Utilization RN Case Manager – Discharge & Care Coordination

Kaiser Permanente; San Diego (CA); On-site; USD 135,000 - 165,000; Full time

Job summary

Kaiser Permanente in San Diego is seeking a Registered Nurse for Utilization Management to coordinate admissions, screen for medical necessity, and plan safe discharges. You will work with the multidisciplinary team to optimize care and resource use while maintaining high-quality standards.

The role requires strong nursing experience in acute care or case management, plus knowledge of regulations and patient education.

Qualifications

• Completion of an accredited RN training program that allows graduates to take RN license exam.
• Working knowledge of regulatory requirements and accreditation standards (TJC, Medicare, Medi-Cal, etc.).
• Demonstrated ability to utilize written and verbal communication, interpersonal, critical thinking and problem-solving skills.
• Demonstrated ability in planning, organizing, conflict resolution and negotiating skills.
• Computer literacy skills required.

Responsibilities

• Coordinate and screen admissions and continued stays with an MD.
• Coordinate discharge plan with physicians and care team.
• Coordinate transfer to appropriate facilities and ensure required documentation.
• Educate healthcare team on discharge planning and resource use.
• Ensure compliance with regulatory requirements and accreditation standards.

Skills

RN experience

Utilization review

Discharge planning

Case management

Regulatory knowledge

Communication

Education

RN license (California)

Job description

Kaiser Permanente in San Diego is seeking a Registered Nurse for Utilization Management to coordinate admissions, screen for medical necessity, and plan safe discharges. You will work with the multidisciplinary team to optimize care and resource use while maintaining high-quality standards.

The role requires strong nursing experience in acute care or case management, plus knowledge of regulations and patient education.