Patient Care Utilization & Discharge Coordinator

Kaiser Permanente; Atlanta (GA); On-site; USD 61,000 - 79,000; Full time

Job summary

Kaiser Permanente in Atlanta is seeking an experienced Registered Nurse in utilization/case management to optimize care quality and efficiency for hospitalized members. You will conduct daily reviews, coordinate discharge planning, and collaborate with physicians and the multidisciplinary team to ensure timely, appropriate care.

This role requires clinical expertise in admission and readmission prevention, documentation in EMR, adherence to regulations, and strong communication with care teams,

Qualifications

• RN experience in utilization/case management, discharge planning, quality improvement, or patient care delivery in a healthcare setting.

Responsibilities

• Utilizes established criteria to perform daily inpatient review activities (prospective, concurrent, retrospective).
• Performs admission utilization review upon admission.
• Assesses discharge planning needs and documents assessments in EMR within 24 hours; begins discharge planning.
• Conducts concurrent utilization review daily and as appropriate.
• Coordinate post-hospital care planning and discharge plans; ensure appropriate level of care.
• Conduct daily bedside rounds to update on discharge planning.
• Review charts to ensure progression of plan and prepare for daily discharge planning.
• Escalate discharge barriers in real time; follow escalation pathways.
• Maintain discharge plan parallel with medical plan for timely clearance.
• Plan social screening and referrals to internal programs and social workers.

Skills

Utilization review

Discharge planning

Care coordination

Quality improvement

Communication

Education

Bachelor's Degree in Nursing

High School Diploma or GED

Job description

Kaiser Permanente in Atlanta is seeking an experienced Registered Nurse in utilization/case management to optimize care quality and efficiency for hospitalized members. You will conduct daily reviews, coordinate discharge planning, and collaborate with physicians and the multidisciplinary team to ensure timely, appropriate care.

This role requires clinical expertise in admission and readmission prevention, documentation in EMR, adherence to regulations, and strong communication with care teams,