Sutter Health Continuum Case Manager, Limited Term (Full time-Days) in Sacramento, California
TheContinuum Case Managerassists 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: performs concurrent and retrospective review to determine the medical appropriateness of care to ensure effective, quality and cost-efficient outcomes. 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. The Case Manager also functions as a physician advisor with accountability to escalate cases to medical leadership as necessary. The Case Manage is also a liaison to the various Health Plans and uses nationally established criteria along with health plan specific criteria to review and authorize member referrals.
This position is limited term, up to 30 weeks.
Graduate of an accredited school of nursing required. Bachelor's preferred.
Licensure and Certifications
CA RN required.
CCM or ACM preferred.
Acute care experience required.
Skills and Knowledge
Must have demonstrated knowledge of basic nursing skills and effective English written and communication skills.
Independently practices and prioritize multiple demands in a ever-changing environment.
Organization: *Sutter Valley Hospital
Title: Continuum Case Manager, Limited Term (Full time-Days)
Location: California-Greater Sacramento Area-Sacramento
Requisition ID: SVH-1803501
All qualified applicants will receive consideration for employment without regard to race, color, creed, religion, marital status, sexual orientation, registered domestic partner status, sex, gender, gender identity or expression, ancestry, national origin (including possession of a driver's license issued to individuals who did not present proof of authorized presence in the U.S.), age, medical condition, physical or mental disability, military or protected veteran status, political affiliation, pregnancy or perceived pregnancy, childbirth, breastfeeding or related medical condition, genetic information or any other characteristic made unlawful by local, state, or federal law, ordinance or regulation. External hires must pass a background check/drug screening. Qualified applicants with arrest and/or conviction records will be considered for employment in a manner consistent with Federal, state, and local laws, including but not limited to the San Francisco Fair Chance Ordinance.