Utilization Case Manager RN — Discharge & Care Coord

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

Job summary

Kaiser Permanente in California is seeking an experienced Registered Nurse for an inpatient utilization management/case management role. The position focuses on coordinating admissions, coordinating discharge plans, and ensuring appropriate levels of care while maintaining cost-effective, high-quality patient outcomes.

You will work with an MD and multidisciplinary team, guiding families and patients through complex transitions and ensuring compliance with evolving regulatory standards.

Qualifications

• Two years RN experience in an acute care setting or case management.
• Current California RN license.
• Basic Life Support certification.
• Knowledge of utilization review and discharge planning processes.
• Strong communication and critical thinking abilities.
• Familiarity with regulatory standards (TJC, CMS, Medi-Cal, etc.).

Responsibilities

• Plans, develops, assesses and evaluates care for members.
• Collaborates with physicians and families to design individualized care plans.
• Recommends alternative levels of care when appropriate.
• Coordinates discharge planning to meet patient needs and safety.
• Monitors hospital stays for timely, efficient services.
• Coordinates transfers and obtains authorizations for outside services.
• Participates in bed huddles and multidisciplinary rounds.
• Ensures compliance with regulatory and accreditation requirements.

Skills

Utilization review

Discharge planning

Case management

Critical thinking

Communication

Negotiation

Multidisciplinary teamwork

Education

Accredited RN program

Bachelor's degree in nursing (preferred)

Tools

EMR systems

Computer literacy

Job description

Kaiser Permanente in California is seeking an experienced Registered Nurse for an inpatient utilization management/case management role. The position focuses on coordinating admissions, coordinating discharge plans, and ensuring appropriate levels of care while maintaining cost-effective, high-quality patient outcomes.

You will work with an MD and multidisciplinary team, guiding families and patients through complex transitions and ensuring compliance with evolving regulatory standards.