Case Management Utilization RN, Per Diem Day

IntelliResume; Moreno Valley (CA); On-site; USD 107,000 - 131,000; Part time

Job summary

Kaiser Permanente is seeking a Case Management Utilization RN in Moreno Valley, CA for a Per Diem Day shift. The role focuses on coordinating patient admissions/discharges, collaborating with physicians, and ensuring compliant care levels.

Responsibilities include developing care plans, performing utilization reviews, and coordinating discharge planning with the multidisciplinary team. California RN licensure is required and case management experience is preferred.

Qualifications

• Detail-oriented RN with strong focus on coordination and compliance.
• RN License required.
• Experience in case management preferred.

Responsibilities

• Plan, develop, assess, and evaluate care provided to members.
• Collaborate with physicians and the multidisciplinary team to develop individualized care plans.
• 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.
• Review and monitor patient 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 and quality management.
• Act as a liaison between in-patient and referral facilities.

Skills

Detail oriented

Education

RN License

Current RN License in California

Job description

About This Role

The Case Management Utilization RN works collaboratively with physicians to coordinate patient admissions and discharges, ensuring appropriate care levels and compliance with regulations. This role is ideal for a detail-oriented nurse who thrives in a fast-paced environment.

Highlights

• Pay: $78 - $95/hour
• Location: Moreno Valley, CA
• Schedule: Per Diem, Day shift

What You'll Do

• Plan, develop, assess, and evaluate care provided to members.
• Collaborate with physicians and the multidisciplinary team to develop individualized care plans.
• 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.
• Review and monitor patient 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 and quality management.
• Act as a liaison between in-patient and referral facilities.

Requirements

Education:

• RN License required

Experience:

• Experience in case management preferred

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 improving health outcomes through integrated care and innovative solutions.