Utilization RN Case Manager - Discharge & Care Coordination

Kaiser Permanente; San Diego (CA); On-site; USD 95,000 - 116,000; Full time

Job summary

Kaiser Permanente in San Diego, CA is seeking a Case Manager Utilization RN to coordinate patient admissions, stays, and discharge planning. You will collaborate with physicians and multidisciplinary teams to ensure appropriate care levels and safe discharge plans in a fast-paced environment.

The role emphasizes reviewing hospital stays, participating in bed huddles, and maintaining utilization and quality management through daily clinical reviews. Must hold a California RN license.

Qualifications

• Current RN license in California.
• Experience requirements not specified in the job posting.

Responsibilities

• Plan, develop, assess, and evaluate care for members.
• Collaborate with physicians and the multidisciplinary team to create care plans.
• Recommend alternative levels of care and ensure regulatory compliance.
• Assess high-risk patients needing post-hospital care planning.
• Develop and coordinate discharge plans to meet patient needs.
• Communicate plans to physicians, patients, families, and community agencies.
• Review and coordinate patients' hospital stays for timely service delivery.
• Participate in Bed Huddles and implement recommendations.
• Coordinate continuity of care including utilization management and discharge planning.
• Conduct daily clinical reviews for utilization and quality management.

Job description

Kaiser Permanente in San Diego, CA is seeking a Case Manager Utilization RN to coordinate patient admissions, stays, and discharge planning. You will collaborate with physicians and multidisciplinary teams to ensure appropriate care levels and safe discharge plans in a fast-paced environment.

The role emphasizes reviewing hospital stays, participating in bed huddles, and maintaining utilization and quality management through daily clinical reviews. Must hold a California RN license.