Inpatient Psychiatric Case Manager
Company: Kaiser
Location: Richmond
Posted on: October 10, 2024
|
|
Job Description:
Job Summary: 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 Responsibilities: 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 Kaisers Quality and
Utilization expectations and guidelines. Provides administrative
on-call to the RSR/Sub regional Office. Provides Clinical and
Administrative documentation in accordance with Kaiser Regional
Psychiatric Standards including the Inpatient/Integrated Urgent
Services Guidelines. Kaiser Permanente conducts compensation
reviews of positions on a routine basis. At any time, Kaiser
Permanente reserves the right to reevaluate and change job
descriptions, or to change such positions from salaried to hourly
pay status. Such changes are generally implemented only after
notice is given to affected employees. Basic Qualifications:
Experience Minimum two (2) years of experience in an inpatient
psychiatric setting or psychiatric emergency service. Minimum two
(2) years of experience of care management or clinical experience.
Education Masters degree (Social Work or Psychology), or PhD
(Psychology) required. License, Certification, Registration
Psychologist License (California) OR Licensed Clinical Social
Worker (California) OR Licensed Marriage and Family Therapist
(California) National Provider Identifier required at hire
Additional Requirements: Responsibility for a large caseload
(50-100) for an extended period of time.Demonstrated expertise in
crisis management.Demonstrated experience in utilization data
collection and cost benefit analysis.Knowledge of TJC, and other
local, state, and federal regulations.Must be able to work in a
Labor Partnership Environment. Preferred Qualifications: N/A
PrimaryLocation : California,Vallejo,Vallejo Hospital Tower
HoursPerWeek : 26 Shift : Day Workdays : Mon, Tue, Wed, Thu, Fri
*and every 7th weekend flex WorkingHoursStart : 08:00 AM
WorkingHoursEnd : 04:30 PM Job Schedule : Part-time Job Type :
Standard Employee Status : Regular Employee Group/Union Affiliation
: NUE-NCAL-09-NUE-Non Union Employee Job Level : Individual
Contributor Job Category : Behavioral Health, Social Services &
Spiritual Care Department : Vallejo Hospital - Community Care
Program - 0201 Travel : No Kaiser Permanente is an equal
opportunity employer committed to a diverse and inclusive
workforce. Applicants will receive consideration for employment
without regard to race, color, religion, sex (including pregnancy),
age, sexual orientation, national origin, marital status, parental
status, ancestry, disability, gender identity, veteran status,
genetic information, other distinguishing characteristics of
diversity and inclusion, or any other protected status.--s-p-m1--
By applying, you consent to your information being transmitted by
Monster to the Employer, as data controller, through the Employer's
data processor SonicJobs. See Kaiser Privacy Policy at
https://www.kaiserpermanentejobs.org/privacy-practices and
SonicJobs Privacy Policy at
https://www.sonicjobs.com/us/privacy-policy and Terms of Use at
https://www.sonicjobs.com/us/terms-conditions
Keywords: Kaiser, Fremont , Inpatient Psychiatric Case Manager, Executive , Richmond, California
Click
here to apply!
|