Case Manager, Registered Nurse

Organization:

SMCS-Valley Administration

Position Overview:

Provides patient-centered case management to patients with chronic illness, complex medical conditions and who are in transition across the continuum of care settings. As a member of an interdisciplinary team coordinates care in accordance with the plan of care, to achieve optimal results by impacting the delivery of quality care in a holistic approach to the patient and family. Provides assessment, treatment, intervention, patient education and patient management for adult/child patients and their families based on approved standard protocols and within scope of practice.

:

EDUCATION:

• Graduate of an accredited school of nursing. or equivalent education/experience

CERTIFICATION & LICENSURE:

• RN-Registered Nurse of California
• BLS-Basic Life Support Healthcare Provider

TYPICAL EXPERIENCE:

• 2 years recent relevant experience.

SKILLS AND KNOWLEDGE:

• Demonstrated , positive interpersonal relationship skills, to include presentations to small groups, and skill in time management.
• Knowledge of the health care financial environment and requirements for various payer types, e.g., Commercial, CMS, CCS for HMO and PPO cases, and ability to apply Managed Care concepts.
• NCQA standards and application, state and federal requirements as apply to managed care, utilization management criteria and its application.
• Must exhibit , clear oral and written communication skills, including the ability to effectively organize ideas and data for logical presentation and acceptance by staff; flexibility and knowledge in problem solving activities.
• Interpersonal skills collaborating with physicians, patients, families, care givers, service providers, and health care team.
• Comprehensive knowledge of a broad range of medical diagnoses, treatment modalities, therapeutic services and intervention techniques, and knowledge of hospital and/or ambulatory practices and procedures.

Salary range: $69.15 - $90.15 / hour

The salary range for this role may vary above or below the posted range as determined by location. This range has not been adjusted for any specific geographic differential applicable by area where the position may be filled. Compensation takes into account several factors including but not limited to a candidate’s experience, education, skills, licensure and certifications, department equity, training and organizational needs. Base pay is just one piece of the total rewards program offered by Sutter Health. Eligible roles also qualify for a comprehensive benefits package.

Job Shift:

Days

Schedule:

Full Time

Shift Hours:

8

Days of the Week:

Friday, Monday, Thursday, Tuesday, Wednesday

Weekend Requirements:

None

Benefits:

Yes

Unions:

No

This position is work from home eligible.

Position Status:

Non-Exempt

Weekly Hours:

40

Employee Status:

Regular

Number of Openings:

1

Sutter Health is an equal opportunity employer EOE/M/F/Disability/Veterans.