Case Manager, Registered Nurse

We are so glad you are interested in joining Sutter Health!

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EDUCATION

• Equivalent experience will be accepted in lieu of the required degree or diploma.

• Bachelor's: BS in one of following: Nursing or Health Administration.

• Master's: Master in nursing, case management or related field preferred.

CERTIFICATION & LICENSURE

• RN-Registered Nurse of California (required)

• CCM-Certified Case Manager (preferred)

PREFERRED EXPERIENCE AS TYPICALLY ACQUIRED IN:

• Minimum of three (3) years in acute medical/surgical/ED/ or critical care nursing area required. Masters of Nursing in Case Management in lieu of three (3) years in acute medical/surgical/ED/ or critical care nursing area may be considered for employment at directors discretion.

• Masters of Nursing in Case Management in lieu of three (3) years in acute medical/surgical/ED/ or critical care nursing area may be considered for employment at directors discretion.

• Previous Case Management experience preferred.

• Experience utilizing electronic InteQrual or other standardized criteria strongly preferred.

• Experience with clinical assessment for patient with complex medical, emotional and social needs.

• Experience using an electronic medical record system

• Experience and knowledge with MIDAS preferred

SKILLS AND KNOWLEDGE

• Excellent interpersonal communication and negotiation skills.

• A broad knowledge base of health care delivery and case management within a managed care environment.

• Comprehensive knowledge of Utilization Review, levels of care, and observation status.

• Some awareness of healthcare reimbursement systems: HMO, PPO, PPS,CMS preferred.

• Post-acute levels of care such as Home Health, Hospice, AIM, and Palliative Care. SNF, LTAC, B&C, Sub-acute, Acute rehab.

• General Knowledge of coding and DRG assignment process preferred.

• Must be able to effectively communicate with and promote cooperation and collaboration between individuals including patients/families/caretakers, physicians, nurses and other ancillary partners.

• Ability to work independently and exercise sound judgment in interactions with physicians, payers, and patients and their families.

• Demonstrates commitment to service excellence in all patients, family and employee interactions and in performing all job responsibilities.

• Functions in a manner to promote quality patient care and assure a positive patient experience.

• Excellent verbal and written communication skills.

• Must have excellent time management skills to develop organized work processes in a high-volume environment with rapidly changing priorities.

• Intermediate computer skills.

• Ability to promote teamwork and to effectively function in teams.

• Ability to interact effectively with key internal and external constituents using collaboration, and customer service skills that promote excellence in the patient experience.

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

The compensation range may vary based on the geographic location where the position is filled. Total compensation considers multiple factors, including, but not limited to a candidate’s experience, education, skills, licensure, certifications, departmental equity, training, and organizational needs. Base pay is only one component of Sutter Health’s comprehensive total rewards program. Eligible positions also include a comprehensive benefits package.