Case Management Utilization RN-Per Diem, Mid-Shift

Kaiser Permanente; Baldwin Park (CA); Hybrid; USD 114,000 - 139,000; Full time

Job summary

Kaiser Permanente in Baldwin Park, CA is seeking a Case Management Utilization RN. The role collaborates with physicians to coordinate admissions, discharge planning, and ongoing patient care.

The ideal candidate will multitask in a fast-paced environment, advocate for patients, review hospital stays, and ensure timely service delivery while complying with regulations. This is a per diem, mid-shift role in a leading health system known for integrated care.

Qualifications

• Active California RN license required.
• Experience in case management or utilization review is beneficial.

Responsibilities

• Plan, develop, assess, and evaluate care for members.
• Collaborate with physicians and health care teams to develop care plans.
• Recommend alternative levels of care and ensure regulatory compliance.
• Assess high-risk patients for post-hospital planning.
• Coordinate discharge plans to meet patient needs.
• Review hospital stays to ensure timely service delivery.
• Participate in Bed Huddles and implement recommendations.
• Coordinate continuity of care including utilization management.
• Conduct daily reviews for utilization/quality management.
• Liaise between in-patient facilities and referral agencies.

Education

Registered Nurse license (California)

Job description

About This Role

The Case Management Utilization RN works collaboratively with physicians to coordinate admissions and continued stays, ensuring appropriate levels of care. This role is ideal for individuals who can multitask in a fast-paced environment while advocating for patients and managing care efficiently.

Highlights

• Pay: $83 - $101/hour
• Location: Baldwin Park, CA
• Schedule: Per Diem, Mid-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.
• Review, monitor, and evaluate patients' hospital stays to ensure timely service delivery.
• Participate in Bed Huddles and implement recommendations based on patient needs.
• Coordinate continuity of care, including Utilization management and discharge planning.
• Conduct daily clinical reviews for utilization/quality management activities.
• Act as a liaison between in-patient facilities and referral agencies.

Requirements

Education: Not specified

Experience: Not specified

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 the health of their members and the communities they serve through integrated care and coverage.