Utilization RN Case Manager: Discharge & Care Coordination

Kaiser Permanente; Downey, Northern (CA, KY); Hybrid; USD 90,000 - 120,000; Full time

Job summary

Kaiser Permanente in Downey, CA seeks an experienced Registered Nurse to coordinate discharge planning and post-acute care. Works with MDs to assess admissions and plan appropriate levels of care, ensuring safe transitions and cost-effective care.

You will collaborate with the multidisciplinary team, conduct daily reviews, ensure compliance with regulations, and educate patients and families to support smooth discharge.

Qualifications

• Demonstrated ability to utilize the general and specialized principles, practices, techniques and methods of Utilization review/management.
• Working knowledge of regulatory requirements and accreditation standards (TJC, Medicare, Medi-Cal, etc.).
• Demonstrated ability in planning, organizing, conflict resolution and negotiating skills.

Responsibilities

• Plans, develops, assesses and evaluates care provided to members.
• Collaborates with physicians, other members of the multidisciplinary health care team and patient/family in the development, implementation and documentation of appropriate, individualized plans of care to ensure continuity, quality and appropriate resource use.
• Recommends alternative levels of care and ensures compliance with federal, state and local requirements.
• Assesses high risk patients in need of post-hospital care planning.
• Develops and coordinates the implementation of a discharge plan to meet patients identified needs; communicates the plan to physicians, patient, family/caregivers, staff and appropriate community agencies.
• Reviews, monitors, evaluates and coordinates the patients hospital stay to assure that all appropriate and essential services are delivered timely and efficiently.

Skills

Discharge planning

Case management

Utilization review

Interdisciplinary collaboration

Education

Bachelor's degree in Nursing

Tools

Computer literacy

Job description

Kaiser Permanente in Downey, CA seeks an experienced Registered Nurse to coordinate discharge planning and post-acute care. Works with MDs to assess admissions and plan appropriate levels of care, ensuring safe transitions and cost-effective care.

You will collaborate with the multidisciplinary team, conduct daily reviews, ensure compliance with regulations, and educate patients and families to support smooth discharge.