Case Manager II, Ambulatory

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:

EDUCATION:

• 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.