Case Manager Utilization RN, 40/hr Day

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

Job summary

Kaiser Permanente in San Diego, CA is seeking a Case Manager Utilization RN to coordinate patient admissions, stays, and discharge planning. You will collaborate with physicians and multidisciplinary teams to ensure appropriate care levels and safe discharge plans in a fast-paced environment.

The role emphasizes reviewing hospital stays, participating in bed huddles, and maintaining utilization and quality management through daily clinical reviews. Must hold a California RN license.

Qualifications

• Current RN license in California.
• Experience requirements not specified in the job posting.

Responsibilities

• Plan, develop, assess, and evaluate care for members.
• Collaborate with physicians and the multidisciplinary team to create care plans.
• Recommend alternative levels of care and ensure regulatory compliance.
• Assess high-risk patients needing 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 for 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.

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 individuals who thrive in a fast-paced environment and possess strong multitasking abilities.

Highlights

• Pay: $69 - $84/hour
• Location: San Diego, 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 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 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 the health of their members and the communities they serve through integrated care and coverage.