Utilization RN Case Manager - Discharge & Care Coordination

Kaiser Permanente; San Diego (CA); On-site; USD 236,947,000 - 289,296,000; Part time

Job summary

Kaiser Permanente in San Diego seeks an RN to coordinate admissions, screen appropriateness of stays, and develop discharge plans with a multidisciplinary team. The role focuses on cost-effective care without compromising quality and requires collaboration with physicians, families, and community resources.

Responsibilities include coordinating care plans, monitoring hospital stays, and ensuring regulatory compliance while educating patients and care teams, in a fast-paced environment.

Qualifications

• Two (2) years RN experience in acute care or case management.
• Knowledge of utilization review, discharge planning and case management.
• Regulatory knowledge: TJC, Medicare, Medi-Cal, etc.
• Strong written and verbal communication, interpersonal, critical thinking, and problem-solving skills.
• Proficient in computer literacy and health information systems.

Responsibilities

• Coordinate discharge planning and post-hospital care.
• Collaborate with MDs and multidisciplinary team to develop care plans.
• Monitor hospital stay to ensure timely and efficient services.
• Coordinate transfers and obtain authorizations for outside services.
• Ensure compliance with regulatory requirements and accreditation standards.
• Educate care teams and patients about discharge processes.

Skills

RN experience

Utilization management

Discharge planning

Regulatory knowledge

Communication skills

Problem solving

Computer literacy

Education

RN license (California)

Bachelor's degree in nursing

Job description

Kaiser Permanente in San Diego seeks an RN to coordinate admissions, screen appropriateness of stays, and develop discharge plans with a multidisciplinary team. The role focuses on cost-effective care without compromising quality and requires collaboration with physicians, families, and community resources.

Responsibilities include coordinating care plans, monitoring hospital stays, and ensuring regulatory compliance while educating patients and care teams, in a fast-paced environment.