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Organization:
PAMFPalo Alto Medical Foundation PADPosition Overview:
Conducts preauthorization concurrent and retrospective utilization management review using the departments accepted criteria for ambulatory acute and postacute patients to confirm medical necessity is met and at the appropriate level of care. Coordinates the utilization management resource management discharge planning postacute care referrals and care facilitation. Strives to promote patient wellness improved care outcomes and efficient utilization of health services among a patient population with complex health needs.Job Description:
EDUCATION:
Associate Degree in Nursing
Other: Graduate of an accredited school of nursing
CERTIFICATION & LICENSURE:
RNRegistered Nurse of California
BLSBasic Life Support
* A plus to have CCM Certified Case Manager certification may be required by entity and time to acquire within 2 years of hire)
This position will float between several hospitals:
Good Samaritan Hospital
2425 Samaritan Dr
San Jose CA 95124
El Camino Hospital
2500 Grant Rd
Mountain View Ca 94040
Washington Hospital Healthcare System
2000 Mowry Ave
Fremont Ca 94538
Stanford Hospital
300 Pasteur Dr
Palo Alto CA 94305
TYPICAL EXPERIENCE:
Two years recent relevant experience
SKILLS AND KNOWLEDGE:
Job Shift:
DaysSchedule:
Full TimeShift Hours:
8Days of the Week:
Monday FridayWeekend Requirements:
As NeededBenefits:
YesUnions:
NoPosition Status:
NonExemptWeekly Hours:
40Employee Status:
RegularSutter Health is an equal opportunity employer EOE/M/F/Disability/Veterans.
Pay Range is $79.02 to $104.27 / hourThe salary range for this role may vary above or below the posted range as determined by location. This range has not been adjusted for any specific geographic differential applicable by area where the position may be filled. Compensation takes into account several factors including but not limited to a candidates experience education skills licensure and certifications department equity training and organizational needs. Base pay is just one piece of the total rewards program offered by Sutter Health. Eligible roles also qualify for a comprehensive benefits package.
Required Experience:
Manager
Full-Time