Case Manager II, Ambulatory

Sutter Health; San Francisco (CA); Vor Ort; USD 119.000 - 166.000; Vollzeit

Benefits dieser Stelle

Benefits

Zusammenfassung

Sutter Health is seeking a patient-centered RN to provide case management for adults and children with chronic conditions. You will coordinate care across settings, assess, educate, and implement plans per approved protocols within your scope.

Responsibilities include collaboration with an interdisciplinary team, effective communication with patients and families, and adherence to NCQA standards and payer requirements. This is a full-time, day-shift role in California.

Qualifikationen

• RN in California with current license; BLS required for direct patient care.
• Broad knowledge of medical diagnoses, treatments and hospital/ambulatory practices.
• Familiarity with managed care, utilization management and payer types.

Kenntnisse

Interpersonal skills

Oral and written communication

Time management

Ausbildung

Registered Nurse (RN) license (California)

Jobbeschreibung

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

Organization

SPMF-Sutter Pacific Medical Foundation - South

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.

Job Description

• Graduate of an accredited school of nursing

Certification & Licensure

• RN-Registered Nurse of California
• BLS-Basic Life Support Healthcare Provider if providing in-person patient care

Typical Experience

• 2 years recent relevant experience.

Skills And Knowledge

• 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.
• NCQA standards and application, state and federal requirements as apply to managed care, utilization management criteria and its application.
• 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.
• Interpersonal skills collaborating with physicians, patients, families, care givers, service providers, and health care team.
• 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.
• Demonstrated , positive interpersonal relationship skills, to include presentations to small groups, and skill in time management.

Job Shift

Days

Schedule

Full Time

Shift Hours

8

Days Of The Week

Monday - Friday

Weekend Requirements

None

Benefits

Yes

Unions

No

Position Status

Non-Exempt

Weekly Hours

40

Employee Status

Limited Term (Fixed Term)

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

Pay Range is $86.27 to $120.77 / hour

The posted pay range is based on the position's primary work location. Candidates who reside and work outside of that location may be subject to a different pay range based on their work location. Candidate starting salaries consider 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.