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Job Category:
Mental Health
Industry:
Health Care & Medicine
Employment Type:
Full time
Experience:
1-3 years of experience
Compensation:
Competitive
Posted:
8/15/2012
Inpatient Psychiatric Case Manager( Job Number: 128364)
(This job is no longer available)
Kaiser Permanente | Martinez, CA
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Job Description

At Kaiser Permanente Northern California, you’ll join a team of health advocates who share your passion for helping people. From our financial professionals and IT team members to our RNs and physicians on the front line of care—we work together to help our members achieve their best level of wellness. And you’ll be inspired to do the same. Whether you dream of sailing the bay, hitting the slopes in the Sierras, hiking Yosemite, attending the opera, or strolling the vineyards, you’ll discover the cultural and recreational diversity that makes Northern California one of the most desirable places in the world to live and work. Northern California’s largest health plan, Kaiser Permanente provides you with the resources, scope, and opportunity you need to realize your goals. Come see for yourself.  

Description
 
Provides inpatient and intensive outpatient case management for high-risk, high-utilizing members with acute and/or
chronic psychiatric conditions across the continuum of care. Develops treatment and care plans for the
specific population.

Essential Functions:
• Plans, develops, coordinates, assesses, and evaluates services provided to members to promote quality and cost effective outcomes. Develops and maintains case management policies and procedures to assure optimal and appropriate member utilization of services.
• Coordinates the interdisciplinary approach to providing continuity of care, including utilization management, transfer coordination, discharge planning, and obtaining all authorizations/approvals for outside services. Participates in the development of care paths.
• As an Intensive Case Manager coordinates the care of a large caseload of high risk patients and provides assessments and interventions in the community including in-home visits. Consults with internal and external physicians, health care providers, discharge planning and outside agencies regarding continued care/treatment or hospitalization.
• Arranges and monitors follow-up appointments. Makes referrals to appropriate community services.
• Identifies and recommends opportunities for cost savings and quality of care improvements across the continuum. Develops and collects reports and data, and trends utilization of health care resources.
• Develops and presents in-service training and communication to both internal and external stakeholders.
• Interprets regulations, health plan benefits, policies, and procedures for members, physicians, medical office staff, contract providers, and outside agencies.
• Coordinates the transmission of clinical and benefit information and treatment to patients, families and outside agencies including issuing Non-Coverage and Denial of Benefits letters consistent with Health Plan Regulations.
• Acts as liaison to psychiatry clinics outside agencies, non-plan facilities, and outside providers.
• Coordinates repatriation of patients and monitors their quality of care.
• Provides administrative case management oversight to Inpatient Psychiatric Facilities, Crisis Residential.
• Programs, and IMDs to ensure that services delivered to our members meet Kaiser's Quality and Utilization expectations and guidelines.
• Provides administrative on-call to the RSR/Subregional Office.
• Provides Clinical and Administrative documentation in accordance with Kaiser Regional Psychiatric Standards including the Inpatient/Integrated Urgent Services Guidelines.
• Travel is required.

 

 

Qualifications

Qualifications
 
Basic Qualifications:
• Previous experience (usually 2 years) in an inpatient psychiatric setting or psychiatric emergency service.
• Previous experience (usually 2 years) of care management or clinical experience, and responsibility for a large caseload (50-100) for an extended period of time.
• Master's (Social Work or Psychology), or PhD (Psychology) required. • LCSW, MFT or Psychologist License required.
• Must have a National Provider Identifier (NPI), or obtain an NPI, prior to employment start date.
• Demonstrated expertise in crisis management.
• Demonstrated experience in utilization data collection and cost benefit analysis.
• Knowledge of JCAHO, and other local, state, and federal regulations.
• Must be able to work in a Labor Partnership Environment.

Primary Location

California-Martinez-Martinez Hacienda Medical Offices 200 Muir Rd.


External hires must pass a background check/drug screen.  We are proud to be an equal opportunity/affirmative action employer.

 

Please visit http://jobs.kp.org for complete qualifications and job submission details, referencing job number 128364. Principals only. Kaiser Permanente is an EEO/AA Employer.

If you would like to hear the Kaiser Permanente story as told by our employees, watch the videos at kp.org/jobs/video. Follow us on twitter.com/KPCareers or visit the KP Careers tab on facebook.com/KPThrive.

This position supports Kaiser Permanente’s code of conduct and compliance by adhering to all laws and regulations, accreditation and licensure requirements, and internal policies and procedures.

jobs.kp.org

KAISER PERMANENTE

 

About Kaiser Permanente

Company Description

Serving approximately 8.7 million members in nine states and the District of Columbia, Kaiser Permanente is America's leading nonprofit integrated health plan.

Kaiser Permanente's mission is to provide high-quality, affordable health care services to improve the health of our members and the communities we serve.

Our Northern California Region provides integrated health care services to approximately 3.2 million members. Approximately 4,400 physicians of The Permanente Medical Group provide services at 20 medical centers and numerous medical offices.

Company History

Founded in 1945, Kaiser Permanente is the nation’s largest not-for-profit health plan, serving more than 8.6 million members, with headquarters in Oakland, Calif. It comprises:

  1.   • Kaiser Foundation Health Plan, Inc.

  • Kaiser Foundation Hospitals and their subsidiaries

  • The Permanente Medical Groups.

At Kaiser Permanente, physicians are responsible for medical decisions. The Permanente Medical Groups, which provide care for Kaiser Permanente members, continuously develop and refine medical practices to help ensure that care is delivered in the most efficient and effective manner possible.

Kaiser Permanente’s creation resulted from the challenge of providing Americans medical care during the Great Depression and World War II, when most people could not afford to go to a doctor. Among the innovations it has brought to U.S. health care are:

  • prepaid health plans, which spread the cost to make it more affordable

  • physician group practice to maximize their abilities to care for patients

  • a focus on preventing illness as much as on caring for the sick

  • an organized delivery system, putting as many services as possible under one roof

Mission & Values

As a health care organization in the 21st century, we have a mission--to provide quality care for our members and their families, and to contribute to the well-being of our communities.

Working Here

When you bring your career to Kaiser Permanente, the work you do directly affects the health of millions. From the business people who shape our policies, to the IT professionals enabling life-saving data, to the nurses and physicians on the front line of patient care, everyone here has a role to play in the care continuum. Knowing you have a place in that process and witnessing the outcome of the work you do is empowering. It gives you a cause to stand behind. And it makes you feel proud of the work you do every day. When people witness the impact of their contributions, they excel. Together we have the power to make a difference.

Hiring Information

The first step in beginning your career search is to look for open jobs that match your skills, qualifications, and interests. Each posting includes a description of the position and the minimum required qualifications. Once you find a position you are interested in, register for an account and provide your information for consideration online.

Benefits

As an employee, you are eligible for benefits according to your full-time/part-time status and the number of hours scheduled to work per week. Benefits may vary based on your Kaiser Permanente region, position, scheduled hours, and representation by collective bargaining or employee groups, but generally include:

  • generous vacation, holiday, and sick leave

  • medical care (including prescriptions), vision, mental health, and dental care

  • disability and life insurance coverage

  • educational opportunities and tuition reimbursement

  • employee assistance programs

  • health care, dependent care, and transit spending account options

  • retirement plans

In addition, we believe in recognizing stellar performance and sponsor a variety of programs designed to reward our skilled, innovative, caring, and committed staff.

In short, at Kaiser Permanente, we understand that there is a direct correlation between happy employees and happy members. We take pride in the compassion and dedication of our employees and find many ways to reward their hard work. In return, our employees take pride in being a part of a collaborative, professional team focused on quality, service, and care.

Honors & Awards

Kaiser Permanente of Northern California has earned an "Excellent" rating from the National Committee for Quality Assurance (NCQA)-the nation's leading reviewer of health plan quality for consumers and employers. Excellent is the top rating granted by NCQA, which reviews satisfaction surveys, preventive measures, physician credentialing, member services and improvement initiatives.*

Both our Northern and Southern California regions were the only health plans in California identified by the NCQA in its list of the best health care programs in the Pacific States. (NCQA's The State of Health Care Quality 2003)

The Joint Commission on Accreditation of Healthcare Organizations accredits all Kaiser Foundation Hospitals in California.

For the seventh straight year, no other health plan has earned higher ratings from the California Cooperative Health Reporting Initiative on more measures than Kaiser Permanente. The annual ratings measure clinical quality and member satisfaction. (CCHRI Report on Quality 2003)

Our Northern California region received more three-star "Excellent" ratings than any other health plan surveyed by California's Office of the Patient Advocate on California's Quality of Care Report Card 2003-04.

* Commercial HMO and Medicare-contracted product lines: April 2003.