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Kaiser Utilization Management Jobs in California

Kaiser Permanente

Asst Nurse Manager

San Francisco, CA · On-site

$166K/yr

... management. * Monitors the quality of service and utilization standards and assumes specific ... Kaiser Permanente conducts compensation reviews of positions on a routine basis. At any time ...

Kaiser Permanente

CM Utiliz RN-PD

Los Angeles, CA · On-site

$77.69/hr

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 ...

Kaiser Permanente

CM Utiliz RN-PD

Bellflower, CA · On-site

$77.69/hr

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 ...

Kaiser Permanente

CM Utiliz RN

Los Angeles, CA · On-site

$64.74/hr

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 ...

Kaiser Permanente

CM Utiliz RN

Los Angeles, CA · On-site

$64.74/hr

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 ...

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All JobsKaiser Utilization Management JobsKaiser Utilization Management Jobs in California

Kaiser Utilization Management information

See California salary details

$38.5K

$88.3K

$160.9K

How much do kaiser utilization management jobs pay per year?

As of Sep 8, 2026, the average yearly pay for kaiser utilization management in California is $88,311.00, according to ZipRecruiter salary data. Most workers in this role earn between $63,700.00 and $103,100.00 per year, depending on experience, location, and employer.

What is Kaiser Utilization Management?

Kaiser Utilization Management refers to the process within Kaiser Permanente that evaluates the necessity, appropriateness, and efficiency of healthcare services provided to members. Utilization management professionals review medical cases to ensure that treatments and procedures are medically necessary and align with established guidelines. Their goal is to optimize healthcare outcomes while controlling costs and preventing unnecessary services, ensuring members receive the right care at the right time.

What are the key skills and qualifications needed to thrive as a Kaiser Utilization Management professional?

To thrive in Kaiser Utilization Management, you need a solid background in clinical healthcare (often as an RN or other licensed clinician), understanding of medical necessity criteria, and experience with healthcare regulations. Familiarity with utilization review software, electronic health records (EHRs), and knowledge of guidelines such as Milliman or InterQual are typically required. Excellent communication, critical thinking, and organizational skills set standout professionals apart in this role. These competencies ensure effective resource management, regulatory compliance, and quality patient care within the healthcare system.

How does a Kaiser Utilization Management professional typically collaborate with healthcare providers to ensure appropriate patient care?

Kaiser Utilization Management professionals work closely with physicians, nurses, and other healthcare team members to review patient cases and ensure that treatments and services are medically necessary and align with organizational guidelines. This collaboration often involves case discussions, care planning meetings, and providing recommendations for alternative care options when appropriate. Open communication and a collaborative approach help ensure patients receive high-quality care while also managing resources efficiently. Professionals in this role regularly interact with both clinical and administrative staff to resolve issues and support optimal patient outcomes.

What is the difference between Kaiser Utilization Management vs Kaiser Case Manager?

AspectKaiser Utilization ManagementKaiser Case Manager
Primary RoleReview and authorize healthcare services based on medical necessityCoordinate and manage patient care plans and services
CertificationsTypically requires medical or nursing credentials, possibly certifications in utilization reviewOften requires nursing or social work credentials, with case management certifications
Work EnvironmentUtilization review departments within health plans or hospitalsDirect patient interaction, care coordination teams, healthcare facilities
Industry UsageCommonly employed by health insurance providers like KaiserEmployed in healthcare settings, insurance companies, or integrated health systems

While both roles are integral to healthcare management at Kaiser, Utilization Management focuses on reviewing services for appropriateness, whereas Case Managers actively coordinate patient care and services. Understanding these differences helps clarify career paths and job expectations within Kaiser’s healthcare system.

What are popular job titles related to Kaiser Utilization Management jobs in California?

For Kaiser Utilization Management jobs in California, the most frequently searched job titles are:

What job categories do people searching Kaiser Utilization Management jobs in California look for?

The top searched job categories for Kaiser Utilization Management jobs in California are:

What cities in California are hiring for Kaiser Utilization Management jobs?

Cities in California with the most Kaiser Utilization Management job openings:

Kaiser Utilization Management jobs near you
Infographic showing various Kaiser Utilization Management job openings in California as of August 2026, with employment types broken down into 1% As Needed, 82% Full Time, 15% Part Time, and 2% Contract. Highlights an 88% Physical, 3% Hybrid, and 9% Remote job distribution, with an average salary of $88,311 per year, or $42.5 per hour.

Manager Social Services Case Management

Kaiser Permanente

Vacaville, CA • On-site

Other

Posted 24 days ago

Kaiser Permanente rating

8.2

Company rating: 8.2 out of 10

Based on 927 frontline employees who took The Breakroom Quiz

55th of 898 rated healthcare providers

Job description

Job Summary:

Develops and monitors the social services programs for the CSA. Establishes and maintains, standards, quality levels, cost effective, and customer focused services. Establishes interfaces with community services.


Essential Responsibilities:

  • Plans, develops, implements and maintains social services policies and procedures, delivery of social work programs, and discharge planning services.
  • Oversees social services case management activities.
  • Manages staff activities, ensures their competencies, and develops/presents inservices.
  • Recommends, develops, and implements new programs enhancing services to specialized patient populations and reducing hospital and office visit utilization.
  • Develops and manages departmental budget.
  • Identifies and implements opportunities for cost reduction and improved services.
  • Identifies community resources for our members.
  • Collaborates with community organizations in developing new programs or enhancing current community services which are available to Kaiser members.
  • Develops, implements, and monitors the quality assurance of the social services programs and staff.
  • Identifies issues which interfere with the delivery of services and develops techniques to resolve them.
  • Collaborates with medical center departments, community agencies and health plan members on matters related to discharge planning and ensures that services are provided in an integrated fashion.
  • Ensures compliance with federal, state, and local requirements.
  • Kaiser Permanente conducts compensation reviews of positions on a routine basis. At any time, Kaiser Permanente reserves the right to reevaluate and change job descriptions, or to change such positions from salaried to hourly pay status. Such changes are generally implemented only after notice is given to affected employees.

Basic Qualifications:
Experience

  • Minimum two (2) years of leadership or supervisory experience in medical social work.
Education

  • Masters degree in Social Work from an institution accredited by the Council of Social Work Education.
License, Certification, Registration
  • Licensed Clinical Social Worker (California) required at hire
  • Basic Life Support
  • National Provider Identifier required at hire
Additional Requirements:

  • Sound knowledge of fiscal management theories and principles.
  • Knowledge of different levels of health care; understanding of human development and psychodynamic theories.
  • Must be able to work in a Labor/Management Partnership environment.
Preferred Qualifications:

  • Minimum five (5) years of supervisory experience in medical social work preferred.

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