Utilization RN Case Manager: Discharge & Care Coordination

Kaiser Permanente; Downey (CA); On-site; USD 89,000 - 109,000; Full time

Job summary

Kaiser Permanente in Downey, CA is seeking an RN for Utilization Management to collaborate with physicians and coordinate discharge planning for patients. The role emphasizes cost-effective, quality care and active involvement in interdisciplinary teams.

Responsibilities include reviewing hospital stays, coordinating transfers, and ensuring regulatory compliance while maintaining patient safety and timely services.

Qualifications

• Two years RN experience in acute care or case management.
• Completion of an accredited RN program.
• California RN license and BLS certification.
• Knowledge of utilization review, discharge planning and case management.
• Strong verbal and written communication and problem-solving skills.

Responsibilities

• Plans, develops, assesses and evaluates care provided to members.
• Collaborates with physicians and the multidisciplinary team to implement and document care plans.
• Recommends alternative levels of care and ensures regulatory compliance.
• Assess high risk patients for post-hospital care planning.
• Develops and coordinates discharge plans to meet patient needs.
• Communicates the plan to physicians, patients, families and community agencies.
• Monitors and coordinates hospital stays to ensure timely services.
• Coordinates transfer of patients to appropriate facilities and obtains authorizations.
• Performs daily clinical reviews for utilization/quality management.
• Acts as liaison between inpatient facility and referral facilities.
• Educates patients to assist with discharge and coping with illness.
• Reports incidents per protocol; participates in data collection and audits.
• Facilitates care planning rounds and family conferences as needed.
• Participates in committees and other work projects.

Skills

RN experience

Care coordination

Multidisciplinary collaboration

Communication skills

Education

RN licensure in California

Tools

Electronic medical records (EMR)

Utilization management systems

Job description

Kaiser Permanente in Downey, CA is seeking an RN for Utilization Management to collaborate with physicians and coordinate discharge planning for patients. The role emphasizes cost-effective, quality care and active involvement in interdisciplinary teams.

Responsibilities include reviewing hospital stays, coordinating transfers, and ensuring regulatory compliance while maintaining patient safety and timely services.