Case Manager OS Utilization RN

Job Summary:

Coordinates continuing care/outside services for continuing care members at one medical center. Repatriate stable Kaiser Permanente members from non-Kaiser Permanente facilities in the emergency department and admitted patients. The process involves screening for appropriateness of care and talking to the outside physician to establish stability to transfer to a Kaiser Permanente facility. Works with KFH and SCPMG staff in developing service plans, providing quality care, cost effective services that are aligned with federal, state and local regulations and continuing care business goals/objectives. Complies with other duties as described.

Essential Responsibilities:



+ Coordinates the administration and delivery of assigned outside services at one medical center.


+ Collaborates with physicians, service directors, and other health care providers to identify and implement innovative models and best practices, emphasizing serv...