Staff Position

Social Work - Case Management
Kaiser Permanente
Los Angeles, CA
0x8 hrs, Days

$49-63/hour
Posted Today

Overview

  • Shift Breakdown0x8 hrs
  • ShiftDays

Pay

Estimated pay
$49-63/hour

Qualifications

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Description

Job Summary:
Coordinates with physicians, staff, and non-Kaiser providers/facilities regarding patient care/population based management for patients in specifically defined geriatric or other specifically defined patient populations (e.g., patients with a specific chronic disease, high risk patients) in order to plan and implement a comprehensive, mutli-disciplinary approach to manage health conditions, utilization of resources and protocols, patient self-care, implementation and evaluation of treatment plan across the care continuum (primary, secondary, tertiary and continued care). In conjunction with physicians, develops treatment plan, monitors care, makes recommendations for alternative levels of care, identifies cost-effective protocols and care paths and develops guidelines for care that may require coordination across systems of multiple providers/services.

Essential Responsibilities:

  • Plans, develops, assesses and evaluates care provided to members.

  • In conjunction with primary care and specialist physicians, evaluates and develops baseline medical and psychosocial evaluations and individualized patient care/treatment plans.

  • Recommends alternative levels of care and ensures compliance with federal, state, and local requirements.

  • Makes assessments of physiological and or functional status utilizing protocols.

  • Initiates appropriate diagnostic testing/screening and interventions.

  • Develops individualized patient/family education plan focused on self-management; delivers patient/family education specific to a disease state.

  • Implements strategies to target/assess risk factors and achieve and ensure patient follow-up according to clinical and strategic measures/outcomes.

  • Produces population based reports on outcomes specific to defined patient populations.

  • Participates with healthcare team/providers in actualizing outcomes by planning, evaluating and implementing decisions and strategies to achieve predetermined cost, clinical, quality, utilization and service outcomes.

  • Develops and maintains case management policies and procedures.

  • Coordinates care/services with utilization and/or quality reviewers and monitors level and quality of care.

  • Coordinates the interdisciplinary approach to providing continuity of care, including utilization management, transfer coordination, discharge planning, and obtaining all authorizations/approvals/transfers as needed for outside services for patients/families.

  • Consults with internal and external physicians, health care providers, discharge planning and outside agencies regarding continued care/treatment or hospitalization or referral to support services or placement.

  • Arranges and monitors follow-up appointments.

  • Encourages member to follow prescribed course of care (e.g., drug therapy, physical therapy).

  • Makes referrals to appropriate community services and outside providers.

  • Identifies and recommends opportunities for cost savings and improving the quality of care across the continuum.

  • Develops and collects data; trends utilization of health care resources.

  • Interprets regulations, health plan benefits, policies, and procedures for members, physicians, medical office staff, contract providers, and outside agencies.

  • Coordinates transmission of clinical and benefit treatment to patients, families and outside agencies.

  • Acts as liaison for outside agencies, non-plan facilities, and outside providers.

  • Coordinates repatriation of patients and monitors their quality of care.
Basic Qualifications: Experience

  • N/A.

Education
  • Graduate of an academic institution accredited by the Council on Social Work Education and a Masters degree in Social Work.
License, Certification, Registration
  • N/A
Additional Requirements:
  • Demonstrated knowledge of case management, discharge planning, transfer coordination; TJC and other federal/state/local regulations.
  • Must be able to work in a Labor/Management Partnership environment.
Preferred Qualifications:
  • Minimum two (2) years of case management experience with the population to be case managed preferred.
  • Current and valid LCSW highly preferred.
Chelsey Niemiec
Chelsey Niemiec
Kaiser Permanente Job ID #1292649. Posted job title: Continuing Care Case Manager/Social Worker - Per Diem

Employer

Kaiser Permanente

5.0rating(3 reviews)
Compensation
5.0rating
Culture
5.0rating
Work Environment
5.0rating
5.0rating
Anonymous
Anonymous
Monitor Technician (Allied Health Professional)
Review of Kaiser Permanente on Oct 3, 2024
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About
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.
Response timewithin a day
Staff jobs$21–149/hour
Local contracts$21–149/hour
Per Diem / PRN roles$21–149/hour
Jobs on Vivian978
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Los Angeles, CA

About

Los Angeles needs no introduction as a world-famous destination known for its endless sunshine, golden beaches and television and movie industries. Tour the sights in Hollywood, an L.A. suburb long associated with glitz, glamour and big-name celebrities. Stroll the Hollywood Walk of Fame and, during a major film screening at the former Grauman's Chinese Theatre, stand outside to watch the arrival of the stars. You can shop like Julia Roberts in Pretty Woman along Rodeo Drive in Beverly Hills or perhaps dine with some of the rich and famous at Craig's, where everyone from Kim Kardashian to George Clooney has been spotted enjoying a meal. The shopping and dining opportunities are nearly endless in Los Angeles. There’s no shortage of thrills here and throughout the surrounding area, with many amusement parks like Universal Studios, Six Flags Magic Mountain and Disneyland.

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