Case Manager Utilization RN 24/day

Kaiser Permanente; Los Angeles (CA); On-site; USD 70,000 - 84,000; Full time

Job summary

Kaiser Permanente is seeking a Case Manager Utilization RN in Los Angeles, CA. This role coordinates patient admissions and continued stays, ensuring appropriate care levels and thorough discharge planning.

You will collaborate with physicians and the multidisciplinary team to develop individualized care plans, assess high-risk patients, and monitor utilization and quality throughout hospital stays. The position is full-time and located in Los Angeles.

Qualifications

• RN license is required.
• Experience in case management preferred.
• Current RN license in California is required to practice.

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

Case management

Education

RN license (California)

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 discharge planning. This role is ideal for those who excel in a fast-paced environment and are committed to patient advocacy and quality care.

Highlights

• Pay: $69 - $84/hour
• Location: Los Angeles, 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 integrated care and preventive services to improve the health of their members and communities.