Case Manager Utilization RN, 40/hr Day

IntelliResume; San Diego (CA); On-site; USD 90,000 - 109,000; Full time

Job summary

Kaiser Permanente in San Diego, CA is seeking a Case Manager Utilization RN to coordinate admissions, post-hospital care planning, and discharge strategies in a fast-paced environment.

The role emphasizes collaboration with physicians and the multidisciplinary team to develop individualized care plans, ensure appropriate levels of care, and advocate for patients and families while maintaining regulatory compliance. ADN, California RN license, and demonstrated utilization experience are preferred.

Qualifications

• ADN degree required.
• Current RN license in California.
• Experience in case management preferred.

Responsibilities

• Plan, develop, assess, and evaluate care provided to members.
• Collaborate with physicians and the multidisciplinary health care 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 based on patient needs.
• Coordinate continuity of care, including utilization management and discharge planning.
• Conduct daily clinical reviews for utilization and quality management activities.

Education

Associate's Degree (ADN)

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 experienced nurses who thrive in a fast-paced environment and are skilled in patient advocacy and interdisciplinary collaboration.

Highlights

• Pay: $65 - $79/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 health care 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 based on patient needs.
• Coordinate continuity of care, including utilization management and discharge planning.
• Conduct daily clinical reviews for utilization and quality management activities.

Requirements

Education

• Associate's Degree (ADN) required

Experience

• Experienced level required

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 the well-being of their members through a collaborative approach.