Manager, Care Management (RN/SW)

We are so glad you are interested in joining Sutter Health! Organization SHSO-Population Health Services-Bay Position Overview Manages the overall operations of the department for Sutter Health entities in accordance with current federal and state regulations and guidelines. Has frequent contact with the Administrative Team, Nurse Executives and Directors, Risk Management & Ethics staff, Ancillary Services, Revenue Cycle and Finance Department leaders, Medical Directors, Medical Staff leaders, physicians, contracted providers, community resources post-acute agencies, patients and their families. Education Job Description: Bachelor's: BS in Nursing or Health AdministrationOR Master's: MS in Nursing, Case management, or related field; or Masters of Social Work for Social Work Candidates Only Certification & Licensure RN-Registered Nurse of California Upon HireOR LCSW-Licensed Clinical Social Worker Upon Hire Typical Experience 8 years recent relevant experience Skills And Knowledge Knowledge of ACMA, CMSA, and NASW Standards of PracticeKnowledge of available health care and community resourcesA broad knowledge base of health care delivery and case management within a managed care environmentComprehensive knowledge of laws, regulations and professional standards affecting case management practice in an integrated delivery system: including but not limited to: CMS, Title 22, CHA Consent Manual, CDPH and TJCVerbal and written communication skillsGroup presentation design and facilitation skillsDemonstrated ability to develop and manage complex projectsWorking knowledge of InterQual criteriaWorking knowledge of MIDAS and experience with an E.H.R. (EPIC preferred)Ability to promote teamwork and to effectively function in teams, both as a leader and as a team memberAbility to interact effectively with key internal and external constituents using collaboration, negotiation and analytical problem resolution skillsEffective human relations and interpersonal skills necessary to lead the efforts of diverse health professionals to meet program objectives.Ability to work effectively in a fast-paced environment, directing services at multiple locationsAnalytical and mathematical skillsDemonstrated ability to implement continuous quality improvement processes and techniques, including benchmarking and outcomes measurementsPC skills, word processing, spreadsheets and managed care software programsAdheres to Sutter health policies and procedures and supports Sutter health philosophies and initiatives. Participates as member of the utilizationManagement committee (UMC)Strong problem resolution abilities and customer relation skills Job Shift Days Schedule Full Time Days Of The Week Variable Weekend Requirements As Needed Benefits Yes Unions No Position Status Exempt Weekly Hours 40 Employee Status Regular Sutter Health is an equal opportunity employer EOE/M/F/Disability/Veterans. Pay Range is $187,886.40 to $300,622.40 / annual salary 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.