financial, service and clinical quality standards.


• Promotes the delivery of Complex Care Management services across the continuum to include patient assessment, planning, intervention and evaluation through the development of systems and tools that promote communication and exchange of information between care settings. Assures information systems and applications support key work and meet regulatory requirements.


• Plans, identifies outcomes and implements quality assurance and quality improvement plans. Ensures all staff meet clinical quality and technical and customer service standards. In collaboration with Care Management leadership, identifies and develops standards of clinical care and clinical protocols. Tracks, trends and monitors outcome standards related to Care Management goals and implements improvement strategies to ensure optimal health care goals for consumers with complex care management needs.


• Develops budget strategies. Makes decisions related to resource allocation and priorities. Develops and implements efficient and effective operational processes and methods. Sets standards and targets to ensure fiscal resources are managed within budgetary allocation. Effectively and efficiently utilizes fiscal resources to stay within budget allocation including developing processes that optimize skill and licensure levels. Identifies and participates in the development of ongoing orientation, educational and training programs for the department. Identifies and develops individual learning plans as needed in the areas of clinical quality and service quality. Participates in the orientation and training of staff. Identifies and mentors staff through coaching and motivational interviewing techniques to reach their performance agreement outcomes.

Kaiser Permanente Job ID #1331504. Posted job title: Manager - Complex Case Management Team - Washington State

At the heart of health care, you'll find Kaiser Permanente. As the nations leading not-for-profit, integrated health plan, we make a difference in the lives of members, patients, and communities across the country.

With 39 hospitals and more than 734 locations in eight states and the District of Columbia, we proudly serve more than 12.7 million members from coast to coast. Whether you choose to join a hospital in the Northwest, a clinic in Southern California, or a medical office in the Mid-Atlantic, we have many opportunities for you to shape the future of care.

Our teams are empowered to advance impactful and extraordinary care for all by pioneering health outcomes, encouraging diverse viewpoints, and creating new opportunities for learning and advancement. This covers more than our members and our employees; it also reaches far into our communities. Together, we're proudly working as one for a healthier today and tomorrow.