RN Utilization Case Manager | Fast-Paced Care in LA

IntelliResume; Los Angeles (CA); On-site; USD 89,544,000 - 108,830,000; Full time

Job summary

Kaiser Permanente is seeking a Registered Nurse specialized in utilization management to coordinate admissions and discharge planning in Los Angeles. This role emphasizes patient advocacy in a fast-paced setting and requires strong collaboration with physicians and the care team.

The ideal candidate holds an ADN, has experience in utilization management, and an active California RN license. This full-time position offers engaging clinical work and opportunities to impact patient outcomes

Qualifications

• ADN required
• Experience in utilization management or case coordination preferred
• Current RN license in California

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 interdisciplinary approaches for continuity of care.
• Conduct daily clinical reviews for utilization and quality management.

Skills

Care coordination

Interdisciplinary collaboration

Regulatory compliance

Clinical assessment

Education

Associate's Degree (ADN)

Job description

Kaiser Permanente is seeking a Registered Nurse specialized in utilization management to coordinate admissions and discharge planning in Los Angeles. This role emphasizes patient advocacy in a fast-paced setting and requires strong collaboration with physicians and the care team.

The ideal candidate holds an ADN, has experience in utilization management, and an active California RN license. This full-time position offers engaging clinical work and opportunities to impact patient outcomes