Staff - Registered Nurse (RN) - Case Management - $60-73 per hour

HealthEcareers - Client
San Fernando, California, United States
$60-$73 an hour
Full-time

Kaiser Permanente is seeking a Registered Nurse (RN) Case Management for a nursing job in Los Angeles, California.

Job Description & Requirements

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

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

Kaiser Permanente Job ID #1292723. Posted job title : Case Manager Utilization Rn, 24 / Hr Mid-Shift

About 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.

30+ days ago
Related jobs
Promoted
Focus Staff
Los Angeles, California

Traveling Registered Nurse, Travel, ICU, RN – ICU, Contract, Travel, Traveling Nursing, Assignment, Registered ICU, ICU Nurse, ICU RN, ICU Nurse, ICU Travel Nurse, Healthcare RN, ICU Nursing, Nurse RN, RN Nurse, Contract RN. Focus Staff is a traveler-first nurse and healthcare staffing agency! We pr...

Promoted
LRS Healthcare
Glendale, California

Ready to learn more? Apply today to start your Travel Adventure with LRS Healthcare!. ...

Promoted
Roze Room Hospice
Los Angeles, California

Lena Beker, FounderPOSITION SUMMARYWe are looking for an experienced California licensed Registered Nurse (RN) to work on-call hours/shifts. Seeking RN with hospice experience to work nights and/or weekendsABOUT USWe know hospice nurses are special. The RN reviews and updates the plan of care, perfo...

Access Healthcare
Burbank, California

Access Healthcare is seeking a per diem / prn nurse RN ICU - Intensive Care Unit for a per diem / prn nursing job in Burbank, California. Access Healthcare was founded by two travel nurses, Danielle and Diego, who had a dream and a shared vision of creating an agency which all nurses would want to w...

Corps Partners
San Fernando, California

We are growing and looking for the best of the best nurses to care for our wonderful patients. Active (unrestricted) nursing license in the State of California. ...

Becker Health/MedHQ
Glendale, California

Becker Health/MedHQ is seeking a local contract nurse RN OR - Operating Room for a local contract nursing job in Glendale, Wisconsin. Charge Operating Room RN, Monday through Friday, occasional Saturday, 40-hours/week. Minimum of 5 years of experience in an operating room setting, with at least 1 ye...

HealthEcareers - Client
West Hollywood, California

IDR Healthcare is seeking a travel nurse RN Telemetry for a travel nursing job in Los Angeles, California. We have been named SIA’s Fastest Growing Staffing Firms and have won ClearlyRated® Best of Staffing for 11 consecutive years! This cements our commitment to clinician satisfaction earning top n...

Vetted Health
Glendale, California

Vetted Locums has immediate nationwide opportunities for 13-week Travel CRNA contracts at $240-$280/hour. Clinical expertise and technical proficiency in administering Travel CRNA. Diagnose and deliver acute and chronic pain management. Prior Locums experience preferable. ...

HealthEcareers - Client
San Fernando, California

Registered Nurse - RN - ICU (Intensive Care Unit). Registered Nurse - RN - ICU (Intensive Care Unit). CareerStaff Unlimited, LLC ("CareerStaff") is a renowned industry leader in healthcare staffing, managed services, and workforce solutions. CAREERSTAFF BENEFITS FOR THE RN:. ...

HealthEcareers - Client
Glendale, California

Access Healthcare is seeking a travel nurse RN NICU - Neonatal Intensive Care for a travel nursing job in Los Angeles, California. Pay package is based on 12 hour shifts and 36 hours per week (subject to confirmation) with tax-free stipend amount to be determined. Access Healthcare was founded by tw...