RN Case Manager: Utilization & Discharge Planning

Kaiser Permanente; Veterans Administration (CA); On-site; USD 90,000 - 120,000; Full time

Job summary

Kaiser Permanente is seeking an experienced Registered Nurse to coordinate admissions and post-acute care planning in a fast-paced environment. You will collaborate with MDs to assess medical necessity and recommend levels of care, while ensuring a safe discharge plan and high-quality, cost-effective care.

You will work with a multidisciplinary team, support transitions, and ensure compliance with regulatory standards. This temporary role requires strong communication and organizational skills.

Qualifications

• Two (2) years combined RN experience in an acute care setting or case management required.
• Completion of an accredited RN training program that allows graduates to take RN license exam.
• Registered Nurse License (California)
• Basic Life Support (BLS) certification
• Demonstrated knowledge of regulatory requirements and accreditation standards (TJC, Medicare, Medi-Cal, etc.)
• Strong written and verbal communication, interpersonal, critical thinking and problem-solving skills
• Planning, organizing, conflict resolution and negotiating abilities
• Computer literacy required.

Responsibilities

• Plans, develops, assesses and evaluates care provided to members.
• Collaborates with physicians, other health care team members and patient/family to develop and document individualized care plans.
• Recommends alternative levels of care and ensures compliance with federal, state and local requirements.
• Assesses high-risk patients for post-hospital care planning.
• Develops and coordinates discharge plans.
• Communicates the plan to physicians, patient, family/caregivers, staff and community agencies.
• Reviews and coordinates the hospital stay to ensure timely and efficient services.
• Acts as liaison between in-patient and referral facilities; provides case management.
• Refers patients to community resources for post-hospital needs.
• Coordinates transfers to appropriate facilities and maintains documentation.
• Adheres to regulatory and accreditation guidelines (TJC, DHS, CMS, DMHC, NCQA, DOL).
• Educates care team on discharge planning and resource usage.
• Provides patient education to aid discharge and coping with illness.

Skills

Utilization review

Discharge planning

Case management

Communication skills

Critical thinking

Education

Accredited RN program

Bachelor's degree in nursing (preferred)

Tools

Electronic Health Records (EHR)

Healthcare IT systems

Job description

Kaiser Permanente is seeking an experienced Registered Nurse to coordinate admissions and post-acute care planning in a fast-paced environment. You will collaborate with MDs to assess medical necessity and recommend levels of care, while ensuring a safe discharge plan and high-quality, cost-effective care.

You will work with a multidisciplinary team, support transitions, and ensure compliance with regulatory standards. This temporary role requires strong communication and organizational skills.