Disease Management Program Coordinator LCSW

Description: Job Summary:

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.

Essential Responsibilities:

• 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.

Basic Qualifications:

Experience

• 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.

Education

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

License, Certification, Registration

• Licensed Clinical Social Worker (California)

Additional Requirements:

• 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.

Preferred Qualifications:

• N/A.

Notes:

LCSW New Position for Primary Care Plus Program.

Primary Location: California,Los Angeles,Baldwin Hills Crenshaw Medical Offices
Scheduled Weekly Hours: 40
Shift: Day
Workdays: Mon - Fri
Working Hours Start: 08:00 AM
Working Hours End: 04:30 PM
Job Schedule: Full-time
Job Type: Standard
Worker Location: Flexible
Employee Status: Regular
Employee Group/Union Affiliation: NUE-SCAL-01|NUE|Non Union Employee
Job Level: Individual Contributor
Department: Baldwin Hills Crenshaw MOB - Internal Medicine-Reg Clinic - 0806
Pay Range: $109100 - $141130 / year Kaiser Permanente strives to offer a market competitive total rewards package and is committed to pay equity and transparency. The posted pay range is based on possible base salaries for the role and does not reflect the full value of our total rewards package. Actual base pay determined at offer will be based on labor market data and a candidate's years of relevant work experience, education, certifications, skills, and geographic location.
Travel: Yes, 20 % of the Time
Flexible: Work location is on-site at a KP location, with the flexibility to work from home. Worker location must align with Kaiser Permanente's Authorized States policy. At Kaiser Permanente, equity, inclusion and diversity are inextricably linked to our mission, and we aim to make it a part of everything we do. We know that having a diverse and inclusive workforce makes Kaiser Permanente a better place to receive health care, a more supportive partner in our communities we serve, and a more fulfilling place to work. Working at Kaiser Permanente means that you agree to and abide by our commitment to equity and our expectation that we all work together to create an inclusive work environment focused on a sense of belonging and wellbeing.

Kaiser Permanente is an equal opportunity employer committed to fair, respectful, and inclusive workplaces. Applicants will be considered for employment without regard to race, religion, sex, age, national origin, disability, veteran status, or any other protected characteristic or 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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