Utilization RN Case Manager — Care Coordination Pro

Kaiser Permanente; Fontana (CA); On-site; USD 95,000 - 116,000; Full time

Job summary

Kaiser Permanente in Fontana, CA is seeking a Case Manager Utilization RN to coordinate admissions and ongoing stays, ensuring appropriate care levels and safe discharge plans. This full-time role suits those who excel in patient advocacy and care management within a fast-paced setting.

You will collaborate with physicians and the multidisciplinary team to develop individualized care plans and coordinate discharge planning for members, with emphasis on utilization management and regulatory

Qualifications

• RN License required.
• Experience in case management 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 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.
• 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 continuity of care, including utilization management and discharge planning.
• Conduct daily clinical reviews for utilization and quality management.

Skills

Patient advocacy

Care coordination

Team collaboration

Education

RN License

Job description

Kaiser Permanente in Fontana, CA is seeking a Case Manager Utilization RN to coordinate admissions and ongoing stays, ensuring appropriate care levels and safe discharge plans. This full-time role suits those who excel in patient advocacy and care management within a fast-paced setting.

You will collaborate with physicians and the multidisciplinary team to develop individualized care plans and coordinate discharge planning for members, with emphasis on utilization management and regulatory