RN Case Manager: Utilization & Discharge Planning

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

Job summary

Kaiser Permanente in Riverside, CA is seeking a Case Manager Utilization RN to coordinate admissions, ensure appropriate care levels, and develop safe discharge plans. You will collaborate with physicians and the multidisciplinary team to optimize patient care and transitions.

This full-time role emphasizes patient advocacy, utilization management, and timely review of hospital stays to meet patient needs within regulatory guidelines.

Qualifications

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

Responsibilities

• Plan, develop, assess and evaluate care for members.
• Collaborate with physicians and the health care team to develop plans.
• Recommend alternative levels of care and ensure regulatory compliance.
• Assess high‑risk patients needing post‑hospital planning.
• Develop and coordinate discharge plans.
• Communicate plans to physicians, patients, families, and agencies.
• Review and coordinate hospital stays for timely service delivery.
• Participate in Bed Huddles and implement recommendations.
• Coordinate continuity of care, including utilization management.
• Conduct daily clinical reviews for utilization/quality management.

Skills

Case management

Multidisciplinary teamwork

Patient advocacy

Communication

Education

RN License

Job description

Kaiser Permanente in Riverside, CA is seeking a Case Manager Utilization RN to coordinate admissions, ensure appropriate care levels, and develop safe discharge plans. You will collaborate with physicians and the multidisciplinary team to optimize patient care and transitions.

This full-time role emphasizes patient advocacy, utilization management, and timely review of hospital stays to meet patient needs within regulatory guidelines.