RN Utilization Case Manager: Discharge & Care Coordination

Kaiser Permanente; Riverside (CA); On-site; USD 143,000 - 176,000; Full time

Job summary

Kaiser Permanente in Riverside, CA seeks a registered nurse to coordinate admissions and discharge planning in collaboration with an MD and healthcare team. The role centers on ensuring medical necessity, safe transitions to post-acute care, and efficient utilization management across inpatient and outpatient settings.

The incumbent will work with families, patients and multidisciplinary teams to advocate for appropriate levels of care, provide education, and ensure compliance with regulatory

Qualifications

• Two years RN experience in acute care setting or case management.

Responsibilities

• Plan, develop, assess and evaluate care for members.
• Collaborate with physicians and multidisciplinary team to implement and document plans of care.
• Recommend alternative levels of care and ensure compliance with requirements.
• Assess high-risk patients for post-hospital care planning.
• Coordinate discharge planning and communicate the plan to all stakeholders.
• Review utilization, quality management, and ensure timely services.

Skills

RN experience

Regulatory knowledge

Communication

Critical thinking

Education

Accredited RN training program

Tools

Computer literacy

Job description

Kaiser Permanente in Riverside, CA seeks a registered nurse to coordinate admissions and discharge planning in collaboration with an MD and healthcare team. The role centers on ensuring medical necessity, safe transitions to post-acute care, and efficient utilization management across inpatient and outpatient settings.

The incumbent will work with families, patients and multidisciplinary teams to advocate for appropriate levels of care, provide education, and ensure compliance with regulatory