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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:

Friday, Monday, Thursday, Tuesday, Wednesday

Weekend Requirements:

As Needed

Benefits:

Yes

Unions:

No

Position Status:

Exempt

Weekly Hours:

40

Employee Status:

Regular

Employees of Sutter Health and its entities may handle hazardous drugs in the course of their work, including patient care, which requires them to manage, store, prepare, receive, unpack, transport, dispose of, or administer drugs identified as hazardous or potentially hazardous by the National Institute for Occupational Safety and Health (NIOSH) and in accordance with the USP 800 guidelines.

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

Pay Range is $66.77 to $100.16 / hour

_The salary range for this role may vary above or below the posted range as determined by location. This range has not been adjusted for any specific geographic differential applicable by area where the position may be filled. Compensation takes into account several factors including but not limited to a candidate’s experience, education, skills, licensure and certifications, department equity, training and organizational needs. Base pay is just one piece of the total rewards program offered by Sutter Health. Eligible roles also qualify for a comprehensive benefits package._