Join Kaiser Permanente as a Case Manager Utilization RN, where you'll play a crucial role in coordinating patient care and ensuring quality outcomes in a fast-paced environment. Collaborate with healthcare teams to develop effective discharge plans and advocate for patients' needs.
Key Responsibilities
Plans, develops, assesses and evaluates care provided to members
Collaborates with physicians and multidisciplinary teams to develop care plans
Recommends alternative levels of care and ensures compliance with regulations
Assesses high risk patients for post-hospital care planning
Develops and coordinates discharge plans
Communicates plans to physicians, patients, and families
Reviews and monitors patient hospital stays for service delivery
Coordinates continuity of care including utilization management and discharge planning
Conducts daily clinical reviews for utilization/quality management
Acts as a liaison between inpatient and referral facilities
Refers patients to community resources post-hospital
Coordinates patient transfers and maintains documentation
Educates healthcare team on discharge planning roles
Provides patient education for discharge coping
Reports unusual occurrences related to quality and patient safety
Analyzes utilization patterns and participates in data collection
Facilitates care planning rounds and patient family conferences
Required Qualifications
Two years combined RN experience in an acute care setting or case management
Completion of an accredited RN training program
Registered Nurse License (California)
Basic Life Support certification
Preferred Qualifications
Bachelors degree in nursing or healthcare related field