Kaiser Permanente Manager, Elder Care Program - Georgia Region in Atlanta, Georgia
The Manager of the KPGA Elder Care Program is responsible for overseeing the program implementation, hiring and training of the interdisciplinary team (IDT) including: the registered nurse, licensed practical nurse, and social worker and providing leadership and mentoring to the IDT. Specifically, the Manager of Elder Care, Assist in developing the program policies and procedures, Monitors and evaluates the effectiveness of the program annually and develops improvement plans for deficient areas, Partners with the Chief of Elder Care and co-facilitates the monthly IDT meetings, Demonstrates knowledge of and complies with Centers for Medicare/Medicaid Services (CMS) regulatory standards including the Chronic Care Improvement Program (CCIP) and Special Needs Plan (SNP), and aligns work to meet all requirements, Ensures all Care Plans are developed annually for the SNP members, Assist with clinical guidelines related to clinical on-boarding of Medicare (SNP and non-SNP) members, In collaboration with the Director, Population Care and the Chief of Elder Care, responsible for ensuring Elder Care program dashboard is populated and reported to senior leaders and Pursues personal training and skill development opportunities that build expertise, professionalism and knowledge of geriatrics.
In collaboration with the Director, PCPHP, Chief of Elder Care and the project manager, responsible for overseeing the implementation of the new KPGA Elder Care program.
Assist in the hiring and training of all staff to meet the Centers for Medicare/Medicaid Services (CMS) regulatory standards including the Chronic Care Improvement Program (CCIP) and Special Needs Plan (SNP). Direct oversight for the IDT registered nurse, licensed practical nurse, and social worker.
Participate on the National Kaiser Permanente SNP Model of Care meetings/ calls and works closely with the Medicare Compliance department to ensure the KP Georgia region complies with CMS regulations.
Responsible for monitoring and evaluating Medicare programs (CCIP and SNP) as well as the broader Elder Care program effectiveness on an annual basis. Ensure results are reported to NCQA and KPGA senior leaders.
Responsible for ensuring staff enter data into the Electronic Medical Record (EMR) and the tracking system. Audits staff periodically to ensure compliance with Elder Care program Policies and Procedures.
Partners with the Chief of Elder Care and co-facilitates the monthly IDT meetings.
Assist with clinical guidelines related to clinical on-boarding of Medicare (SNP and non-SNP) members.
In collaboration with the Director, Population Care and the Chief of Elder Care, responsible for ensuring Elder Care program dashboard is populated and reported to senior leaders.
Responsible for overseeing the development of the Elder Care program policies and procedures as well as defining the roles and responsibilities of each IDT member.
Collaborates with other KPGA Programs including Complex Case Management, Palliative Care, the Transitions program, and Hospice to provide Complete Care to our members.
Responsible for updating the Annual Elder Care, CCIP and SNP Program Descriptions for NCQA compliance. Serves as a Subject Matter Expert and resource during NCQA surveys.
Assists and ensures all SNP members have an annual IDT Care Plans developed.
Builds effective working relationship with practitioners, other departments, Affiliated providers and other community resources.
This job description is not all encompassing.
Minimum three (3) years of experience in ambulatory care.
Knowledge and experience in teaching, counseling principles and stages of behavior change.
Experience in data collection, review and interpretation.
Experience working with the elderly patients with complex medical, co-morbid and psychosocial problems.
- Master's degree of science in nursing.
License, Certification, Registration
- Licensure as a Registered Nurse in the State of Georgia.
- Demonstrated collaborative/team oriented work style.
Minimum five (5) years of experience in geriatric assessment preferred.
Minimum three (3) years of experience in ambulatory care, in gerontology preferred.
Prior experience in self-management education programs preferred.
Geriatric Nursing Certification.
TITLE: Manager, Elder Care Program - Georgia Region
LOCATION: Atlanta, Georgia
External hires must pass a background check/drug screen. Qualified applicants with arrest and/or conviction records will be considered for employment in a manner consistent with Federal, state and local laws, including but not limited to the San Francisco Fair Chance Ordinance. All qualified applicants will receive consideration for employment without regard to race, color, religion, sex, national origin, sexual orientation, gender identity, protected veteran, or disability status.