Case Manager Utilization RN, 20/hr Day

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

Job summary

Kaiser Permanente in Fontana, CA is seeking a Case Manager Utilization RN to coordinate admissions and ongoing stays, ensuring appropriate care levels and safe discharge plans. This full-time role suits those who excel in patient advocacy and care management within a fast-paced setting.

You will collaborate with physicians and the multidisciplinary team to develop individualized care plans and coordinate discharge planning for members, with emphasis on utilization management and regulatory

Qualifications

• RN License required.
• Experience in case management preferred.
• Current RN license in California.

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.
• Communicate plans to physicians, patients, families, and community agencies.
• Review and coordinate patients' hospital stays to ensure 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.

Skills

Patient advocacy

Care coordination

Team collaboration

Education

RN License

Job description

About This Role

The Case Manager Utilization RN works collaboratively with physicians to coordinate 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 patient advocacy and care management.

Highlights

• **Pay:** $69 - $84/hour
• **Location:** Fontana, 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 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.
• Communicate plans to physicians, patients, families, and community agencies.
• Review and coordinate patients' hospital stays to ensure 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.

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 preventive care and the overall health of their members through a comprehensive and integrated approach.