Inpatient Psychiatric Case Manager CA
Location: Santa Clara
Posted on: February 12, 2024
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.
Plans, develops, coordinates, assesses, and evaluates services
provided to members to promote quality and cost effective
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
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.
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
Masters degree (Social Work or Psychology), or PhD (Psychology)
License, Certification, Registration
Psychologist License (California) OR Licensed Clinical Social
Worker (California) OR Licensed Marriage and Family Therapist
National Provider Identifier required at hire
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
PrimaryLocation : California,Santa Clara,Santa Clara Behavioral
HoursPerWeek : 1
Shift : Day
Workdays : Sun, Mon, Tue, Wed, Thu, Fri, Sat
WorkingHoursStart : 12:01 AM
WorkingHoursEnd : 11:59 PM
Job Schedule : Call-in/On-Call
Job Type : Standard
Employee Status : Regular
Employee Group/Union Affiliation : NUE-NCAL-09-NUE-Non Union
Job Level : Individual Contributor
Job Category : Behavioral Health, Social Services & Spiritual
Department : Santa Clara Behavioral Health - Psych -Closed Unit 1 -
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, Santa Clara , Inpatient Psychiatric Case Manager CA, Healthcare , Santa Clara, California
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