Director, Care Management (RN/SW)

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

Organization:

SHSO-Population Health Services-Valley

Position Overview:

Responsible for Care Coordination operations for Sutter area Hospitals and/or campuses, as assigned. Works closely with the interdisciplinary, physician and administrative team to align Care Coordination activities and achieve desired goals and metrics. Has frequent contact with Administrators, Nursing Executives, Directors, Ancillary Services, Revenue Cycle and Finance departments, Risk Management and Ethics staff, Medical Directors, Medical Staff leaders, physicians, health plans and contracted providers, community resources post-acute agencies, patients and their families.

Job Description :

EDUCATION:

• Master's: Masters in Nursing, Case Management, Health Administration, or Social Work OR or evidence of enrollment in Master's Degree program and completion within 2 years. (Social Work candidates must have Masters in Social Work)

CERTIFICATION & LICENSURE:

• RN-Registered Nurse of California Upon Hire OR LCSW-Licensed Clinical Social Worker Upon Hire

• CCM-Certified Case Manager Upon Hire

TYPICAL EXPERIENCE:

• 12 years recent relevant experience.

SKILLS AND KNOWLEDGE:

• Knowledge of ACMA, CMSA & NASW Standards of Practice required.

• Knowledge of available health care and community resources.

• A broad knowledge base of health care delivery and case management within a managed care environment required.

• Comprehensive knowledge of local, state and federal 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, CDPHand the TJC.

• Verbal and written communication skills.

• Group presentation design and facilitation skills.

• Demonstrated ability to develop and manage complex projects.

• Working knowledge of InterQual criteria preferred.

• Ability to promote teamwork and to effectively function in teams, both as a leader and as a team member.

• Ability to interact effectively with key internal and external constituents using collaboration, negotiation and analytical problem resolution skills.

• Ability to work effectively in a fast paced environment, directing and managing multiple and complex projects.

• Analytical and mathematical skills.

• Demonstrated ability to implement continuous quality improvement processes and techniques, including benchmarking and outcomes measurements.

• Intermediate to advanced PC skills, word processing, spreadsheets and PowerPoint required.

• Strong problem resolution abilities and customer relation skills.

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:

Exempt

Weekly Hours:

40

Employee Status:

Regular

Number of Openings:

1

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

Pay Range is $80.57 to $128.91 / 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 candidate's 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. ?

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.