Case Manager Utilization RN
4 days ago
We are seeking a skilled 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 Responsibilities- Develop and implement individualized plans of care to ensure continuity, quality, and appropriate resource use.
- Recommend alternative levels of care and ensure compliance with federal, state, and local requirements.
- Assess high-risk patients in need of post-hospital care planning and develop and coordinate the implementation of a discharge plan to meet patients' identified needs.
- Communicate the plan to physicians, patients, family/caregivers, staff, and appropriate community agencies.
- Review, monitor, evaluate, and coordinate patients' hospital stays to ensure timely and efficient delivery of essential services.
- Participate in bed huddles and carry out recommendations congruent with patients' needs.
- Coordinate the interdisciplinary approach to providing continuity of care, including utilization management, transfer coordination, discharge planning, and obtaining authorizations/approvals as needed for outside services.
- Conduct daily clinical reviews for utilization/quality management activities based on guidelines/standards for patients in various settings.
- Two (2) years combined RN experience in an acute care setting or case management required.
- Completion of an accredited RN training program that allows graduates to take RN license exam.
- Registered Nurse License (California) and Basic Life Support certification.
- Bachelor's degree in nursing or healthcare-related field.
Kaiser Permanente is an equal opportunity employer committed to a diverse and inclusive workforce. We welcome applications from qualified candidates who share our commitment to equity and inclusion.
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Case Manager Utilization RN
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Case Manager Utilization RN
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Los Angeles, California, United States Kaiser Permanente Full timeJob SummaryWe are seeking a skilled Case Manager Utilization RN to join our team at Kaiser Permanente. As a key member of our healthcare 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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Los Angeles, California, United States University of California Full time{"title": "Case Management Utilization Coordinator", "subtitle": "Join our team at UCLA Health", "content": "As a Case Management Utilization Coordinator, you will play a vital role in ensuring smooth and efficient case management processes to support quality care at UCLA Health.Under the direction of the Utilization Management, Assistant Manager, you will...
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