Utilization RN Case Manager: Discharge & Care Coordination

Kaiser Permanente; Los Angeles, Northern (CA, KY); Hybrid; USD 95,000 - 125,000; Full time

Job summary

Kaiser Permanente in Los Angeles is seeking a registered nurse to work with physicians and families to coordinate admissions, determine appropriate levels of care, and plan post-hospital transitions. The role emphasizes cost-effective, high-quality care and close collaboration with the multidisciplinary team.

The nurse will conduct daily reviews, assist with bed management and discharge coordination, and ensure compliance with regulatory standards.

Qualifications

• Demonstrated ability to utilize the general and specialized principles of utilization review/management.
• Strong communication, interpersonal and problem-solving skills.
• Ability to plan, organize, negotiate and manage caseloads.

Responsibilities

• Plans, develops, assesses and evaluates care provided to members.
• Collaborates with physicians and the care team to develop individualized plans of care.
• Recommends alternative levels of care and ensures compliance with requirements.
• Assesses high-risk patients for post-hospital care planning.
• Develops discharge plans and coordinates implementation and communication.
• Coordinates transfer of patients to appropriate facilities and obtains necessary authorizations.

Skills

Critical thinking

Problem-solving

Communication

Interpersonal skills

Education

Accredited RN training program

Bachelor's degree in nursing or healthcare

Job description

Kaiser Permanente in Los Angeles is seeking a registered nurse to work with physicians and families to coordinate admissions, determine appropriate levels of care, and plan post-hospital transitions. The role emphasizes cost-effective, high-quality care and close collaboration with the multidisciplinary team.

The nurse will conduct daily reviews, assist with bed management and discharge coordination, and ensure compliance with regulatory standards.