Kaiser Permanente

Case Management Utilization Registered Nurse

Kaiser Permanente

Anaheim, CA, USA
Full-TimeDepends on ExperienceSenior LevelMasters
Job Description

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:

  1. Utilize case management and utilization review principles and techniques to ensure quality and cost-effectiveness of patient care.
  2. Collaborate effectively with multiple stakeholders, including physicians, providers, payers, and other members of the healthcare team to deliver quality patient outcomes.
  3. Maintain a patient-centered care environment.
  4. Monitor and assess patient progress and outcomes.
  5. Develop and implement plans to improve patient care.
  6. Monitor and keep up-to-date with changes in healthcare regulations and policies.
  7. Provide guidance and support to healthcare team members.
  8. Ensure compliance with established policies and procedures.
  9. Track and document patient care plans and outcomes.
  10. Provide education and resources to patients and families.
Where is this job?
This job is located at Anaheim, CA, USA
Job Qualifications
  • 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

Required Skills
  • 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

Soft Skills
  • Communication

  • Leadership

  • Negotiation

  • Problem Solving

  • Time management

  • Interpersonal Skills

  • creativity

  • Critical thinking

  • Teamwork

  • Adaptability

Compensation

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.

Additional Information
Kaiser Permanente is an Equal Opportunity Employer. We celebrate diversity and are committed to creating an inclusive environment for all employees. We do not discriminate based upon race, religion, color, national origin, sex, sexual orientation, gender identity, age, status as a protected veteran, status as an individual with a disability, or other applicable legally protected characteristics.
Required LanguagesEnglish
Job PostedNovember 13th, 2023
Apply BeforeJune 21st, 2025
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About Kaiser Permanente

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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