Case Manager Utilization RN, 40/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, stays, and discharge planning in a fast-paced environment.

You will collaborate with physicians and the multidisciplinary team to develop personalized care plans, assess high-risk patients, and ensure timely, compliant service delivery across the care continuum.

Qualifications

• RN License required
• Experience in case management preferred
• Current CA RN license

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 regulatory compliance.
• 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/quality management activities.

Skills

Case management experience

Education

RN License

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 thrive in a fast-paced environment and are skilled in multitasking and teamwork.

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 in need of 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/quality management activities.

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, ensuring access to high-quality services and resources.