
Case Management Utilization Registered Nurse
We are looking to hire a highly professional and dedicated Case Management Utilization Registered Nurse to join the Kaiser Permanente family. The primary responsibility of this position is to provide case management and utilization review services to ensure quality and cost-effectiveness of patient care. The ideal candidate should have an in-depth knowledge and experience in case management, utilization management, and care coordination principles and techniques.The successful candidate should have the ability to collaborate effectively with multiple stakeholders, including physicians, providers, payers, and other members of the healthcare team to deliver quality patient outcomes. The position requires a person with excellent organizational, communication, and problem-solving skills, as well as strong analytical and technical skills. Above all, the candidate must have an unwavering commitment to maintaining a patient-centered care environment.
Responsibilities:
- Utilize case management and utilization review principles and techniques to ensure quality and cost-effectiveness of patient care.
- Collaborate effectively with multiple stakeholders, including physicians, providers, payers, and other members of the healthcare team to deliver quality patient outcomes.
- Maintain a patient-centered care environment.
- Monitor and assess patient progress and outcomes.
- Develop and implement plans to improve patient care.
- Monitor and keep up-to-date with changes in healthcare regulations and policies.
- Provide guidance and support to healthcare team members.
- Ensure compliance with established policies and procedures.
- Track and document patient care plans and outcomes.
- Provide education and resources to patients and families.
Excellent Communication And Customer Service Skills
Ability To Work Independently And Collaboratively
Knowledge Of Managed Care Principles
A Valid Registered Nurse License
A Minimum Of Two Years Of Clinical Experience In An Acute Care Setting
Familiarity With Icd- And Cpt Coding
Knowledge Of Utilization Management And Case Management Principles
Proficiency With Computers And
Documentation
Quality Assurance
Communication
Time Management
Interpersonal skills
Problem Solving
Negotiation
Conflict Resolution
Critical Thinking
Decision Making
Case management
Patient Advocacy
Patient education
Utilization
Registered Nursing
Communication
Leadership
Negotiation
Problem Solving
Time management
Interpersonal Skills
creativity
Critical thinking
Teamwork
Adaptability
According to JobzMall, the average salary range for a Case Management Utilization Registered Nurse in Anaheim, CA, USA is $90,000 to $120,000 per year. The salary range can vary depending on the individual's experience, qualifications, and other factors.
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Kaiser Permanente is an American integrated managed care consortium, based in Oakland, California, United States, founded in 1945 by industrialist Henry J. Kaiser and physician Sidney Garfield.

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