Supervisor, Acute Case Management

Open 33d posting dated 6 days ago

We are so glad you are interested in joining Sutter Health!

Organization:

SMCS-Valley Administration

Position Overview:

Supervises the overall operations of the 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.

Job Description:

EDUCATION:

  • Master's: Nursing, Case Management, or Social Work


CERTIFICATION & LICENSURE:

  • LCSW-Licensed Clinical Social Worker Upon Hire


TYPICAL EXPERIENCE:

  • 5 years of recent relevant experience.


SKILLS AND KNOWLEDGE:

  • Strong critical-thinking, problem resolution and time management abilities and customer relation skills.
  • 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).

Job Shift:

Days

Schedule:

Full Time

Days of the Week:

Monday - Friday

Weekend Requirements:

As Needed

Benefits:

Yes

Unions:

No

Position Status:

Exempt

Weekly Hours:

40

Employee Status:

Regular

Sutter Health is an equal opportunity employer EOE/M/F/Disability/Veterans.

Pay Range is $142,105.60 to $213,158.40 / annual salary

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.