We are so glad you are interested in joining Sutter Health!
Organization:
ABSMC-Alta Bates Herrick Campus
Position Overview:
This position coordinates the utilization management, resource management, discharge planning, post-acute care referrals and care facilitation. This position oversees the management of acute patient populations across the care continuum with a focus to provide coordinated and integrated care to prevent unnecessary admissions or readmissions. Provides discharge planning coordination and Intervention for the high risk patient presenting to the Inpatient Acute setting. This position strives to promote patient wellness, improved care outcomes, efficient utilization of health services and minimize denials of payment among a patient population with complex health needs.
Job Description :
EDUCATION:
Equivalent experience will be accepted in lieu of the required degree or diploma.
Master's: Social Work or related field
TYPICAL EXPERIENCE:
Two 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 CMS, Title 22 CHA Consent Manual, CDPH and The Joint Commission (TJC)
A broad knowledge base of 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 patient, 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
Intermediate computer skills
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
Job Shift:
Days
Schedule:
Full Time
Shift Hours:
8
Days of the Week:
Monday - Friday
Weekend Requirements:
As Needed
Benefits:
Yes
Unions:
Yes
Position Status:
Non-Exempt
Weekly Hours:
40
Employee Status:
Regular
Sutter Health is an equal opportunity employer EOE/M/F/Disability/Veterans.
Pay Range is $59.00 to $79.35 / hour
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.