Care Management RN

Job Summary:

Serves in an expanded nursing role to collaborate with members and the care team to provide a model of care targeting the highest risk members post hospital discharge, across all chronic care pathways. Integrates evidence-based clinical guidelines, protocols, and other metrics in the development of treatment and care plans that are patient centric, promoting quality and efficiency in the delivery of the targeted population.

Promotes optimum clinical outcomes providing assessment and management of critical transitions and panel management of the patient.

Essential Responsibilities:

• Demonstrates knowledge of all Kaiser Permanente quality, safety, and emergency policies and procedures.
• Demonstrates quality and effectiveness in work habits and clinical practice in every interaction with patients, colleagues, providers, and leadership, procedures, infection prevention, fall prevention, including consistent use of two patient identifiers. Reports safety hazards, accidents and incidents, and unsafe working conditions promptly.
• Monitors members status to initiate and perform nursing care through health promotion, supportive or restorative care, disease prevention, ailment, pain, injury, deformity, and physical or mental condition using specialized knowledge, judgment, and skill involving the application of biological, physical, social, and behavioral science principles.
• Identifies and assesses emergency situations and initiates appropriate interventions.
• Utilizes advanced physical assessment skills in evaluating health status through the collection and assessment of health data NRS 632.018; NRS 632.0169
• Coordinates care with various internal and external customers to facilitate high quality, timely, cost-effective care and service. Ensures appropriate utilization of hospital and emergency room services by providing care coordination to members that are discharged.
• Reviews ordered therapies and treatment plans and validates comprehension of understanding
• Consults and educates other staff, physicians, departments and members regarding resource management options that provide high quality while efficiently using available resources.
• Provides culturally relevant education and teaching for members discharged from the hospital setting and enrolled into care management panel and families as applicable.
• Actively seeks information to understand member/patient circumstances, problems, expectations, and needs. Builds rapport and cooperative relationship with members/patients.
• Collaborates with primary care teams to determine appropriate population management focus depending upon quality outcomes.
• Responds quickly to meet member/patient needs and resolves problems.
• Refers to medical or community agencies per KP guidelines those patients who need further treatment, evaluation, or assistance.
• Local travel required to facilities to communicate, develop trust, and obtain critical patient/member information to inform the development of a care plan for the member.
• Practices within the scope of professional nursing practice as defined by Nevada licensure, applying knowledge, skill, and sound clinical judgment consistent with recognized nursing standards and KP guidelines (NRS 632.018; NRS 632.0169)
• Leads health care team by influence and role modeling integrated effective nursing practice, service, innovation and providing outstanding support for physician practices.

Basic Qualifications

Experience

• Minimum two (2) years of RN experience with complex patient cases in a clinical or hospital setting.

Education

• Graduate of an accredited RN program.
• High School Diploma or General Education Development (GED) required.

License, Certification, Registration

• Registered Nurse License (Nevada)
• National Provider Identifier required at hire
• Basic Life Support required at hire

Additional Requirements:* Applicant must hold a current, unencumbered Nevada RN license issued by the Nevada State Board of Nursing, awarded through examination or endorsement, and have completed a minimum of 750 clock hours of faculty-planned clinical experience and guided learning activities requiring direct supervision by faculty, associate nursing instructional personnel (ANIP), or a preceptor who is physically present (NRS 632.140; NRS 632.162; NAC 632.255).

• Taxonomy Code Required at hire.

Preferred Qualifications:

• Experience with population management strategies for quality improvement.
• Proficient computer skills with Epic and Microsoft Office Suite (Outlook, Teams, Word, Excel)

PrimaryLocation : Nevada,Reno,Reno Professional Circle Administration

HoursPerWeek : 20

Shift : Day

Workdays : Tue, Thu, Fri

WorkingHoursStart : 08:00 AM

WorkingHoursEnd : 05:00 PM

Job Schedule : Part-time

Job Type : Standard

Employee Status : Regular

Employee Group/Union Affiliation : NUE-NV-01|NUE|Non Union Employee

Job Level : Individual Contributor

Job Category : Nursing Licensed & Nurse Practitioners

Department : Reno 10315 Professional Cir - HP Func-Rgnl Continuum of Care - 3841

Travel : Yes, 15 % of the Time

Kaiser Permanente is an equal opportunity employer committed to fair, respectful, and inclusive workplaces. Applicants will be considered for employment without regard to race, religion, sex, age, national origin, disability, veteran status, or any other protected characteristic or status.