Case Manager II, Ambulatory Registered Nurse Neurosciences Limited Term

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

Organization:

SEBMF-East Bay Medical Foundation

Position Overview:

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. EPIC experience and knowledge of insurance is a requirement of this role.

Job Description:

EDUCATION:

• Graduate of an accredited school of nursing

CERTIFICATION & LICENSURE:

• RN-Registered Nurse of California

• BLS-Basic Life Support Healthcare Provider

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:

8

Days of the Week:

Monday - Friday

Weekend Requirements:

None

Benefits:

Yes

Unions:

No

Position 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 $82.55 to $108.96 / hour

The compensation range may vary based on the geographic location where the position is filled. Total compensation considers 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.