Current jobs related to Staff - Registered Nurse RN - Case Management 72-88 per hour - Riverside - Kaiser Permanente

  • Nurse Case Manager

    2 weeks ago

    Riverside, California, United States Kaiser Permanente Full time

    Job SummaryKaiser Permanente is seeking a skilled Registered Nurse to join our team as a Case Manager. In this role, you will work collaboratively with physicians to coordinate and screen for the appropriateness of admissions and continued stays. Your expertise will be essential in making recommendations for alternate levels of care when patients do not meet...

  • Nurse Case Manager

    2 weeks ago

    Riverside, California, United States Kaiser Permanente Full time

    Job SummaryWe are seeking a skilled Registered Nurse to join our team as a Case Manager in Riverside, California. As a key member of our healthcare team, you will work collaboratively with physicians and other healthcare professionals to coordinate and screen for the appropriateness of admissions and continued stays.You will make recommendations to...

  • Nurse Case Manager

    4 weeks ago

    Riverside, California, United States Kaiser Permanente Full time

    Job SummaryKaiser Permanente is seeking a skilled Registered Nurse to join our team as a Case Manager. In this role, you will work collaboratively with physicians to manage patients' specialized needs, assessing their requirements and developing tailored care management plans. Your duties will include coordinating access to health services, monitoring care,...

  • Nurse Case Manager

    4 days ago

    Riverside, California, United States Kaiser Permanente Full time

    Job Summary:As a Registered Nurse - Case Management at Kaiser Permanente, you will work collaboratively with physicians to manage patients' specialized needs. Your duties will include assessing patients' needs, developing care management plans, and coordinating access to health services across multiple providers and disciplines. You will also monitor care,...

  • Nurse Case Manager

    4 weeks ago

    Riverside, California, United States Kaiser Permanente Full time

    Job Summary:Kaiser Permanente is seeking a skilled Registered Nurse to join our team as a Case Manager. As a Case Manager, you will work collaboratively with physicians to manage patients' specialized needs, assessing their requirements and developing personalized care plans. Your duties will include coordinating access to health services, monitoring care,...

  • Nurse Case Manager

    2 weeks ago

    Riverside, California, United States Kaiser Permanente Full time

    Job SummaryKaiser Permanente is seeking a skilled Registered Nurse to join our team as a Case Manager. In this role, you will work collaboratively with physicians to manage patients' specialized needs, assessing their requirements and developing tailored care management plans. Your duties will include coordinating access to health services, monitoring care,...

  • Case Manager

    7 days ago

    Riverside, California, United States Molina Healthcare Full time

    Job SummaryMolina Healthcare Services (HCS) is seeking a skilled Case Manager to join our team. As a Case Manager, you will work with members, providers, and multidisciplinary teams to assess, facilitate, plan, and coordinate an integrated delivery of care across the continuum, including behavioral health and long-term care, for members with high need...

  • Nurse Case Manager

    3 weeks ago

    Riverside, California, United States Kaiser Permanente Full time

    Job SummaryWe are seeking a skilled Registered Nurse to join our team as a Case Manager. In this role, you will work collaboratively with physicians to coordinate and screen for the appropriateness of admissions and continued stays. You will make recommendations to physicians for alternate levels of care when patients do not meet the medical necessity for...

  • RN Case Manager

    2 weeks ago

    Riverside, California, United States Kaiser Permanente Full time

    Job Summary:We are seeking a skilled RN Case Manager to join our team at Kaiser Permanente. As a key member of our multidisciplinary team, you will work collaboratively with physicians to manage patients' specialized needs. Your expertise will be essential in assessing patients' needs, developing care management plans, and coordinating access to health...

  • RN Case Manager

    4 weeks ago

    Riverside, California, United States SCM Associates Full time

    Job SummaryWe are seeking a skilled RN Case Manager to join our team at SCM Associates, Inc. The successful candidate will work collaboratively with clients, families, physicians, and other healthcare professionals to provide high-quality, cost-effective care.Key ResponsibilitiesUtilize the outcome management model to process cases and coordinate...

  • RN Utilization Case Manager

    1 week ago

    Riverside, California, United States Kaiser Permanente Full time

    Job Summary:As a Utilization Case Manager RN at Kaiser Permanente, you will work collaboratively with physicians to coordinate and screen for the appropriateness of admissions and continued stays. You will make recommendations to physicians for alternate levels of care when patients do not meet medical necessity for inpatient hospitalization. You will...

  • RN Case Manager Hospice Position

    4 weeks ago

    Riverside, California, United States MCM & Associates Full time

    About the JobWe are seeking a compassionate and experienced Registered Nurse to join our team as a Hospice Case Manager. As a Hospice Case Manager, you will be responsible for providing high-quality patient care and support to individuals and their families in their homes and communities.Job SummaryThe Registered Nurse Case Manager plans, organizes, and...

  • RN Case Manager Hospice

    2 months ago

    Riverside, United States MCM & Associates Full time

    About the job RN Case Manager Hospice - RS Are you a nurse that enjoys educating and making an impact during the most valuable time in people's life? Are you burnt out from consecutive long days of work and need more flexibility with your time? Then this may be the job for you. Reliance Hospice and Palliative Care is looking for a compassionate RN Case...

  • RN Case Manager Specialty

    2 weeks ago

    Riverside, California, United States Kaiser Permanente Full time

    Job SummaryWe are seeking a skilled RN Case Manager to join our team at Kaiser Permanente. As a key member of our multidisciplinary team, you will work collaboratively with physicians to manage patients' specialized needs. Your expertise will be essential in assessing patient needs, developing care management plans, and coordinating access to health services...

  • RN Hospice Case Manager

    4 weeks ago

    Riverside, California, United States MCM & Associates Full time

    About the JobWe are seeking a compassionate RN Case Manager to join our team of professionals who provide hospice/palliative care in Riverside County.Job SummaryThe registered nurse plans, organizes and directs hospice care and is experienced in nursing, with emphasis on community health education/experience.Key ResponsibilitiesCompletes an initial,...

  • Case Manager RN

    4 weeks ago

    Riverside, California, United States Kaiser Permanente Full time

    Job SummaryAs a Case Manager RN, you will work collaboratively with a panel of physicians to manage patients' specialized needs. This role requires a strong understanding of chronic disease management and the ability to develop and implement effective care management plans.Key ResponsibilitiesEvaluate and identify members' needs, working closely with primary...

  • Nurse Case Manager

    4 weeks ago

    Riverside, California, United States Kaiser Permanente Full time

    Job Summary:Kaiser Permanente is seeking a skilled Registered Nurse to fill a Case Management position in Riverside, California. As a key member of our healthcare team, you will work collaboratively with physicians to manage patients' specialized needs, ensuring they receive the highest quality care.Key Responsibilities:Evaluate patients' needs and develop...

  • RN Case Manager

    2 weeks ago

    Riverside, California, United States Insight Global Full time

    Job DescriptionJob Summary: We are seeking a skilled Registered Nurse to join our team as a Case Manager in our Inland region. As a Case Manager, you will play a critical role in coordinating patient care, ensuring continuous assessment of patient needs, and implementing the interdisciplinary plan of care.Key Responsibilities:Coordinate patient care and...

  • Traveling Case Manager RN

    4 weeks ago

    Riverside, California, United States Titan Medical Full time

    Job OpportunityWe are seeking a skilled Case Management professional to join our team in California. As a Case Management Travel Nurse, you will be responsible for providing high-quality patient care and coordinating medical services.Key Responsibilities:Specialize in Case Management to ensure optimal patient outcomesCollaborate with healthcare teams to...

  • Clinical Case Manager RN

    2 weeks ago

    Riverside, California, United States Kaiser Permanente Full time

    Job SummaryWe are seeking a skilled Clinical Case Manager RN to join our team at Kaiser Permanente. As a key member of our healthcare team, you will work collaboratively with physicians to manage patients' specialized needs.Key ResponsibilitiesAssess patients' needs and develop individualized care management plans.Coordinate access to health services across...

Staff - Registered Nurse RN - Case Management 72-88 per hour

2 months ago

Riverside, United States Kaiser Permanente Full time

Kaiser Permanente is seeking a Registered Nurse (RN) Case Management for a nursing job in Riverside, California. & Requirements

  • Specialty:
    Case Management
  • Discipline:
    RN
  • Duration:
    Ongoing
  • 1 hours per week
  • Shift:
    8 hours, days
  • Employment Type:
    Staff

    Job Summary:

    Works collaboratively with an MD to coordinate and screen for the appropriateness of admissions and Continued stays. Makes recommendations to the physicians for alternate levels of care when the patient does not meet the medical necessity for Inpatient hospitalization. Interacts with the family, patient and other disciplines to coordinate a safe and acceptable discharge plan. Functions as an indirect caregiver, patient advocate and manages patients in the most cost effective way without compromising quality. Transfers stable non-members to planned Health care facilities. Responsible for complying with AB 1203, Post Stabilization notification. Complies with other duties as described. Must be able to work collaboratively with the Multidisciplinary team, multitask and in a fast pace environment.Essential Responsibilities:

  • Plans, develops, assesses and evaluates care provided to members.
Collaborates with physicians, other members of the multidisciplinary health care team and patient/family in the development, implementation and documentation of appropriate, individualized plans of care to ensure continuity, quality and appropriate resource use.Recommends alternative levels of care and ensures compliance with federal, state and local requirements.Assesses high risk patients in need of post-hospital care planning.Develops and coordinates the implementation of a discharge plan to meet patients identified needs; communicates the plan to physicians, patient, family/caregivers, staff and appropriate community agencies.Reviews, monitors, evaluates and coordinates the patients hospital stay to assure that all appropriate and essential services are delivered timely and efficiently.Participates in the Bed Huddles and carries out recommendations congruent with the patients needs.Coordinates the interdisciplinary approach to providing continuity of care, including Utilization management, Transfer coordination, Discharge planning, and obtaining all authorizations/approvals as needed for outside services for patients/families.Conducts daily clinical reviews for utilization/quality management activities based on guidelines/standards for patients in a variety of settings, including outpatient, emergency room, inpatient and non-KFH facilities.Acts as a liaison between in-patient facility and referral facilities/agencies and provides case management to patients referred.Refers patients to community resources to meet post hospital needs.Coordinates transfer of patients to appropriate facilities; maintains and provides required documentation.Adheres to internal and external regulatory and accreditation requirements and compliance guidelines including but not limited to:
TJC, DHS, HCFA, CMS, DMHC, NCQA and DOL.Educates members of the healthcare team concerning their roles and responsibilities in the discharge planning process and appropriate use of resources.Provides patients with education to assist with their discharge and help them cope with psychological problems related to acute and chronic illness.Per established protocols, reports any incidence of unusual occurrences related to quality, risk and/or patient safety which are identified during case review or other activities.Reviews, analyses and identifies utilization patterns and trends, problems or inappropriate utilization of resources and participates in the collection and analysis of data for special studies, projects, planning, or for routine utilization monitoring activities.Coordinates, participates and or facilitates care planning rounds and patient family conferences as needed.Participates in committees, teams or other work projects/duties as assigned.Basic Qualifications:
Experience
Two (2) years combined RN experience in an acute care setting or case management required. Education
Completion of an accredited RN training program that allows graduates to take RN license exam. License, Certification, Registration Registered Nurse License (California)
Basic Life Support
Additional Requirements:
Demonstrated ability to utilize/apply the general and specialized principles, practices, techniques and methods of Utilization review/management, discharge planning or case management.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.Preferred Qualifications:
Bachelors degree in nursing or healthcare related field.

Kaiser Permanente Job ID #1293489. Posted job title:
Case Manager Utilization RnAbout Kaiser Permanente

At the heart of health care, you'll find Kaiser Permanente. As the nations leading not-for-profit, integrated health plan, we make a difference in the lives of members, patients, and communities across the country.

With 39 hospitals and more than 734 locations in eight states and the District of Columbia, we proudly serve more than 12.7 million members from coast to coast. Whether you choose to join a hospital in the Northwest, a clinic in Southern California, or a medical office in the Mid-Atlantic, we have many opportunities for you to shape the future of care.

Our teams are empowered to advance impactful and extraordinary care for all by pioneering health outcomes, encouraging diverse viewpoints, and creating new opportunities for learning and advancement. This covers more than our members and our employees; it also reaches far into our communities. Together, we're proudly working as one for a healthier today and tomorrow.