drjobs RN Case Manager II Acute Float

RN Case Manager II Acute Float

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1 Vacancy
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Job Location drjobs

Los Altos, CA - USA

Hourly Salary drjobs

$ 79 - 104

Vacancy

1 Vacancy

Job Description

We are so glad you are interested in joining Sutter Health!

Organization:

PAMFPalo Alto Medical Foundation PAD

Position 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:

  • 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 postacute 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 highvolume environment with rapidly changing priorities.
  • Intermediate computer skills.
  • 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.



Job Shift:

Days

Schedule:

Full Time

Shift Hours:

8

Days of the Week:

Monday Friday

Weekend Requirements:

As Needed

Benefits:

Yes

Unions:

No

Position Status:

NonExempt

Weekly Hours:

40

Employee Status:

Regular

Sutter Health is an equal opportunity employer EOE/M/F/Disability/Veterans.

Pay Range is $79.02 to $104.27 / hour

The 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

Employment Type

Full-Time

Company Industry

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