Case Manager Utilization RN, 20/hr Day

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

Job summary

Kaiser Permanente in Riverside, CA is seeking a Case Manager Utilization RN to coordinate admissions and ongoing stays, ensuring appropriate care levels and safe discharge plans. The role requires strong multitasking in a fast-paced environment and collaboration with physicians and the multidisciplinary team.

This full-time position emphasizes utilization management, discharge planning, daily clinical reviews, and communication with patients, families, and care partners to maintain timely

Qualifications

• 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 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 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

Case management

Multitasking

Collaboration with physicians

Education

RN License required

Job description

About This Role

The Case Manager 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 excel in a fast-paced environment and have strong multitasking abilities.

Highlights

• Pay: $69 - $84/hour
• Location: Riverside, 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 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 coordinated approach.