Case Management Nurse II

Sutter Health; Santa Barbara (CA); On-site; USD 74,390 - 108,830; Full time

Job summary

A healthcare provider is seeking a Case Management Nurse II to work on-site in Santa Barbara, CA. The ideal candidate will have an Associate Degree in Nursing, RN certification, and prior experience in case management. Responsibilities include ensuring patient care and regulatory compliance while collaborating with healthcare teams. Competitive pay ranges from $54.00/hr to $79.00/hr.

Qualifications

• 2 years recent relevant experience in case management.
• Comprehensive knowledge of Utilization Review and regulatory compliance.
• Ability to work independently and effectively communicate with healthcare professionals.

Responsibilities

• Ensure effective case management for patients.
• Collaborate with healthcare teams for patient care.
• Manage documentation and compliance with healthcare regulations.

Skills

Verbal communication skills

Interpersonal communication skills

Time management

Teamwork

Negotiation skills

Education

Associate Degree in Nursing

RN-Registered Nurse of California

CCM - Certified Case Manager

Job description

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This range is provided by Sutter Health. Your actual pay will be based on your skills and experience — talk with your recruiter to learn more.

Base pay range

$54.00/hr - $79.00/hr

Direct message the job poster from Sutter Health

• This position is 100% on site in Santa Barbara CA
• EDUCATION:
• Associate Degree in Nursing
• Other: Graduate of an accredited school of nursing
• CERTIFICATION & LICENSURE:
• RN-Registered Nurse of California
• CCM - Certified Case Manager (certification may be required by entity and time to acquire within 2 years of hire)
• TYPICAL EXPERIENCE:
• 2 years recent relevant experience
• SKILLS AND KNOWLEDGE:
• 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.
• Working knowledge of laws, regulations and professional standards affecting case management practice in an integrated delivery system: including but not limited to: Centers for Medicare and Medicaid Services (GR) Grouper (CMS), Department of Managed Health Care, National Committee for Quality Assurance (NCQA).
• A broad knowledge base of outpatient, acute, and post-acute levels of care and associated regulatory compliance requirements.
• 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.
• Verbal and written communication skills.
• Interpersonal communication and negotiation skills.
• Must have time management skills to develop organized work processes in a high-volume environment with rapidly changing priorities.
• 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.

Seniority level

• Seniority level

  Not Applicable

Employment type

• Employment type

  Full-time

Job function

• Job function

  Health Care Provider

• Industries

  Hospitals and Health Care

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