Case Manager Continuing Care Social Worker CA
Posted on: February 12, 2024
Coordinates with physicians, staff, and non-Kaiser
providers/facilities regarding patient care/population based
management for patients in specifically defined geriatric or other
specifically defined patient populations (e.g., patients with a
specific chronic disease, high risk patients) in order to plan and
implement a comprehensive, mutli-disciplinary approach to manage
health conditions, utilization of resources and protocols, patient
self-care, implementation and evaluation of treatment plan across
the care continuum (primary, secondary, tertiary and continued
care). In conjunction with physicians, develops treatment plan,
monitors care, makes recommendations for alternative levels of
care, identifies cost-effective protocols and care paths and
develops guidelines for care that may require coordination across
systems of multiple providers/services.
Plans, develops, assesses and evaluates care provided to
In conjunction with primary care and specialist physicians,
evaluates and develops baseline medical and psychosocial
evaluations and individualized patient care/treatment plans.
Recommends alternative levels of care and ensures compliance with
federal, state, and local requirements.
Makes assessments of physiological and or functional status
Initiates appropriate diagnostic testing/screening and
Develops individualized patient/family education plan focused on
self-management; delivers patient/family education specific to a
Implements strategies to target/assess risk factors and achieve and
ensure patient follow-up according to clinical and strategic
Produces population based reports on outcomes specific to defined
Participates with healthcare team/providers in actualizing outcomes
by planning, evaluating and implementing decisions and strategies
to achieve predetermined cost, clinical, quality, utilization and
Develops and maintains case management policies and procedures.
Coordinates care/services with utilization and/or quality reviewers
and monitors level and quality of care.
Coordinates the interdisciplinary approach to providing continuity
of care, including utilization management, transfer coordination,
discharge planning, and obtaining all
authorizations/approvals/transfers as needed for outside services
Consults with internal and external physicians, health care
providers, discharge planning and outside agencies regarding
continued care/treatment or hospitalization or referral to support
services or placement.
Arranges and monitors follow-up appointments.
Encourages member to follow prescribed course of care (e.g., drug
therapy, physical therapy).
Makes referrals to appropriate community services and outside
Identifies and recommends opportunities for cost savings and
improving the quality of care across the continuum.
Develops and collects data; trends utilization of health care
Interprets regulations, health plan benefits, policies, and
procedures for members, physicians, medical office staff, contract
providers, and outside agencies.
Coordinates transmission of clinical and benefit treatment to
patients, families and outside agencies.
Acts as liaison for outside agencies, non-plan facilities, and
Coordinates repatriation of patients and monitors their quality of
Graduate of an academic institution accredited by the Council on
Social Work Education and a Masters degree in Social Work.
License, Certification, Registration
Demonstrated knowledge of case management, discharge planning,
transfer coordination; TJC and other federal/state/local
Must be able to work in a Labor/Management Partnership
Minimum two (2) years of case management experience with the
population to be case managed preferred.
Current and valid LCSW highly preferred.
Case Manager for Special Needs Program
PrimaryLocation : California,Los Angeles,4950 Sunset Radiation
HoursPerWeek : 40
Shift : Day
Workdays : Mon, Tue, Wed, Thu, Fri,
WorkingHoursStart : 08:00 AM
WorkingHoursEnd : 04:30 PM
Job Schedule : Full-time
Job Type : Standard
Employee Status : Regular
Employee Group/Union Affiliation : NUE-SCAL-01-NUE-Non Union
Job Level : Individual Contributor
Job Category : Behavioral Health, Social Services & Spiritual
Department : Sunset-Vermont MOB - Case Coordination Ctr-SCAL -
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.By applying, you consent to your
information being processed by SonicJobs and transmitted to the
Keywords: Kaiser, Downey , Case Manager Continuing Care Social Worker CA, Healthcare , Downey, California
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