Utilization Management RN: Case Coordination (Per Diem)

IntelliResume; Moreno Valley (CA); On-site; USD 107,000 - 131,000; Part time

Job summary

Kaiser Permanente is seeking a Case Management Utilization RN in Moreno Valley, CA for a Per Diem Day shift. The role focuses on coordinating patient admissions/discharges, collaborating with physicians, and ensuring compliant care levels.

Responsibilities include developing care plans, performing utilization reviews, and coordinating discharge planning with the multidisciplinary team. California RN licensure is required and case management experience is preferred.

Qualifications

• Detail-oriented RN with strong focus on coordination and compliance.
• RN License required.
• Experience in case management preferred.

Responsibilities

• Plan, develop, assess, and evaluate care provided to members.
• Collaborate with physicians and the multidisciplinary team to develop individualized care plans.
• 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.
• Review and monitor patient hospital stays for timely service delivery.
• Participate in Bed Huddles and implement recommendations.
• Coordinate continuity of care, including utilization management and discharge planning.
• Conduct daily clinical reviews for utilization and quality management.
• Act as a liaison between in-patient and referral facilities.

Skills

Detail oriented

Education

RN License

Current RN License in California

Job description

Kaiser Permanente is seeking a Case Management Utilization RN in Moreno Valley, CA for a Per Diem Day shift. The role focuses on coordinating patient admissions/discharges, collaborating with physicians, and ensuring compliant care levels.

Responsibilities include developing care plans, performing utilization reviews, and coordinating discharge planning with the multidisciplinary team. California RN licensure is required and case management experience is preferred.