Collect and assess member information pertinent to members history, condition, and functional abilities in order to develop a comprehensive, individualized care plan that promotes wellness, appropriate utilization, and cost - effective care and services.
Provide care coordination and management services for members with identified needs: Creatively using available and appropriate resources, including KP staff and providers, to support the unique needs of each member; Facilitating access to internal and external services.
In this position you will act as a medical consultant for life and disability services claims staff, provide case management services that promote return to work and you will continually build upon your medical knowledge and customer service skills.
The Senior Case Manager/Care Coordinator is responsible for the coordination of services and cost effective management of health care resources to meet individual members health care needs and promote positive health outcomes.
The RN Case Manager participates in the development and coordinates the implementation of the interdisciplinary plan of care; plans, organizes, and provides nursing care to the terminally ill and their families.
In this role, the selected candidate will assist providers in effectively identifying needs and coordinating access to appropriate care and services in an effort to improve or maintain the patient's functional status and independence.