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Case Manager II, Ambulatory

L5

sutter healthMillbrae, CA6 days ago

$86.27 to $120.77 / hour

Join Sutter Health 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
Certification & Licensure: RN-Registered Nurse of CaliforniaBLS-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: 8Days of the Week:
Monday - Friday
Weekend Requirements: None
Benefits: YesUnions: NoPosition 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.
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Level

SeniorL5

Salary

$86.27 to $120.77 / hour

Location

Millbrae, CA

Occupation

Healthcare Social Workers

Industry

General Medical and Surgical Hospitals

Posted

6 days ago

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