Utilization & Discharge RN Case Management

Kaiser Permanente; Riverside (CA); Hybrid; USD 90,000 - 130,000; Full time

Job summary

Kaiser Permanente in Riverside, CA collaborates with an MD to coordinate admissions and screen the appropriateness of care. The RN Case Manager recommends alternative levels of care when inpatient criteria are not met, and leads discharge planning with families and communities, ensuring safety and cost-effectiveness.

The role requires strong case management and collaboration within a multidisciplinary team, with AB 1203 compliance and a focus on quality and resource optimization.

Qualifications

• Two years RN experience in acute care or case management.
• Completion of an accredited RN training program enabling licensure.
• California RN license and Basic Life Support (BLS) certification.
• Knowledge of Utilization review/management and discharge planning.
• Strong written and verbal communication and problem-solving skills.

Responsibilities

• Collaborate with physicians and care teams to plan and document care.
• Coordinate discharge planning and post-hospital care.
• Monitor hospital stay for timely and efficient service delivery.
• Coordinate transfers to appropriate facilities and obtain authorizations.
• Educate patients and families about discharge and post-illness care.
• Participate in bed huddles and utilization management activities.

Skills

Nursing

Case management

Discharge planning

Interdisciplinary collaboration

Regulatory compliance

Communication skills

Education

RN training program completion

Bachelor's degree in nursing or healthcare related field

Tools

Computer literacy

EMR systems

Job description

Kaiser Permanente in Riverside, CA collaborates with an MD to coordinate admissions and screen the appropriateness of care. The RN Case Manager recommends alternative levels of care when inpatient criteria are not met, and leads discharge planning with families and communities, ensuring safety and cost-effectiveness.

The role requires strong case management and collaboration within a multidisciplinary team, with AB 1203 compliance and a focus on quality and resource optimization.