Current jobs related to Case Manager Utilization RN, 24/hr Mid-Shift - Los Angeles - Kaiser Permanente
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Case Manager Utilization RN, 24/hr Mid-Shift
4 days ago
Los Angeles, California, United States Kaiser Permanente Full timeJob 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. Your recommendations will help physicians determine alternate levels of care for patients who do not meet the medical necessity for inpatient...
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Case Manager Utilization RN, 24/hr Mid-Shift
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Case Manager Utilization RN, 24/hr Mid-Shift
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Los Angeles, United States Recruitics JB Full timeSign On Bonus for Eligible External HiresJob 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...
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Case Manager Utilization RN, 24/hr Mid-Shift
4 days ago
Los Angeles, United States Kaiser Permanente Full timeSign On Bonus for Eligible External HiresJob 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...
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Case Manager Utilization RN, 24/hr Mid-Shift
1 week ago
Los Angeles, CA, United States Kaiser Permanente Full timeSign On Bonus for Eligible External Hires 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...
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Case Manager Utilization RN, 24/hr Mid-Shift
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Los Angeles, CA, United States Kaiser Permanente Full timeSign On Bonus for Eligible External Hires 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...
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Case Manager Utilization RN, 24/hr Mid-Shift
1 month ago
Los Angeles, CA, United States Kaiser Permanente Full timeSign On Bonus for Eligible External HiresJob 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...
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Case Manager Utilization RN, 24/hr Day
4 days ago
Los Angeles, United States Kaiser Permanente Full timeSign On Bonus for Eligible External Hires 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...
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Travel Nurse RN Case Manager
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Case Manager Utilization RN-Per Diem Mid-Shift
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Travel Nurse RN Case Manager
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Case Manager Utilization RN, 24/hr Day
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Travel Nurse RN Case Manager
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Travel Nurse RN Case Manager
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Los Angeles, California, United States TotalMed Case Management Staffing Full timeJob Title: Travel Nurse RN Case ManagerTotalMed Case Management Staffing is seeking a skilled Travel Nurse RN Case Manager to join our team.About the JobWe are looking for a dedicated and compassionate Registered Nurse to work as a Case Manager in Los Angeles, California. The ideal candidate will have experience in case management and be able to work...
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Travel Nurse RN Case Manager
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Case Manager Utilization RN
2 weeks ago
Los Angeles, California, United States Kaiser Permanente Full timeJob Summary:Kaiser Permanente is seeking a skilled Case Manager Utilization RN to join our team. As a key member of our multidisciplinary team, 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 to physicians for alternate...
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Travel Nurse RN Case Management
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Case Manager Utilization RN
3 weeks ago
Los Angeles, California, United States Kaiser Permanente Full timeJob SummaryWe are seeking a skilled and compassionate Case Manager Utilization RN to join our team at Kaiser Permanente. As a key member of our multidisciplinary team, you will work collaboratively with physicians and other healthcare professionals to coordinate and screen for the appropriateness of admissions and continued stays.Key ResponsibilitiesDevelop...
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Case Manager Utilization RN
2 weeks ago
Los Angeles, California, United States Kaiser Permanente Full timeJob SummaryAs a Case Manager Utilization RN at Kaiser Permanente, you will play a critical role in ensuring the delivery of high-quality, cost-effective care to our patients. You will work closely with physicians, other healthcare professionals, and patients to develop and implement individualized plans of care that meet the unique needs of each patient.Key...
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Case Manager Utilization RN, 32/hr Night
4 weeks ago
Los Angeles, United States Kaiser Permanente Full timeSign On Bonus for Eligible External Hires 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...
Case Manager Utilization RN, 24/hr Mid-Shift
3 months ago
Sign On Bonus for Eligible External Hires 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. Notes: Alternating weekends Block Schedule COMPANY: KAISER TITLE: Case Manager Utilization RN, 24/hr Mid-Shift LOCATION: Los Angeles, California REQNUMBER: 1292723 External hires must pass a background check/drug screen. Qualified applicants with arrest and/or conviction records will be considered for employment in a manner consistent with Federal, state and local laws, including but not limited to the San Francisco Fair Chance Ordinance. All qualified applicants will receive consideration for employment without regard to race, color, religion, sex, national origin, sexual orientation, gender identity, protected veteran, or disability status.
