Sutter Health
Healthcare
CareManager,RegisteredNurse
Neural analysis suggests this role is
optimal for Mid+ candidates.
“Care Manager, Registered Nurse at Sutter Health. Skills: Care Coordination, Care Transitions, Resource Management. Coordinate care throughout acute care patient experience. Plan care transitions”
What You'll Achieve.
Achievement of optimal health; Access to care; Appropriate utilization of resources; Promote quality patient care; Assure positive patient experience
Industry & Context.
Sound judgment
What They're Looking For.
Must Have
Graduate of an accredited school of nursing, RN-Registered Nurse of California Upon Hire, 2 years recent relevant experience
Nice to Have
Awareness of healthcare reimbursement systems, General understanding of coding and DRG assignment process
What You'll Do.
Coordinate care throughout acute care patient experience
Plan care transitions
Assure timely progression of patients
Transition patients to appropriate level of care
Prevent unnecessary admissions
Prevent unnecessary readmissions
Facilitate care across continuum
Achieve optimal health
Ensure access to care
Ensure appropriate utilization of resources
Coordinate in timely fashion
Coordinate in integrated fashion
Address complex clinical situations
Address social situations efficiently
Avoid unnecessary admissions
How You'll Work.
Team & Collaboration
Collaborate with Physician; Collaborate with Utilization Manager; Collaborate with Medical Social Worker; Collaborate with bedside RN; Collaborate with interdisciplinary team; Collaborate with nursing management; Collaborate with quality; Collaborate with ancillary services; Collaborate with third party payers; Collaborate with review agencies; Collaborate with claims departments; Collaborate with finance departments; Collaborate with Medical Directors; Collaborate with contracted providers; Collaborate with community resources; Promote cooperation between individuals; Promote collaboration between individuals; Function effectively in teams
Communication Scope
Verbal communication; Written communication
Full Job Description
We are so glad you are interested in joining Sutter Health! **Organization:** SMCS-Valley Administration **Position Overview:** Responsible for Care Coordination and Care Transitions Planning throughout the acute care patient experience. This position works in collaboration with the Physician, Utilization Manager, Medical Social Worker and bedside RN to assure the timely progression and transition of patients to the appropriate level of care to prevent unnecessary admissions or readmissions. The Care Management process encompasses communication and facilitates care across the continuum through effective resource coordination. The goals of this role are to include the achievement of optimal health, access to care, and appropriate utilization of resources balanced with the patients' self –determination while coordinating in a timely and integrated fashion. He/She collaborates with patients, families, physicians, the interdisciplinary team, nursing management, quality, ancillary services, third party payers and review agencies, claims and finance departments, Medical Directors, and contracted providers and community resources. If assigned to the Emergency Department, the Care Management process is to address complex clinical and social situations efficiently in order to avoid unnecessary admissions. **Job Description** : Video: Sutter Health: [Getting Better Never Stops](https://players.brightcove.net/817826402001/experience_65b3f7255fe55bcaa752f777/share.html) Learn about [THE POWER OF ONE](https://sutterhealth.widencollective.com/assets/share/asset/tbkcps7fdc) and what it means here at Sutter Health. Join us! **EDUCATION:** * Graduate of an accredited school of nursing **CERTIFICATION & LICENSURE:** * RN-Registered Nurse of California Upon 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 Utili
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