Davis, California

Position Overview:
The Case Manager assists the organization by assuring that the right care is provided at the right place, at the right time. To accomplish these goals, the Case Manager: uses established criteria to evaluate the appropriateness of admission, level of care, and readiness for discharge; assures the timely movement of patients throughout the continuum of care by conducting concurrent reviews and resolving delays as necessary; assesses patients’ post-discharge needs and develops and implements the plan; submits clinical information to assure reimbursement; and coordinates care with the treatment team, family and others as necessary.

This is a limited term up to 26 weeks, benefited position.


Qualifications:
Licensure/Education:
Current California RN Licensure required.
BSN strongly preferred
National certification in Case Management (ACM, CCM) preferred.
Previous Leadership experience preferred.
Experience:
  • Minimum 3 years previous acute care experience or equivalent education commensurate with is required.
  • Previous case management experience preferred.
  • Broad acute clinical background (experience in more than one population and level of care) strongly preferred.
  • InterQual experience preferred.
Knowledge:
  • Utilize critical thinking skills and clinical knowledge to create a viable and effective patient transition plan and identify delays in service, or quality issues that impede the progression of care required.
  • Basic knowledge of governmental (Medicare, Medi-Cal, etc.) healthcare reimbursement systems is preferred.
  • Advanced knowledge of healthcare reimbursement systems: HMO, PPO, capitated agreements, PPS, etc., preferred.
  • Advanced knowledge of post-acute healthcare resources such as: SNF, Home Health, Hospice, AIM, etc., required.
  • Intermediate level computer skills required.
  • General typing skills (35 WPM) required.
  • General knowledge of coding and DRG assignment process preferred.

Skills:

  • Must be able to effectively communicate with, and promote cooperation and collaboration between, multiple people including: patients and their families; physicians, nurses, social workers, etc.  Ability to seek input and receive feedback in a collaborative interdisciplinary team.
  • Able to orchestrate successful, complex discharge plans.
  • Must be able to develop an organized work plan in a high-volume environment with rapidly changing priorities.
  • Must possess leadership, delegation, and supervisory skills to guide staff and hold others accountable.
  • Must be self directed and organized with the ability to independently prioritize and follow through to achieve desired clinical, satisfaction and financial outcomes.
  • Must have strong clinical assessment skills necessary to provide utilization review and transition planning services to meet the patients’ complex medical, emotional and social needs.


Organization: Sutter Valley Hospital
Employee Status: Limited Term
Employee Referral Bonus: No
Benefits: Yes
Position Status: Non-Exempt
Union: No
Job Shift: Variable
Shift Hours: 8 Hour Shift
Days of the Week Scheduled: Varied Days
Weekend Requirements: Rotating
Schedule: Part Time
Hrs Per 2wk Pay Period: 56

Sutter Health Affiliates are equal opportunity employers EOE/M/F/Disability/Veterans

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Davis, California

Sutter Health is more than 60,000 people strong thanks to its integrated network of clinicians, employees and volunteers. Headquartered in Sacramento, Calif., Sutter Health provides access to high quality, affordable care for more than 3 million Northern Californians through its network of hospitals, medical foundations, urgent and walk-in care centers, home health and hospice services. Nearly 14,000 physicians and advanced practice clinicians care for Sutter patients. For more information about the Sutter Health network visit: sutterhealth.org | facebook.com/sutterhealth | youtube.com/sutterhealth | twitter.com/sutterhealth.

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