Discharge & Utilization RN Navigator
Kaiser Permanente
Kaiser Permanente in Baldwin Park, CA seeks an RN with case management expertise to coordinate admissions and discharge planning in a part-time, night shift role. You will collaborate with physicians, patients and families to ensure appropriate care levels and efficient resource use. Responsibilities include evaluating care plans, coordinating transfers, and ensuring regulatory compliance across settings. Strong communication and problem-solving skills are essential. #J-18808-Ljbffr Kaiser Permanente
$52.03 - $80.64 per hour
...Utilization Review NurseThe Utilization Review Nurse will evaluate medical records to determine medical necessity by applying clinical acumen... ...on case findings.Minimum Education RequirementCalifornia RN license.Minimum Experience RequirementMinimum of three years of...Suggested- ...Description Job Description Position Summary The PACE Utilization Review Specialist – RN oversees clinical utilization management for... ...inpatient and post-acute length of stay and coordinate timely discharge planning. Review, develop, and implement utilization...SuggestedWork at office
$2,832 - $3,031 per week
...Healthcare has an immediate opening for the following position: Utilization Review Registered Nurse in Whittier, CA. We'll work with you... ...Abstraction,Determine Medical Necessity per Evidence-Based Guidelines,Discharge Planning,DRG (Diagnosis Related Groups),Emergency Department,...SuggestedWeekly payDaily paidPermanent employmentLocal areaImmediate startRelocationShift work- ...Required Licenses/Certifications: Registered Nurse (RN) licensure in the state of practice: Required... ...professional and supervisory analysis/assessment of the most effective utilization of skills and abilities, patient needs, and to equalize work loads...SuggestedFull timeWork experience placementWork at officeDay shift
$31.03 - $46.54 per hour
...Health was named the #1 ranked health care system in the United States, and the #19 ranked company in the country.Job SummaryThe Utilization Review Nurse will evaluate medical records to determine medical necessity by applying clinical acumen and the appropriate application...SuggestedFull time- ...Specialty Unit Staff RN - Labor and Delivery/Baldwin ParkAs the leader of the health... ...team, provides professional nursing care, utilizing the nursing process in accordance with established... ...effective development and completion of discharge plan including discharge barriers and...Daily paidFull timeLocal areaFlexible hoursShift workNight shiftAfternoon shift
$31.03 - $46.54 per hour
...Utilization Review NurseThe Utilization Review Nurse will evaluate medical records to determine medical necessity by applying clinical acumen and the appropriate application of policies and guidelines to urgent and standard reviews. You will document decisions using indicated...Full time$31.03 - $46.54 per hour
...was named the #1 ranked health care system in the United States, and the #19 ranked company in the country. Job Summary The Utilization Review Nurse will evaluate medical records to determine medical necessity by applying clinical acumen and the appropriate...Full timeLocal area- An established industry player in health care is seeking a Utilization Review Nurse to join their dedicated team. In this vital role, you will evaluate medical records and apply clinical expertise to ensure the delivery of necessary health services. Your contributions will...
- ...‑quality patient care while controlling costs and ensuring timely payer information. The role coordinates utilization management, care facilitation, and discharge planning for a designated caseload. You will partner with medical staff and ancillary teams to remove barriers...
- ...care team across the continuum. The role emphasizes InterQual criteria, discharge planning, and efficient resource utilization in both ED and inpatient settings. Ideal candidates will hold an active RN license in California with preference for BSN or MSN and experience in...
- ...IN POMONA, CA The LVN / RN Quality Improvement role provides... ...Care Managers, CHWs, Housing Navigators, and QI Coordinators. ~... ...Review medical visit summaries, discharge instructions, and transition... ...members at risk for ED utilization or hospitalization and initiate...Work at officeLocal area
- ...assigned nursing and ancillary personnel utilizing both professional and supervisory discretion... ...: Registered Nurse (RN) licensure in the state of practice: Required... ...Facilitates throughput through early discharge of patients, pull-ahead beds, and timely...Full timeWork experience placementShift workDay shift
- ...Seasonal RN Program - DOU/SDU - Part Time DaysAs the leader of the health care team, provides professional nursing care, utilizing the nursing process in accordance with established standards... ...development and completion of discharge plan including discharge barriers...Daily paidFull timeTemporary workPart timeSeasonal workLocal areaFlexible hoursShift workNight shiftWeekend work
- ...physician and nursing orders. Assess and coordinate patient's discharge planning needs with members of the healthcare team. What You Will... ...Red Cross accepted. Currently licensed as a Registered Nurse (RN) by the Alabama Board of Nursing required. Education: Diploma...
$47.08 - $58.54 per hour
...-workers as appropriate. Participates in discharge planning process.Essential FunctionsMaintains... ...the team.Assesses and reassesses pain. Utilizes appropriate pain management techniques.... ...Licenses/CertificationsRegistered Nurse (RN) – State Licensure and/or Compact State Licensure...Shift work- Join a leading health care system recognized for excellence, where your role as a Utilization Review Nurse will be pivotal in evaluating medical records and ensuring the delivery of quality care. In this position, you will apply your clinical acumen to assess medical necessity...
- 1st TIME OK/ 2 YR EXP required for Utilization Review RN every other weekend required or more depending on unit needs no call or floating required... ...Determine Medical Necessity per Evidence-Based Guidelines Discharge Planning Needs Assessment/ Order DME Pre-Cert Review Prior...Casual workWeekend work
- ...care, aiming to improve clinical outcomes and satisfaction while controlling costs. The role coordinates utilization management, care facilitation, and discharge planning for a designated caseload, ensuring timely care and accurate documentation for payers. Key functions...
- ...About the Role The Registered Nurse (RN) Case Manager provides care coordination which... ...of care. The RN Case Manager provides discharge planning by collaboratively determining... ...services. The RN Case Manager performs utilization review with a high level of expertise by...Work at office
$25 - $30 per hour
...dressings. Evaluate the patient prior to discharge. Perform and record Pre and Post... ...policy. Prepare, organize, and efficiently utilize supplies and equipment to prevent wastage... ...self-care under the supervision of RN. Staff Related ~ Assists in training...Hourly payWork experience placementImmediate start- Keck Medicine of USC Arcadia Hospital seeks an experienced social worker to advocate for patients and families, coordinating discharge planning and connecting them with community resources. The role emphasizes psychosocial assessment, counseling, and collaboration with...
- ...psychosocial needs of patients. The role involves crisis intervention, eligibility determination for social programs, and development of discharge plans for high-risk populations. A Master’s degree in social work is required, along with excellent communication skills. The...Hourly pay
$49.57 - $61.63 per hour
...Ensures patient education. Participates in discharge planning. Essential Functions... ...to patients. Administers medications utilizing the seven "rights" of medication administration... ...Provides complete patient report to oncoming RN, ensures documentation is complete,...Daily paidRelief$52 - $87 per hour
Adventist Health is seeking a Registered Nurse (RN) ICU - Intensive Care Unit for a nursing... ...care with other disciplines while utilizing critical thinking, professional and supervisory... ..., and treatment team. Participates in discharge planning in order to provide continuity...Hourly payFull timeWork experience placementWork at officeImmediate startNight shift- ...Qualifications: Graduate of an accredited RN school of nursing. Current nursing... ...physical, mental, and emotional well-being utilizing the nursing process of assessing, planning... ...patient care CLINICAL Admits, transfers, and discharges residents in accordance with policy and...Shift work
- The Social Worker at the University of Southern California Arcadia Hospital provides psychosocial assessments, counseling, and discharge planning coordination for high‑risk patients and families. You will collaborate with an interdisciplinary team to ensure timely, well...Work experience placement
$31 - $45 per hour
...Management in Monterey Park is seeking a dedicated Case Manager (LVN or RN) for a full-time role focused on both pediatric and adult populations. This position involves coordinating care and managing discharge planning, contributing to patient recovery and health optimization...Hourly payFull timeWork at officeWork from homeHome office- Aya Healthcare is seeking an Utilization Review Registered Nurse in Whittier, CA for a 13-week assignment. The role requires 1 year of RN experience and a BSN. The facility is an acute care hospital with standard day shifts and Allscripts charting system. Position features...Weekly payShift workDay shift
- ...Worker to address complex psychosocial needs of patients. In this full-time role, you'll engage in crisis intervention and assist with discharge planning. Candidates must have a Master's degree in Social Work, strong interpersonal skills, and BLS certification is required....Full time
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