Case Manager Utilization RN, Per Diem Day

IntelliResume; Harbor Pines (CA); On-site; USD 107,000 - 131,000; Part time

Job summary

Kaiser Permanente is seeking a Case Manager Utilization RN to coordinate patient admissions and ongoing stays, ensuring appropriate care levels and safe discharge plans. This role suits someone who thrives in a fast-paced environment and is dedicated to patient advocacy and high-quality care.

Work location is Harbor City, CA with per diem day shift duties. The position emphasizes collaboration with physicians and multidisciplinary teams to optimize care plans and discharge coordination.

Qualifications

• Education: Not specified in the posting.
• Experience: Not specified in the posting.
• Licenses & Certifications: Not specified in the posting.

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 in need of post-hospital care planning.
• Develop and coordinate discharge plans to meet patients' needs.
• Review and monitor 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.
• Act as a liaison between inpatient facilities and referral agencies.

Skills

Care coordination

Discharge planning

Utilization review

Cross-functional collaboration

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 excel in a fast-paced environment and are committed to patient advocacy and quality care.

Highlights

• Pay: $78 - $95/hour


• Location: Harbor City, CA


• Schedule: Per Diem, Day shift

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 patients' needs.


• Review and monitor 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.


• Act as a liaison between inpatient facilities and referral agencies.

Requirements

Education: Not specified

Experience: Not specified

Licenses & Certifications: Not specified

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 communities through comprehensive and coordinated services.