Case Manager Utilization RN, 40/hr Day Ventura

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

Job summary

Kaiser Permanente in Woodland Hills, CA is seeking a Case Manager Utilization RN to coordinate admissions and ongoing stays, ensuring appropriate care levels and safe discharge planning. This role thrives in a fast-paced environment, multitasks, and advocates for patients.

You will collaborate with physicians and the care team to develop individualized plans, review hospital stays, and participate in bed huddles and discharge planning to ensure timely service delivery.

Qualifications

• RN license in California required.
• Experience in case management preferred.
• Strong collaboration with physicians and the care team.

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.

Skills

Case management

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 can effectively multitask while advocating for patients.

Highlights

• Pay: $69 - $84/hour
• Location: Woodland Hills, 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 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:
  • 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 the health and well-being of their members through a comprehensive approach to healthcare services.