Silver Spring, MD
Registered Nurse (RN) – Transplant Coordinator/Case Manager
Utilization Management Operations Center – Kaiser Permanente
Monday – Friday, 8:00am – 5:00pm.
Currently seeking a Case Management Registered Nurse to work a 13 week contract (with possible extension) at Garrett Utilization Management Operations Center in Silver Spring, MD. The ideal candidate will have 2-5 years of experience.
Responsibilities of Case Management RN:
Coordinates case management to include, but not limited to, continuity of care, inpatient and outpatient care, utilization management, transfer coordination, discharge planning, and concurrent reviews.
Assess the members clinical, psychosocial, financial, and environmental needs to determine barriers to optimal access of transplant services, and develop plans/interventions that ensure timely care without redundancy.
Documents Case Management problem list and problem oriented intervention as per policy
Documents evaluation of interventions within a problem oriented model for practice.
Documentation is accurate and timely per policy, including Nurses Notes, LOA request and Exemption forms.
Utilizes Case Management Practice Guidelines to identify evidenced based interventions and standards for evaluating patient outcomes.
Communicates with member at benchmark periods throughout the case management relationship; consistently makes introductory phone calls and mails packet once appointment is secured.
Provides ongoing reassessment and monitoring of members clinical, psychosocial and environmental needs throughout the case management relationship.
Collaborates with region to maximize internalization of services, ensuring timely access to care within the members’ available health plan benefits.
Ensures appropriate authorization from the home region. Makes recommendations relative to members’ candidacy, using evidence based Patient Selection Criteria.. Collaborates with home region Utilization Management department to ensure regulatory compliance.
Works with clinical departments to ensure complete referral packet and work¬up prior to appointment at Center of Excellence.
Ensures weekly inpatient Concurrent Review for inpatient admission
Requirements of Case Management RN:
Minimum of 3-5 years of surgical or ICU clinical experience, 2 years of UM or Case Management experience. Experience in managed care of Kaiser Permanente a plus.
13 week contract with possible extension
For immediate consideration, please send your resume via email to firstname.lastname@example.org
Float As Needed
$40 / Hour
Skill Set Requirements
Must have at least 2 years of clinical experience and 1 year in the specialty requested.
Registered Nurse (RN) – Interventional Radiology (IR)
Require an updated resume, skills checklist, and two recent manager or supervisory references. Please note these are the standard requirements but they can vary by facility. Need active MD or compact license.
Please note: Quoted pay rate is for local candidates. Travelers will be paid the equivalent of the local rate minus housing. Housing stipends available. Please note orientation is paid at full rate and parking is reimbursed. Travelers please request a sample pay stub to know to see your take home wage.