Supervisor, Acute Case Management

Sutter Health•Modesto, CA

20d•$91 - $120

About The Position

Supervises the overall operations of the Care Coordination department for Sutter Health entities in accordance with current Federal and State regulations and guidelines. Has frequent contact with Nurse Managers/ Directors, Risk and Ethics staff, Ancillary Services, Patient Access staff, Medical Staff leaders, physicians, Health Plans and contracted providers, community resources and post-acute agencies as well as patients and their families.

Requirements

Bachelor's: BS in Nursing or evidence of enrollment in BSN program with completion within 24 months OR Master's: Master of Social Work for Social Work Candidates Only OR Master's: MS in Nursing, Case management OR Bachelor's in a related field
RN-Registered Nurse of California
5 years of recent relevant experience.
Knowledge of ACMA, CMSA, and NASW Standards of Practice.
Knowledge of available health care and community resources
A broad knowledge base of health care delivery and case management within a managed care environment.
Comprehensive 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 TJC.
Verbal and written communication skills.
Demonstrated ability to develop and manage complex projects.
Working knowledge of InterQual criteria.
Working knowledge of MIDAS and experience with an E.H.R.
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.
Effective 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 locations.
Analytical and mathematical skills.
Demonstrated ability to implement continuous quality improvement processes and techniques, including benchmarking and outcomes measurements preferred.
PC skills, word processing, spreadsheets and managed care software programs.
Adheres to Sutter Health policies and procedures and supports Sutter Health philosophies and initiatives.
Participates as a member of the utilization Management Committee (UMC).