Case Management Utilization RN, FT Day

IntelliResume; Downey (CA); On-site; USD 90,000 - 109,000; Full time

Job summary

Kaiser Permanente in Downey, CA is seeking a Case Management Utilization RN for a full-time, day-shift role. The position emphasizes coordination with physicians and the multi-disciplinary team to plan, assess, and evaluate patient care and discharge planning while ensuring regulatory compliance.

The ideal candidate will hold an ADN, be an experienced RN licensed in California, and thrive in a fast-paced environment focused on patient advocacy and quality care.

Qualifications

• RN licensure and the ability to coordinate patient care across the multidisciplinary team.
• Experience in utilization management or case management preferred.
• Knowledge of discharge planning and regulatory requirements.

Responsibilities

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

Skills

RN

Care coordination

Discharge planning

Education

Associate's Degree (ADN)

Job description

About This Role

The Case Management Utilization RN works collaboratively with physicians to coordinate patient admissions and continued stays, ensuring appropriate levels of care. This role is ideal for experienced nurses who excel in a fast-paced environment and are committed to patient advocacy and quality care.

Highlights

• Pay: $65 - $79/hour
• Location: Downey, CA
• Facility: Kaiser Permanente
• Schedule: Full Time, Day shift

What You'll Do

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

Requirements

Education:

• Associate's Degree (ADN) required

Experience:

• Experienced level required

Licenses & Certifications:

• Current RN License in California

About Kaiser Permanente

Kaiser Permanente is a leading healthcare provider committed to delivering exceptional patient care. They focus on integrated care and the well-being of their members through a collaborative approach among healthcare professionals.