RN Case Manager - Oncology - On-Call

The RN Case Manager functions in a self‑directed role with a high degree of autonomy in an expanded clinical role, guiding appropriate use of resources for a variety of chronic conditions. RN Case Management Services will have accountability for a designated population defined in conjunction with clinicians in the medical home, assisting the organization in meeting regulatory service and care needs. The RN Case Manager works collaboratively as a member of the healthcare team to deliver high quality care, supporting Kaiser Permanente’s mission, vision and values. The RN provides nursing services in person, by phone, and via electronic media, utilizing the nursing process and leadership skills to address acute and chronic needs of Health Plan members and other patients of the Kaiser Permanente Health Care Program. The RN works under the general direction of the designated supervisor and may function in multiple settings within the system, the community and at home to support a high‑risk population. Essential Responsibilities Utilize regional population stratification information and processes to identify appropriate members for enrollment into case management in collaboration with clinicians and the healthcare team. Independently and proactively complete chart reviews, screening calls and full assessments related to the anticipated level of care, documenting findings using standardized approved documentation tools. Triage findings from member assessments, identifying needs and issues, engage patients to define a plan of care, appropriate level of self‑management and interventions. Determine Level of Care and communicate findings and actions to involved care providers through succinct summaries that include findings, actions and further recommendations. With the member/family and appropriate KP staff and providers, develop and document a patient‑centered care plan that addresses short‑term goals that are specific, attainable and measurable. Provide care coordination and management services for members with identified needs: creatively use available and appropriate resources, including KP staff and providers, to support unique needs; facilitate access to internal and external services; monitor effectiveness of interventions; and reinforce the treatment plan. Advise and coach patients and families; succinctly document interventions in KP HealthConnect as needed by other providers to ensure coordination of care and services. Strengthen and improve Case Management Services: establish strong relationships with clinicians and other healthcare team members; communicate data on population case‑managed, utilization and outcomes; educate staff/clinicians; develop and distribute education, tools and materials for member coordination; contribute to ongoing process improvement including related procedures, policies, patient support and documentation tools. Act as a liaison between the patient and appropriate care delivery team. Basic Qualifications Within the last eight (8) years a minimum of five (5) years of nursing experience in acute care or ambulatory care/clinic/extended setting, including two (2) of those five years in a case‑management/care coordination role. One year of ambulatory oncology experience within the past three years. One year of telephone triage within the past three years. Education Graduate of an accredited school of nursing. License, Certification, Registration Credentials from multiple states are required. Credentials from the primary work state are required at hire; additional credentials from the secondary work state(s) are required post‑hire. Registered Nurse License (Washington) within 6 months of hire or Compact License: Registered Nurse within 6 months of hire. Registered Nurse License (Oregon) within 6 months of hire. Driver’s License (where applicable). Basic Life Support required at hire. Additional Requirements Knowledge of case‑management principles. Demonstrates clinical nursing and leadership skills. Ability to work independently in an unstructured environment with minimal supervision. Able to type 20 words per minute. Demonstrates effective interpersonal, communication and problem‑solving skills. Willingness to learn computerized information systems. Demonstrates ability to work within teams and within a dynamic work environment. Demonstrates customer‑focused service skills. Knowledge of community resources for the care of the elderly and patients with chronic conditions. Demonstrated ability to organize, coordinate, and manage care plans. Thorough knowledge of levels of care within outpatient, acute care and extended care settings. Demonstrated ability to work as part of a multidisciplinary team. Effective written and verbal communication skills. Ability to present reports verbally in a public setting (public speaking). Demonstrated data entry skills and ability to use Microsoft Word. Preferred Qualifications Minimum two (2) years of experience in case management, care coordination or population care. Previous experience with population case‑management, triage and advice. Microsoft Word, Excel and Health Connect experience. Quality management methodology and utilization management experience. Case‑Management Certification. Current or future bachelor’s degree in nursing or related field. RN with BSN or bachelor’s degree in a health‑related field. ONCC Certification. Notes Onsite either 8‑hr shifts or 9‑hr shifts. #J-18808-Ljbffr