Utilization Case Manager RN – Fast-Paced Patient Advocate

Kaiser Permanente

Baldwin Park (CA)

On-site

USD 95,000 - 116,000

Full time

6 days ago
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Job summary

Kaiser Permanente in Baldwin Park, CA is seeking a Case Management Utilization RN to coordinate admissions and discharges in collaboration with physicians and a multidisciplinary team. The role emphasizes patient advocacy, ensuring appropriate care levels and regulatory compliance in a fast-paced environment.

This full-time position at Kaiser Permanente offers a competitive hourly rate and opportunities to impact patient outcomes through coordinated care planning and timely service delivery.

Qualifications

  • Current California RN license.

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 based on patient needs.
  • Coordinate continuity of care, including utilization management and discharge planning.
  • Conduct daily clinical reviews for utilization and quality management activities.

Education

California RN license

Job description

Kaiser Permanente in Baldwin Park, CA is seeking a Case Management Utilization RN to coordinate admissions and discharges in collaboration with physicians and a multidisciplinary team. The role emphasizes patient advocacy, ensuring appropriate care levels and regulatory compliance in a fast-paced environment.

This full-time position at Kaiser Permanente offers a competitive hourly rate and opportunities to impact patient outcomes through coordinated care planning and timely service delivery.

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