Case Management Utilization RN, 24/hr Day

Kaiser Permanente; Los Angeles (CA); On-site; USD 95,000 - 116,000; Full time

Job summary

Kaiser Permanente is seeking an experienced Case Management Utilization RN in Panorama City, CA. You will collaborate with physicians and the care team to coordinate admissions, discharge plans, and ongoing patient care.

Ideal candidates hold an RN license in California with BLS, and have at least 2 years in case management or utilization review to ensure safe, compliant, and efficient care transitions.

Qualifications

• RN license required (California)
• 2+ years in case management or utilization review preferred
• Current California RN license; BLS certification required

Responsibilities

• Plan, develop, assess, and evaluate care provided to Kaiser members.
• Collaborate with physicians and the multidisciplinary team to develop individual plans of care.
• Recommend alternative levels of care and ensure regulatory compliance.
• Assess high-risk patients for post-hospital care planning.
• Develop and coordinate discharge plans to meet patient needs.
• Communicate plans to physicians, patients, families, and community agencies.
• Review and coordinate hospital stays for timely service delivery.
• Participate in Bed Huddles and implement recommendations.
• Coordinate continuity of care, including utilization management and discharge planning.
• Conduct daily clinical reviews for utilization/quality management activities.

Skills

Case management

Utilization review

Multitasking

Teamwork

Communication

Education

RN License in California

BLS Certification

Job description

About This Role

The Case Management Utilization RN works collaboratively with physicians to coordinate patient admissions and continued stays, ensuring appropriate care levels and safe discharge plans. This role is ideal for those who thrive in a fast-paced environment and are skilled in multitasking and teamwork.

Highlights

• Pay: $69 - $84/hour
• Location: Panorama City, CA
• Facility: Kaiser Permanente
• Schedule: Full Time

What You'll Do

• Plan, develop, assess, and evaluate care provided to members.
• Collaborate with physicians and the multidisciplinary team to develop individualized plans of care.
• Recommend alternative levels of care and ensure compliance with regulations.
• Assess high-risk patients for post-hospital care planning.
• Develop and coordinate discharge plans to meet patient needs.
• Communicate plans to physicians, patients, families, and community agencies.
• Review and coordinate patients' hospital stays for timely service delivery.
• Participate in Bed Huddles and implement recommendations.
• Coordinate continuity of care, including utilization management and discharge planning.
• Conduct daily clinical reviews for utilization/quality management activities.

Requirements

• Education: RN License required
• Experience: 2+ years in case management or utilization review preferred
• Licenses & Certifications: Current RN License in California; BLS certification required

About Kaiser Permanente

Kaiser Permanente is a leading healthcare provider committed to delivering exceptional patient care. They focus on preventive care and the overall health of their members through a coordinated approach.