Sutter Health

CareManager,RegisteredNurse

$0–0k Sacramento, California, United States FULL TIME
The Brief

“Care Manager, Registered Nurse at Sutter Health. Skills: Care Coordination, Care Transitions Planning, Utilization Review. Responsible for Care Coordination. Responsible for Care Transitions Planning”

What You'll Achieve.

Achievement of optimal health; Access to care; Appropriate utilization of resources; Promote quality patient care; Assure a positive patient experience

Industry & Context.

Problems you'll solve

Ability to work independently and exercise sound judgment

What They're Looking For.

Must Have

RN-Registered Nurse of California Upon Hire, 2 years recent relevant experience

Nice to Have

Awareness of healthcare reimbursement systems: HMO, PPO, PPS, CMS, value-based reimbursement models, and alternative payment systems, General understanding of coding and DRG assignment process

What You'll Do.

Responsible for Care Coordination

Responsible for Care Transitions Planning

Assure timely progression and transition of patients

Prevent unnecessary admissions or readmissions

Address complex clinical and social situations

How You'll Work.

Team & Collaboration

Works in collaboration with the Physician, Utilization Manager, Medical Social Worker and bedside RN; 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; Promote cooperation and collaboration between individuals; Ability to promote teamwork and to effectively function in teams; Ability to interact effectively with key internal and external constituents

Communication Scope

verbal and written communication skills; negotiation skills

Free ATS check

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