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Sutter Health

Case Management Nurse II

Sutter Health, Santa Barbara, California, us, 93190

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Case Management Nurse II

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Case Management Nurse II

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$54.00/hr - $79.00/hr Direct message the job poster from Sutter Health This position is 100% on site in Santa Barbara CA EDUCATION: Associate Degree in Nursing Other: Graduate of an accredited school of nursing CERTIFICATION & LICENSURE: RN-Registered Nurse of California CCM - Certified Case Manager (certification may be required by entity and time to acquire within 2 years of hire) TYPICAL EXPERIENCE: 2 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 post-acute 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 high-volume environment with rapidly changing priorities. 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. Seniority level

Seniority level Not Applicable Employment type

Employment type Full-time Job function

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