RN Case Manager: Utilization & Discharge Planning

Kaiser Permanente; Los Angeles (CA); On-site; USD 144,000 - 175,000; Full time

Job summary

Kaiser Permanente in Panorama City, CA seeks an RN Case Manager Utilization to coordinate admissions, discharges, and post-hospital plans. The role emphasizes patient advocacy, interdisciplinary collaboration, and rapid decision-making in a dynamic healthcare setting.

Responsibilities include developing care plans, coordinating with physicians and teams, ensuring regulatory compliance, and conducting daily utilization reviews to optimize patient outcomes and service delivery.

Qualifications

• RN license required for California.
• BLS certification required.

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' identified 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

RN License

BLS certification

Job description

Kaiser Permanente in Panorama City, CA seeks an RN Case Manager Utilization to coordinate admissions, discharges, and post-hospital plans. The role emphasizes patient advocacy, interdisciplinary collaboration, and rapid decision-making in a dynamic healthcare setting.

Responsibilities include developing care plans, coordinating with physicians and teams, ensuring regulatory compliance, and conducting daily utilization reviews to optimize patient outcomes and service delivery.