LCSW - Disease Management Program Coordinator - South Bay - FT at Kaiser

Collaborates with Chief Physicians, staff physicians and managers/care providers from multiple disciplines/departments to manage the planning, development, implementation/ delivery and evaluation/improvement of a disease management program for at-risk patients in a behavioral healthcare  population defined by a chronic psychiatric disease state or disorder such as, but not limited to, characterological disorders/conditions, depressive, anxiety and/or personality disorders, dual diagnosis, substance addiction, autism.

• Responsible for coordinating an integrated systematic care management process/ program based on clinical pathways, protocols and guidelines.


• Such program directs the member/patient to appropriate and timely specialty diagnostic and treatment care services across the full continuum of care.


• Provides comprehensive on-going care management that meets established standards/ benchmarks for efficiency, improved clinical outcomes, quality, resource utilization, cost effectiveness, evidence-based treatment plans and improves members quality of life and satisfaction.


• In the program planning/development stage, acts as project manager to develop a strategic/business plan which meets access, cost, quality and member/patient satisfaction goals and needs.


• Utilizes a multi-disciplinary team approach/process to develop and implement clinical pathways and care management interventions.


• Identify and stratify at-risk patient populations.


• Analyze practice patterns/variations.


• Establish care/treatment benchmarks.


• Design a disease care model for analyzing disease components and interventions which addresses all components of patient care including patient self-management, education/teaching, and stratified interventions based on illness severity and co-morbidities.


• Pilot tests new and administers/communicates on-going program in conjunction with Chief Physicians and care providers/managers.


• Manages disease-specific data collection, analysis, and reporting based on financial, clinical, utilization, cost, best practices, and baseline metrics.


• Problem solves program issues and treatment variations.


• Analyzes program outcomes actually achieved vs intended outcomes.


• Monitors and resolves program compliance issues involving providers and patients.


• Evaluates disease management program in terms of utilization review/resource issues such as treatment variances, goal achievement of interventions, effective interaction between all clinicians/providers, appropriateness of program care model, quality improvement and patient/member satisfaction.


• Conducts analyses related to protocol/treatment plan compliance as well as clinical, quality, communication, financial/cost outcomes and makes recommendations for program revisions.


• Monitors, evaluates and improves patient access provided by care managers via telephone and other means in order to improve patient self-care/management, compliance and participation in care processes.


• Acts as organization liaison with relevant community agencies, organizations and task forces.

• Minimum four (4) years of behavioral health case management experience in a relevant chronic disease in an acute medical center, OR


• Minimum four (4) years of experience analyzing/improving  behavioral health care clinical practices/processes and clinical performance in an acute medical center.

• Masters degree in clinical social work from an institution accredited by the Council on Social Work Education

• Licensed Clinical Social Worker (California)

• Ability to conduct and utilize processes, principles and practices of program evaluation and case management modalities/interventions.


• Demonstrated knowledge of human development and psychotherapeutic theories/principles and practices.


• Ability to utilize project management skills and abilities, as well as consulting and interpersonal skills ( communication, influencing, negotiating, persuasion).


• Must be able to work in a Labor/Management Partnership environment.

• N/A.

Notes:

• Will help in Bridge Clinic/Program, HUB, ETC, Complex Care and PC plus departments


• May work Monday through Sunday with rotating work weekends. 

PrimaryLocation : California,Harbor City,Parkview Medical Offices
HoursPerWeek : 40
Shift : Day
Workdays : Mon, Tue, Wed, Thu, Fri, Sat, Sun
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 Employee
Job Level : Individual Contributor
Job Category : Behavioral Health, Social Services & Spiritual Care
Department : South Bay Med Center - Internal Medicine-Outpatient - 0806
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.

For jobs where work will be performed in unincorporated LA County, the employer provides the following statement in accordance with the Los Angeles County Fair Chance Ordinance. Criminal history may have a direct, adverse, and negative relationship on the following job duties, potentially resulting in the withdrawal of the conditional offer of employment:

Consistently supports compliance and the Principles of Responsibility (Kaiser Permanente's Code of Conduct) by maintaining the privacy and confidentiality of information, protecting the assets of the organization, acting with ethics and integrity, reporting non-compliance, and adhering to applicable federal, state, and local laws and regulations, accreditation, and licensure requirements (where applicable), and Kaiser Permanente's policies and procedures.

Models and reinforces ethical behavior in self and others in accordance with the Principles of Responsibility, adheres to organizational policies and guidelines; supports compliance initiatives; maintains confidences; admits mistakes; conducts business with honesty, shows consistency in words and actions; follows through on commitments.

Job duties with at least occasional or possible access to: (1) patients, the general public, or other employees; (2) confidential protected health information and other confidential KP information (including employee, proprietary, financial or trade secret information); (3) KP property and assets, for example, electronic assets, medical instruments, or devices; (4) controlled substances regulated by federal law or potentially subject to diversion.

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