Case Manager Utilization RN, 40/hr Day

Kaiser Permanente; Irvine (CA); On-site; USD 197,713,000 - 240,694,000; Full time

Job summary

Kaiser Permanente in Irvine, CA is seeking a Case Manager Utilization RN to coordinate patient admissions and ongoing stays with physicians and the care team.

You will plan, assess, and evaluate care, develop individualized plans, and guide discharge planning while ensuring regulatory compliance and timely service delivery.

This full-time role offers the chance to work in a fast-paced environment, with emphasis on utilization management and collaboration with families and community partners.

Qualifications

• Active California RN license required.

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

Care coordination

Collaboration

Discharge planning

Utilization management

Job description

About This Role

The Case Manager Utilization RN works collaboratively with physicians to coordinate patient admissions and continued stays, ensuring appropriate levels of care and safe discharge plans. This role is ideal for those who thrive in a fast-paced environment and have strong multitasking abilities.

Highlights

• Pay: $69 - $84/hour
• Location: Irvine, CA
• 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

• 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 health outcomes through a collaborative approach and innovative solutions.