RN Case Manager: Utilization & Discharge Specialist

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 and ongoing stays, ensuring appropriate care levels and safe discharge plans. The role requires strong multitasking in a fast-paced environment and collaboration with physicians and the multidisciplinary team.

This full-time position emphasizes utilization management, discharge planning, daily clinical reviews, and communication with patients, families, and care partners to maintain timely

Qualifications

• RN license required
• Experience in case management preferred

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 for post-hospital care planning.
• Develop and coordinate discharge plans to meet patient 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.
• Coordinate continuity of care, including utilization management and discharge planning.
• Conduct daily clinical reviews for utilization and quality management.

Skills

Case management

Multitasking

Collaboration with physicians

Education

RN License required

Job description

Kaiser Permanente in Riverside, CA is seeking a Case Manager Utilization RN to coordinate admissions and ongoing stays, ensuring appropriate care levels and safe discharge plans. The role requires strong multitasking in a fast-paced environment and collaboration with physicians and the multidisciplinary team.

This full-time position emphasizes utilization management, discharge planning, daily clinical reviews, and communication with patients, families, and care partners to maintain timely