Case Management Nurse II

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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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