Dir Regl Complex Case Mgmt, RN ( Job Number: 209332 )
Location: Pasadena California
Description: Kaiser Permanente is hiring Dir Regl Complex Case Mgmt, RN ( Job Number: 209332 ) right now, this job will be placed in California. More complete informations about this job opportunity please give attention to these descriptions. Responsible for the overall design, care delivery model, coordination, management, evaluation, survey readiness and continuous quality! improvement of the commercial and federal- and state-mandated Care Coordination and Complex Case Management Programs for the KP SCAL region.
Essential Functions:
- Provides direction and expertise to all KP SCAL Care Coordination and Complex Case Management programs and related services, to include, Centers for Medicare and Medicaid Services (CMS) Coordinated Care Initiative, CMS Special Needs Plan, MediCal Seniors and Persons with Disabilities, and Commercial programs.
- Provides oversight and integration of overall operations (fiscal, human resources, and competency) for all programs.
- Assists the Executive Director in providing strategic leadership to ensure efficient utilization of resources and the delivery of quality, cost effective, efficient health care to meet established goals, objectives, policies and regulatory requirements.
- Monitors and assesses trends and best practices in care coordination and complex case m! anagement and makes recommendations to develop/adjust strategi! es, programs and service delivery to meet changing business and market conditions.
- Directs, staffs, and organizes the regional Care Coordination and Complex Case Management programs and continually evaluates and improves the quality of the care and services provided. Designs, plans, and implements an effective, efficient and quality model of care to provide for the needs of members, physicians and personnel.
- Establishes appropriate program goals and objectives and related metrics to measure the effectiveness of the program.
- Develops, monitors and controls payroll, non-payroll and capital budgets and expenditures for all programs.
- Monitors operational and financial reports and implements improvement plans as required.
- Ensures the development and implementation of Case Management policies and procedures.
- Ensures ongoing education and competence measurement of Case Management personnel.
- Hires, fires, takes discipli! nary action and conducts performance assessments for assigned staff. Participates in committees and/or projects.
- Collaborates effectively with internal and external stakeholders to ensure the effectiveness and efficiency of the programs.
Basic Qualifications:
- Five (5) years of nursing experience in a clinical setting.
- Five (5) years of progressive management experience in health plan/hospital UM/Case Management.
- Graduate of an accredited school of nursing.
- Master's degree in a health care or business related field.
- Current and proof of valid State of California RN license.
- Demonstrated excellent interpersonal and communication skills.
- Bachelor's of science degree in nursing preferred.
- Case Management Certification preferred.
- .
If! you were eligible to this job, please email us your resume, with salar! y requirements and a resume to Kaiser Permanente.
If you interested on this job just click on the Apply button, you will be redirected to the official website
This job starts available on: Wed, 06 Nov 2013 10:50:47 GMT
Apply Dir Regl Complex Case Mgmt, RN ( Job Number: 209332 ) Here