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Registered Nurse Case Manager jobs at Kaiser Permanente - 493 jobs
Nurse Case Manager II - Community Care Program
Kaiser Permanente
Registered nurse case manager job at Kaiser Permanente
Provides case management services to a caseload of low- and medium-risk patients. Interviews patients and their caregivers to evaluate needs, goals, and current services. Proposes process improvements for determining initial eligibility, benefits, and education for all admissions, leveraging advanced knowledge to assess medical necessity and required level of care to inform physicians. Analyzes and ensures authorization data and escalates inaccuracies. Develops a client-focused case management plan in collaboration with healthcare team, patient, and caregivers that is consistent with regulatory, accreditation, and regional guidelines. Assists patients with gaining access to care based on their needs, making referrals as appropriate. Coordinates resources and services to assure continuity and quality of care. Attends case management rounds with clinician and updates authorizations and diagnoses as needed. Assesses patient progress toward treatment milestones and care plan goals. Identifies barriers to achieving goals and ensures that they are discussed with the patient and care team thoroughly. Verifies that all services remain consistent with established guidelines and standards. Documents the patients case in all medical files. Reviews benefits/services available to patients, caregivers, and other members of the community and addresses identified concerns. Connects patients and caregivers with the right entities to assist with benefits/coverage needs. Identifies patients ready for disposition planning activities. Develops and communicates a comprehensive disposition plan in collaboration with the patient, caregivers, physician, nurses, social services, and other healthcare providers and agencies. Obtains authorizations as needed for patient services. Recommends and attends professional seminars, workshops, and approved educational programs and workshops. Monitors and reviews operational team data and key metrics applied to own work. Makes suggestions for change or improvement as needed. Ensures adherence to regulatory requirements by implementing policy updates. Essential Responsibilities: + Promotes learning in others by proactively providing and/or developing information, resources, advice, and expertise with coworkers and members; builds relationships with cross-functional/external stakeholders and customers. Listens to, seeks, and addresses performance feedback; proactively provides actionable feedback to others and to managers. Pursues self-development; creates and executes plans to capitalize on strengths and develop weaknesses; leads by influencing others through technical explanations and examples and provides options and recommendations. Adopts new responsibilities; adapts to and learns from change, challenges, and feedback; demonstrates flexibility in approaches to work; champions change and helps others adapt to new tasks and processes. Facilitates team collaboration to support a business outcome. + Completes work assignments autonomously and supports business-specific projects by applying expertise in subject area and business knowledge to generate creative solutions; encourages team members to adapt to and follow all procedures and policies. Collaborates cross-functionally and/or externally to achieve effective business decisions; provides recommendations and solves complex problems; escalates high-priority issues or risks, as appropriate; monitors progress and results. Supports the development of work plans to meet business priorities and deadlines; identifies resources to accomplish priorities and deadlines. Identifies, speaks up, and capitalizes on improvement opportunities across teams; uses influence to guide others and engages stakeholders to achieve appropriate solutions. + Drives services related to the initial case assessment by: interviewing patients and their families to evaluate needs, goals, and current services independently; identifying and proposing process improvements for determining initial eligibility, benefits, and education for all admissions; analyzing and ensuring authorization data (e.g., authorization data regarding admitting/principle diagnoses, bed type(s), and disposition data for accuracy, after visit summary) and correcting and escalating inaccuracies; recommending and designing research plans that identify new and/or existing options to assure that quality, cost-efficient care is provided; and leveraging advanced knowledge to assess medical necessity for hospital admission and required level of care to inform physicians. + Provides services related to monitoring and evaluating plan of care by: coordinating resources and services to assure continuity and quality of care, sharing advanced knowledge with others, and developing strategies; updating authorizations, attending case management rounds with clinicians, and updating diagnoses as needed; contacting own patients periodically to assess progress toward treatment milestones and care plan goals, and beginning to coordinate team members to do the same; identifying barriers to achieving goals and ensuring that they are discussed with the patient and care team thoroughly, and guiding team members doing the same; promoting best practices for verifying that all services remain consistent with established guidelines and standards; and documenting/updating the patients case in all medical files while sharing standards with the team. + Drives services related to the case-planning process by: creating a client-focused case management plan with treatment goals based on the patients and familys/caregivers needs independently; collaborating independently with health-care team, patient, and caregivers to assure plan of care is safe, agreeable, and appropriate; and validating that the plan is consistent with regulatory, accreditation, and regional guidelines independently, and sharing feedback with team members as needed. + Supports efforts to remain updated on current research, policies, and procedures by: researching, recommending, and attending pertinent seminars, workshops, and approved educational programs and workshops specific to professional needs; implementing systems, processes, and methods to maintain team knowledge of community resources; monitoring and/or reviewing operational team data and key metrics applied to own work; making suggestions for change or improvement as needed, and helping others to develop ideas as needed; and implementing policy updates to ensure that regulatory requirements are being met. + Provides services related to patient disposition by: performing daily review for early identification of disposition planning activities; developing, evaluating, coordinating, and communicating a comprehensive disposition plan in collaboration with the patient, family, physician, nurses, social services, and other healthcare providers and agencies to meet each patients personal, psychosocial, economic, and cultural needs independently; and leveraging advanced knowledge to create, obtain, and approve authorizations/approvals as needed for services for the patient. + Connects patients with existing services by: guiding others to assist patients with gaining access to care based on their needs, integrating or referring them into existing programs/services, and resolving moderately complex issues; referring patients independently to outside entities, ambulatory case managers, care managers, social workers, and/or internal/external resources as appropriate; utilization management for internal case management post acute care services; hospital level of care, post-acute care, skilled nursing facility (SNF), and durable medical equipment (DME), and transition and complex case management and making location-specific adaptations as necessary. + Serves as liaison between internal and external care by: reviewing benefits/services available based on regulations or specific coverage to patients, families, and other members of the community, problem solving identified concerns, and connecting patients/families with the right entities to assist with benefits/coverage needs; providing case management to a caseload of low- and medium-risk patients referred to external facilities/agencies independently; applying strategies and concepts to independently propose recommendations in interdisciplinary team meetings with internal and/or external stakeholders; and leveraging advanced knowledge to act as a general resource for physicians, health plan administrators, and contracted vendors. Knowledge, Skills and Abilities: (Core) + Ambiguity/Uncertainty Management + Attention to Detail + Business Knowledge + Communication + Critical Thinking + Cross-Group Collaboration + Decision Making + Dependability + Diversity, Equity, and Inclusion Support + Drives Results + Facilitation Skills + Health Care Industry + Influencing Others + Integrity + Learning Agility + Organizational Savvy + Problem Solving + Short- and Long-term Learning & Recall + Teamwork + Topic-Specific Communication Knowledge, Skills and Abilities: (Functional) + Acts with Compassion + Business Relationship Management + Community Health + Company Representation + Confidentiality + Health Care Compliance + Health Care Quality Standards + Information Gathering + Maintain Files and Records + Managing Diverse Relationships + Member Service + Patient Safety + Quality Assurance and Effectiveness + Relationship Building + Written Communication Minimum Qualifications: + Bachelors degree in Nursing or related field AND minimum five (5) years of experience in nursing, case management, or a directly related field. + Registered Nurse License (California) required at hire Preferred Qualifications: + Certified Case Manager (CCM) in the state where care is provided. + Minimum one (1) year of experience in a leadership role with or without direct reports. COMPANY: KAISER TITLE: Nurse Case Manager II - Community Care Program LOCATION: Fresno, California REQNUMBER: 1400141 External hires must pass a background check/drug screen. Qualified applicants with arrest and/or conviction records will be considered for employment in a manner consistent with Federal, state and local laws, including but not limited to the San Francisco Fair Chance Ordinance. All qualified applicants will receive consideration for employment without regard to race, color, religion, sex, national origin, sexual orientation, gender identity, protected veteran, or disability status.$89k-112k yearly est. 28d agoCase Manager II, Registered Nurse
Sutter Health
Burlingame, CA jobs
We are so glad you are interested in joining Sutter Health! **Organization:** Bay Administration 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. When 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** : **EDUCATION:** Graduate of an accredited school of nursing **CERTIFICATION & LICENSURE:** RN-Registered Nurse of California Upon Hire CCM certification preferred **TYPICAL EXPERIENCE:** 5 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. Awareness of healthcare reimbursement systems: HMO, PPO, PPS, CMS, value-based reimbursement models, and alternative payment systems preferred. 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 TJC. A broad knowledge base of post-acute levels of care and associated regulatory compliance requirements. General understanding of coding and DRG assignment process preferred. 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 patients, 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. Strong verbal and written communication skills and negotiation skills Must have excellent time management skills to develop organized work processes in a high-volume environment with rapidly changing priorities. Intermediate computer and technology 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. **PHYSICAL ACTIVITIES AND REQUIREMENTS:** See required physical demands, mental components, visual activities & working conditions at the following link: Job Requirements (*********************************************************************** VGh0qew2nHBZsBpR4VIJFStf2B53bAii2JrA?e=M78vhR) **Job Shift:** Day/Evening **Schedule:** Part Time **Shift Hours:** 8 **Days of the Week:** Variable **Weekend Requirements:** Every other Weekend **Benefits:** Yes **Unions:** No **Position Status:** Non-Exempt **Weekly Hours:** 32 **Employee Status:** Regular Sutter Health is an equal opportunity employer EOE/M/F/Disability/Veterans. Pay Range is $86.68 to $114.41 / 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._$86.7-114.4 hourly 4d agoCase Manager II, Registered Nurse
Sutter Health
Burlingame, CA jobs
We are so glad you are interested in joining Sutter Health! Organization: Bay Administration 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. When 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: EDUCATION: Graduate of an accredited school of nursing CERTIFICATION & LICENSURE: RN-Registered Nurse of California Upon Hire CCM certification preferred TYPICAL EXPERIENCE: 5 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. Awareness of healthcare reimbursement systems: HMO, PPO, PPS, CMS, value-based reimbursement models, and alternative payment systems preferred. 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 TJC. A broad knowledge base of post-acute levels of care and associated regulatory compliance requirements. General understanding of coding and DRG assignment process preferred. 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 patients, 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. Strong verbal and written communication skills and negotiation skills Must have excellent time management skills to develop organized work processes in a high-volume environment with rapidly changing priorities. Intermediate computer and technology 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. PHYSICAL ACTIVITIES AND REQUIREMENTS: See required physical demands, mental components, visual activities & working conditions at the following link: Job Requirements Job Shift: Day/Evening Schedule: Part Time Shift Hours: 8 Days of the Week: Variable Weekend Requirements: Every other Weekend Benefits: Yes Unions: No Position Status: Non-Exempt Weekly Hours: 32 Employee Status: Regular Sutter Health is an equal opportunity employer EOE/M/F/Disability/Veterans. Pay Range is $86.68 to $114.41 / 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.$86.7-114.4 hourly 4d agoCase Manager, Registered Nurse
Sutterhealth
San Francisco, CA jobs
We are so glad you are interested in joining Sutter Health! Organization: CPMC-California Pacific Med Center - Mission Bernal 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: 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 Utilization Review, levels of care, and observation status. Awareness of healthcare reimbursement systems: HMO, PPO, PPS, CMS, value-based reimbursement models, and alternative payment systems preferred. 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 TJC. A broad knowledge base of post-acute levels of care and associated regulatory compliance requirements. General understanding of coding and DRG assignment process preferred. 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 patients, 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. Strong verbal and written communication skills and negotiation skills Must have excellent time management skills to develop organized work processes in a high-volume environment with rapidly changing priorities. Intermediate computer and technology 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: Part Time Shift Hours: 8 Days of the Week: Variable Weekend Requirements: Every other Weekend Benefits: Yes Unions: Yes Position Status: Non-Exempt Weekly Hours: 32 Employee Status: Regular Sutter Health is an equal opportunity employer EOE/M/F/Disability/Veterans. Pay Range is $86.68 to $114.41 / 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.$86.7-114.4 hourly Auto-Apply 22d agoCase Manager II, Registered Nurse
Sutterhealth
San Francisco, CA jobs
We are so glad you are interested in joining Sutter Health! Organization: CPMC-California Pacific Med Center Davies Conducts preauthorization, concurrent, and retrospective utilization management review using the department's accepted criteria for ambulatory, acute, and post-acute patients to confirm medical necessity is met and at the appropriate level of care. Coordinates the utilization management, resource management, discharge planning, post-acute care referrals and care facilitation. Strives to promote patient wellness, improved care outcomes, and efficient utilization of health services among a patient population with complex health needs. Job Description: EDUCATION: Associate Degree in Nursing Other: Graduate of an accredited school of nursing CERTIFICATION & LICENSURE: RN-Registered Nurse of California CCM - Certified Case Manager (certification may be required by entity and time to acquire within 2 years of 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 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: Centers for Medicare and Medicaid Services (GR) Grouper (CMS), Department of Managed Health Care, National Committee for Quality Assurance (NCQA). A broad knowledge base of outpatient, acute, and 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 patients, 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. PHYSICAL ACTIVITIES AND REQUIREMENTS: See required physical demands, mental components, visual activities & working conditions at the following link: Job Requirements Job Shift: Days Schedule: Per Diem/Casual Shift Hours: 8 Days of the Week: Monday - Friday Weekend Requirements: None Benefits: No Unions: No Position Status: Non-Exempt Weekly Hours: 0 Employee Status: Per Diem/Casual Sutter Health is an equal opportunity employer EOE/M/F/Disability/Veterans. Pay Range is $86.68 to $114.41 / 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.$86.7-114.4 hourly Auto-Apply 55d agoCase Manager, Registered Nurse
Sutter Health
Roseville, CA jobs
We are so glad you are interested in joining Sutter Health! **Organization:** SMCS-Valley Administration 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** : **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 Utilization Review, levels of care, and observation status. + Awareness of healthcare reimbursement systems: HMO, PPO, PPS, CMS, value-based reimbursement models, and alternative payment systems preferred. + 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 TJC. + A broad knowledge base of post-acute levels of care and associated regulatory compliance requirements. + General understanding of coding and DRG assignment process preferred. + 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 patients, 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. + Strong verbal and written communication skills and negotiation skills + Must have excellent time management skills to develop organized work processes in a high-volume environment with rapidly changing priorities. + Intermediate computer and technology 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:** Variable **Weekend Requirements:** Once a Month **Benefits:** Yes **Unions:** No **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 $78.91 to $103.37 / 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._$78.9-103.4 hourly 4d agoRN Case Manager, Home Health
Sutter Health
Saratoga, CA jobs
We are so glad you are interested in joining Sutter Health! **Organization:** SCAH-Sutter Care at Home - Bay Primary coverage area Mountain View, Palo Alto and surrounding. An experienced RN who is responsible for the overall management of patients, including the provision of direct care with a designated visit productivity standard. This position plans, organizes, and directs all patient care services for patients in the assigned caseload in accordance with current standards and regulations, ensuring the optimal degree of quality care is maintained. Responsible for coordinating the interdisciplinary team to implement the established plan of patient care and ensuring effective management of visit utilization and control of expenses. May assist in agency wide orientation, competency evaluations and consultation to clinical staff related to specific expertise. **Job Description** : **EDUCATION:** + Other: Graduate of an accredited School of Nursing **CERTIFICATION & LICENSURE:** + RN-Registered Nurse of California + BLS-Basic Life Support Healthcare Provider + DL-Valid Drivers License Class C, B, or D + AUTO-Automobile Insurance **TYPICAL EXPERIENCE:** + 2 years recent relevant experience **SKILLS AND KNOWLEDGE:** + Must have the ability to function independently and as a member of an interdisciplinary team; ability to exercise independent, sound nursing judgment in planning and providing patient care. + Exhibits knowledge of patho-physiology and accepted treatment protocols for common home care diagnoses. + Knowledge of basic safety and infection control principles. + Demonstrated clinical assessment skills. + Ability to recognize the special needs of Hospice patients and others in the home. + Ability to communicate with patients and significant others in an effective, mature, caring manner. + Ability to maintain harmonious constructive relationships with internal and external customers. + Demonstrated effective written and verbal communication skills. + Understanding of palliative care for the terminally ill patient. + Must be able to recognize unsafe or emergency situations and act appropriately. + Must be able to meet company productivity standards as indicated by organization and manager. + Objectively and effectively solves unique problems as they arise or identify when to consult supervisor. + Must be able to deal with challenging work environment with time demands and occasional conflicting priorities. + Maintain a positive and professional image and demonstrate self-directed learning to meet professional development and/or license requirements. + Is responsible for maintaining all required licensure and certifications. + Must have reliable transportation. **Job Shift:** Days **Schedule:** Full Time **Shift Hours:** 8 **Days of the Week:** Monday - Friday, Variable **Weekend Requirements:** Rotating Weekends **Benefits:** Yes **Unions:** No **Position Status:** Non-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 $74.90 to $99.62 / 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._$74.9-99.6 hourly 18d agoRN Case Manager, Home Health
Sutter Health
Saratoga, CA jobs
We are so glad you are interested in joining Sutter Health! Organization: SCAH-Sutter Care at Home - Bay Primary coverage area San Jose, Lost Gatos, Gilroy and surrounding. An experienced RN who is responsible for the overall management of patients, including the provision of direct care with a designated visit productivity standard. This position plans, organizes, and directs all patient care services for patients in the assigned caseload in accordance with current standards and regulations, ensuring the optimal degree of quality care is maintained. Responsible for coordinating the interdisciplinary team to implement the established plan of patient care and ensuring effective management of visit utilization and control of expenses. May assist in agency wide orientation, competency evaluations and consultation to clinical staff related to specific expertise. Job Description: EDUCATION: * Other: Graduate of an accredited School of Nursing CERTIFICATION & LICENSURE: * RN-Registered Nurse of California * BLS-Basic Life Support Healthcare Provider * DL-Valid Drivers License Class C, B, or D * AUTO-Automobile Insurance TYPICAL EXPERIENCE: * 2 years recent relevant experience SKILLS AND KNOWLEDGE: * Must have the ability to function independently and as a member of an interdisciplinary team; ability to exercise independent, sound nursing judgment in planning and providing patient care. * Exhibits knowledge of patho-physiology and accepted treatment protocols for common home care diagnoses. * Knowledge of basic safety and infection control principles. * Demonstrated clinical assessment skills. * Ability to recognize the special needs of Hospice patients and others in the home. * Ability to communicate with patients and significant others in an effective, mature, caring manner. * Ability to maintain harmonious constructive relationships with internal and external customers. * Demonstrated effective written and verbal communication skills. * Understanding of palliative care for the terminally ill patient. * Must be able to recognize unsafe or emergency situations and act appropriately. * Must be able to meet company productivity standards as indicated by organization and manager. * Objectively and effectively solves unique problems as they arise or identify when to consult supervisor. * Must be able to deal with challenging work environment with time demands and occasional conflicting priorities. * Maintain a positive and professional image and demonstrate self-directed learning to meet professional development and/or license requirements. * Is responsible for maintaining all required licensure and certifications. * Must have reliable transportation. Job Shift: Days Schedule: Full Time Shift Hours: 8 Days of the Week: Monday - Friday, Variable Weekend Requirements: Rotating Weekends Benefits: Yes Unions: No Position Status: Non-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 $74.90 to $99.62 / 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.$74.9-99.6 hourly 18d agoRN Case Manager, Home Health
Sutter Health
Saratoga, CA jobs
We are so glad you are interested in joining Sutter Health! Organization: SCAH-Sutter Care at Home - Bay Primary coverage area Santa Clara, Sunnyvale, Milpitas and surrounding. An experienced RN who is responsible for the overall management of patients, including the provision of direct care with a designated visit productivity standard. This position plans, organizes, and directs all patient care services for patients in the assigned caseload in accordance with current standards and regulations, ensuring the optimal degree of quality care is maintained. Responsible for coordinating the interdisciplinary team to implement the established plan of patient care and ensuring effective management of visit utilization and control of expenses. May assist in agency wide orientation, competency evaluations and consultation to clinical staff related to specific expertise. Job Description: EDUCATION: * Other: Graduate of an accredited School of Nursing CERTIFICATION & LICENSURE: * RN-Registered Nurse of California * BLS-Basic Life Support Healthcare Provider * DL-Valid Drivers License Class C, B, or D * AUTO-Automobile Insurance TYPICAL EXPERIENCE: * 2 years recent relevant experience SKILLS AND KNOWLEDGE: * Must have the ability to function independently and as a member of an interdisciplinary team; ability to exercise independent, sound nursing judgment in planning and providing patient care. * Exhibits knowledge of patho-physiology and accepted treatment protocols for common home care diagnoses. * Knowledge of basic safety and infection control principles. * Demonstrated clinical assessment skills. * Ability to recognize the special needs of Hospice patients and others in the home. * Ability to communicate with patients and significant others in an effective, mature, caring manner. * Ability to maintain harmonious constructive relationships with internal and external customers. * Demonstrated effective written and verbal communication skills. * Understanding of palliative care for the terminally ill patient. * Must be able to recognize unsafe or emergency situations and act appropriately. * Must be able to meet company productivity standards as indicated by organization and manager. * Objectively and effectively solves unique problems as they arise or identify when to consult supervisor. * Must be able to deal with challenging work environment with time demands and occasional conflicting priorities. * Maintain a positive and professional image and demonstrate self-directed learning to meet professional development and/or license requirements. * Is responsible for maintaining all required licensure and certifications. * Must have reliable transportation. Job Shift: Days Schedule: Full Time Shift Hours: 8 Days of the Week: Monday - Friday, Variable Weekend Requirements: Rotating Weekends Benefits: Yes Unions: No Position Status: Non-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 $74.90 to $99.62 / 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.$74.9-99.6 hourly 18d agoRN Case Manager, Home Health
Sutterhealth
Alameda, CA jobs
We are so glad you are interested in joining Sutter Health! Organization: SCAH-Sutter Care at Home - Bay Ideal candidate will have Home Health experience. The Primary Care Clinician reports directly to the Clinical Manager as do the other members of the interdisciplinary team. The Primary Care Clinician may give functional guidance to Team RNs, LVNs, PTAs, OTs, COTAs, SLPs, MSWs, RDs and HHAs. Job Description: EDUCATION Equivalent experience will be accepted in lieu of the required degree or diploma. Other: RN graduate from an accredited curriculum. Bachelor's: Nursing or health related field preferred CERTIFICATION & LICENSURE RN-Registered Nurse of California DL-Valid Drivers License AUTO-Automobile Insurance BLS-Basic Life Support Healthcare Provider PREFERRED EXPERIENCE AS TYPICALLY ACQUIRED IN: 1 One year of professional experience in an acute or similar setting required. 1 One year of experience in a home health and/or hospice position preferred. 5 Direct patient care experience within the past five years required. SKILLS AND KNOWLEDGE Thorough understanding of home care and/or hospice services, Title XXII, Medicare Conditions of Participation, CHAP home health and/or hospice accreditation requirements, QI outcomes/benchmarking, infection control; good understanding of reimbursement patterns for Medicare and other payors; good working understanding of budget and other financial reports. Clinical competency that meets and exceeds testing levels on a regular basis. Self-starter with a high degree of initiative, motivation, flexibility, energy and creativity. Ability to form harmonious working relationships with internal and external customers. Demonstrated leadership and negotiation skills and the ability to manage resources for patient care in a cost effective manner. Excellent collaborative and problem solving skills with customers and management. Ability to exercise independent sound judgment in planning and providing patient care. Demonstrated ability in physical, psychosocial, and environmental assessment skills and in implementing plan of treatment. Excellent organizational skills. With appropriate training, demonstrates an ability to competently work with the computerized documentation tools and systems of the organization. Access to a reliable automobile. Must be able to meet company productivity standards as indicated by organization and manager. Must be able to handle sensitive issues, conflict with or among others, respectively direct and reinforce staff efforts; effectively plan and organize and prioritize work, think critically to both effectively plan and organize department operations consistent with Sutter Care at Home's strategic and operating objectives and to effectively solve unique problems as they arise or identify when to consult supervisor. Must be able to deal with challenging work environment with time demands and occasional conflicting priorities. Maintain a positive and professional image and demonstrate self-directed learning to meet professional development and/or license requirements. Is responsible for maintaining all required licensure and certifications. At orientation and annually thereafter, must be able to meet Sutter VNA & Hospice core competencies for position and area of specialty, as appropriate. Job Shift: Days Schedule: Full Time Shift Hours: 8 Days of the Week: Monday - Friday, Variable Weekend Requirements: Rotating Weekends Benefits: Yes Unions: Yes Position Status: Non-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 $70.98 to $95.38 / 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.$71-95.4 hourly Auto-Apply 42d agoRN Case Manager, Hospice
Sutter Health
San Francisco, CA jobs
We are so glad you are interested in joining Sutter Health! Organization: SCAH-Sutter Care at Home - Bay Successful candidate will have experience in a Hospice environment. Experienced Registered Nurse who provides skilled palliative and end of life care in the community setting in alignment with Sutter's mission, goals and objectives. Facilitates the development of a collaborative interdisciplinary plan and ensures the overall coordination and medical management of hospice services for patients and their significant others. Job Description: EDUCATION: * Other: Graduate of an accredited School of Nursing CERTIFICATION & LICENSURE: * RN-Registered Nurse of California * BLS-Basic Life Support Healthcare Provider * DL-Valid Drivers License * AUTO-Automobile Insurance TYPICAL EXPERIENCE: * 2 years recent relevant experience. SKILLS AND KNOWLEDGE: * Must have the ability to function independently and as a member of an interdisciplinary team; ability to exercise independent, sound nursing judgment in planning and providing patient care. * Exhibits knowledge of patho-physiology and accepted treatment protocols for common home care diagnoses. * Knowledge of basic safety and infection control principles. * Knowledge of state and federal home care regulatory guidelines preferred. * Demonstrated clinical assessment skills. * Ability to recognize the special needs of Hospice patients and others in the home. * Ability to communicate with patients and significant others in an effective, mature, caring manner. * Ability to maintain harmonious constructive relationships with internal and external customers. * Demonstrated effective written and verbal communication skills. * Understanding of palliative care for the terminally ill patient. * Must be able to recognize unsafe or emergency situations and act appropriately. * Must be able to meet company productivity standards as indicated by organization and manager. * Must be able to handle sensitive issues, conflict with or among others, respectively direct and reinforce staff efforts; effectively plan and organize and prioritize work, think critically to both effectively plan and organize department operations and to effectively solve unique problems as they arise or identify when to consult supervisor. * Must be able to deal with challenging work environment with time demands and occasional conflicting priorities. * Maintain a positive and professional image and demonstrate self-directed learning to meet professional development and/or license requirements. * Is responsible for maintaining all required licensure and certifications. * Must have reliable transportation. Job Shift: Days Schedule: Full Time Shift Hours: 8 Days of the Week: Monday - Friday, Variable Weekend Requirements: Rotating Weekends Benefits: Yes Unions: No Position Status: Non-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 $74.90 to $99.62 / 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.$74.9-99.6 hourly 6d agoRN Case Manager, Hospice
Sutterhealth
San Francisco, CA jobs
We are so glad you are interested in joining Sutter Health! Organization: SCAH-Sutter Care at Home - Bay Successful candidate will have experience in a Hospice environment. Experienced Registered Nurse who provides skilled palliative and end of life care in the community setting in alignment with Sutter's mission, goals and objectives. Facilitates the development of a collaborative interdisciplinary plan and ensures the overall coordination and medical management of hospice services for patients and their significant others. Job Description: EDUCATION: Other: Graduate of an accredited School of Nursing CERTIFICATION & LICENSURE: RN-Registered Nurse of California BLS-Basic Life Support Healthcare Provider DL-Valid Drivers License AUTO-Automobile Insurance TYPICAL EXPERIENCE: 2 years recent relevant experience. SKILLS AND KNOWLEDGE: Must have the ability to function independently and as a member of an interdisciplinary team; ability to exercise independent, sound nursing judgment in planning and providing patient care. Exhibits knowledge of patho-physiology and accepted treatment protocols for common home care diagnoses. Knowledge of basic safety and infection control principles. Knowledge of state and federal home care regulatory guidelines preferred. Demonstrated clinical assessment skills. Ability to recognize the special needs of Hospice patients and others in the home. Ability to communicate with patients and significant others in an effective, mature, caring manner. Ability to maintain harmonious constructive relationships with internal and external customers. Demonstrated effective written and verbal communication skills. Understanding of palliative care for the terminally ill patient. Must be able to recognize unsafe or emergency situations and act appropriately. Must be able to meet company productivity standards as indicated by organization and manager. Must be able to handle sensitive issues, conflict with or among others, respectively direct and reinforce staff efforts; effectively plan and organize and prioritize work, think critically to both effectively plan and organize department operations and to effectively solve unique problems as they arise or identify when to consult supervisor. Must be able to deal with challenging work environment with time demands and occasional conflicting priorities. Maintain a positive and professional image and demonstrate self-directed learning to meet professional development and/or license requirements. Is responsible for maintaining all required licensure and certifications. Must have reliable transportation. Job Shift: Days Schedule: Full Time Shift Hours: 8 Days of the Week: Monday - Friday, Variable Weekend Requirements: Rotating Weekends Benefits: Yes Unions: No Position Status: Non-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 $74.90 to $99.62 / 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.$74.9-99.6 hourly Auto-Apply 8d agoRN Case Manager, Home Health
Sutter Health
San Mateo, CA jobs
We are so glad you are interested in joining Sutter Health! Organization: SCAH-Sutter Care at Home - Bay Primary coverage area will be Southwest San Mateo County including Redwood City, Menlo Park, Belmont, Foster City and surrounding. An experienced RN who is responsible for the overall management of patients, including the provision of direct care with a designated visit productivity standard. This position plans, organizes, and directs all patient care services for patients in the assigned caseload in accordance with current standards and regulations, ensuring the optimal degree of quality care is maintained. Responsible for coordinating the interdisciplinary team to implement the established plan of patient care and ensuring effective management of visit utilization and control of expenses. May assist in agency wide orientation, competency evaluations and consultation to clinical staff related to specific expertise. Job Description: EDUCATION: * Other: Graduate of an accredited School of Nursing CERTIFICATION & LICENSURE: * RN-Registered Nurse of California * BLS-Basic Life Support Healthcare Provider * DL-Valid Drivers License Class C, B, or D * AUTO-Automobile Insurance TYPICAL EXPERIENCE: * 2 years recent relevant experience SKILLS AND KNOWLEDGE: * Must have the ability to function independently and as a member of an interdisciplinary team; ability to exercise independent, sound nursing judgment in planning and providing patient care. * Exhibits knowledge of patho-physiology and accepted treatment protocols for common home care diagnoses. * Knowledge of basic safety and infection control principles. * Demonstrated clinical assessment skills. * Ability to recognize the special needs of Hospice patients and others in the home. * Ability to communicate with patients and significant others in an effective, mature, caring manner. * Ability to maintain harmonious constructive relationships with internal and external customers. * Demonstrated effective written and verbal communication skills. * Understanding of palliative care for the terminally ill patient. * Must be able to recognize unsafe or emergency situations and act appropriately. * Must be able to meet company productivity standards as indicated by organization and manager. * Objectively and effectively solves unique problems as they arise or identify when to consult supervisor. * Must be able to deal with challenging work environment with time demands and occasional conflicting priorities. * Maintain a positive and professional image and demonstrate self-directed learning to meet professional development and/or license requirements. * Is responsible for maintaining all required licensure and certifications. * Must have reliable transportation. Job Shift: Days Schedule: Full Time Shift Hours: 8 Days of the Week: Monday - Friday, Variable Weekend Requirements: Rotating Weekends Benefits: Yes Unions: No Position Status: Non-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 $74.90 to $99.62 / 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.$74.9-99.6 hourly 14d agoRN Case Manager, Home Health
Sutterhealth
San Francisco, CA jobs
We are so glad you are interested in joining Sutter Health! Organization: SCAH-Sutter Care at Home - Bay Under the supervision of the Clinical Manager, the Primary Care Clinician (PCC) is an experienced RN who is responsible for the overall management of approximately 25 patients including the provision of direct care with a designated visit productivity standard. This position plans, organizes, and directs all patient care services for patients in the assigned caseload in accordance with current standards and regulations, ensuring the optimal degree of quality care is maintained. Responsible for coordinating the interdisciplinary team to implement the established plan of patient care and ensuring effective management of visit utilization and control of expenses. May assist in agency wide orientation, competency evaluations and consultation to clinical staff related to specific expertise as requested by Clinical Manager. The Primary Care Clinician reports directly to the Clinical Manager as do the other members of the interdisciplinary team. The Primary Care Clinician may give functional guidance to Team RNs, LVNs, PTs, OTs, SLPs, MSWs, RDs and HHAs. Job Description: EDUCATION: Other: Graduate of an accredited School of Nursing CERTIFICATION & LICENSURE: RN-Registered Nurse of California BLS-Basic Life Support Healthcare Provider DL-Valid Drivers License Class C or B AUTO-Automobile Insurance TYPICAL EXPERIENCE: 2 years recent relevant experience SKILLS AND KNOWLEDGE: Must have the ability to function independently and as a member of an interdisciplinary team; ability to exercise independent, sound nursing judgment in planning and providing patient care. Exhibits knowledge of patho-physiology and accepted treatment protocols for common home care diagnoses. Knowledge of basic safety and infection control principles. Demonstrated clinical assessment skills. Ability to recognize the special needs of Hospice patients and others in the home. Ability to communicate with patients and significant others in an effective, mature, caring manner. Ability to maintain harmonious constructive relationships with internal and external customers. Demonstrated effective written and verbal communication skills. Understanding of palliative care for the terminally ill patient. Must be able to recognize unsafe or emergency situations and act appropriately. Must be able to meet company productivity standards as indicated by organization and manager. Objectively and effectively solves unique problems as they arise or identify when to consult supervisor. Must be able to deal with challenging work environment with time demands and occasional conflicting priorities. Maintain a positive and professional image and demonstrate self-directed learning to meet professional development and/or license requirements. Is responsible for maintaining all required licensure and certifications. Must have reliable transportation. Job Shift: Days Schedule: Full Time Shift Hours: 8 Days of the Week: Monday - Friday, Variable Weekend Requirements: Rotating Weekends Benefits: Yes Unions: Yes Position Status: Non-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 $70.98 to $95.38 / 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.$71-95.4 hourly Auto-Apply 60d+ agoRN Case Manager, Hospice
Sutterhealth
Yuba City, CA jobs
We are so glad you are interested in joining Sutter Health! Organization: SCAH-Sutter Care at Home - Yuba City Experienced Registered Nurse who provides skilled palliative and end of life care in the community setting in alignment with Sutter's mission, goals and objectives. Facilitates the development of a collaborative interdisciplinary plan and ensures the overall coordination and medical management of hospice services for patients and their significant others. Job Description: EDUCATION: Other: Graduate of an accredited School of Nursing CERTIFICATION & LICENSURE: RN-Registered Nurse of California BLS-Basic Life Support Healthcare Provider DL-Valid Drivers License AUTO-Automobile Insurance TYPICAL EXPERIENCE: 2 years recent relevant experience. SKILLS AND KNOWLEDGE: Must have the ability to function independently and as a member of an interdisciplinary team; ability to exercise independent, sound nursing judgment in planning and providing patient care. Exhibits knowledge of patho-physiology and accepted treatment protocols for common home care diagnoses. Knowledge of basic safety and infection control principles. Knowledge of state and federal home care regulatory guidelines preferred. Demonstrated clinical assessment skills. Ability to recognize the special needs of Hospice patients and others in the home. Ability to communicate with patients and significant others in an effective, mature, caring manner. Ability to maintain harmonious constructive relationships with internal and external customers. Demonstrated effective written and verbal communication skills. Understanding of palliative care for the terminally ill patient. Must be able to recognize unsafe or emergency situations and act appropriately. Must be able to meet company productivity standards as indicated by organization and manager. Must be able to handle sensitive issues, conflict with or among others, respectively direct and reinforce staff efforts; effectively plan and organize and prioritize work, think critically to both effectively plan and organize department operations and to effectively solve unique problems as they arise or identify when to consult supervisor. Must be able to deal with challenging work environment with time demands and occasional conflicting priorities. Maintain a positive and professional image and demonstrate self-directed learning to meet professional development and/or license requirements. Is responsible for maintaining all required licensure and certifications. Must have reliable transportation. Job Shift: Days Schedule: Full Time Shift Hours: 8 Days of the Week: Monday - Friday, Variable Weekend Requirements: Rotating Weekends Benefits: Yes Unions: No Position Status: Non-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 $68.09 to $90.56 / 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.$68.1-90.6 hourly Auto-Apply 5d agoRN - Case Manager
Sutter Health Alta Bates Summit Medical Center Hawthorne
Oakland, CA jobs
At MedUS Healthcare, our vision is to become a necessary and exemplary partner in the care of our clients, while meeting the employment goals of our healthcare providers and their families. We believe that quality of care and quick delivery to our clients is not optional but, rather, a standard of practice. We are committed to providing quality care to our clients by recruiting the best healthcare providers in the industry as we, concurrently, fulfill our commitment to our healthcare providers by placing them in the best facilities nationwide! If you are interested in a travel position, please contact us today at ************ or send us an email at info@medusinc. com. www. medusinc. com$114k-135k yearly est. 60d+ agoRN - Case Manager
Sutter Health Seniorcare Pace 444 North 3Rd Street
Sacramento, CA jobs
Specialty: RN Case Manager Experience: 1+ year of recent case management or discharge planning experience preferred License: Active State or Compact RN License Certifications: BLS - AHA Must-Have: Strong assessment, discharge planning, and utilization review skills Description: The RN Case Manager coordinates patient care plans and services across the continuum of care. Works closely with providers, social workers, and external agencies to ensure timely, efficient, and effective discharge planning and transitions. Supports utilization management and ensures compliance with payer guidelines. Onboarding typically takes 2-4 weeks based on documentation and clearance processes. Requirements Required for Onboarding: Active RN License BLS$113k-134k yearly est. 20d agoRN Manager - Clinic Operations - Mission Valley & Liberty Station
Scripps Health
San Diego, CA jobs
Caring for San Diegans since 1924, Scripps Clinic is San Diego's first choice for exceptional primary care and highly specialized and coordinated specialty care. Scripps Clinic offers a comprehensive range of medical and surgical services that are nationally recognized for quality, excellence and innovation. From primary to specialty care, our team-based model is designed to provide the best possible care and outcomes for you and your family. More than 900 providers and physicians provide 1.5 million patient visits a year coordinated through an integrated electronic health record. This is a full time, benefited position generally working Monday-Friday from 8am-5pm. Located at Scripps Clinic Mission Valley & Liberty Station with travel to other sites as needed. Rotating on-call evenings & weekends with other leadership. This is an exempt and salaried position eligible for the Management Incentive Compensation Plan (MICP) at the Manager level. Why join Scripps Health? At Scripps Health, your ambition is empowered and your abilities are appreciated: * Nearly a quarter of our employees have been with Scripps Health for over 10 years. * Scripps is a Great Place to Work Certified company for 2025. * Scripps Health has been consistently ranked as a top employer for women, millennials, diversity, and as an overall workplace by various national publications. * Becker's Healthcare ranked Scripps Health on its 2024 list of 150 top places to work in health care. * We have transitional and professional development programs to create a learning environment that enables you to thrive in your specific field as well as in your overall career. * Our specialties have been nationally recognized for quality in areas such as cardiovascular care, oncology, orthopedics, geriatrics, obstetrics and gynecology, and gastroenterology. Why Scripps Clinic Mission Valley? * Convenient Location: Scripps Clinic Mission Valley is centrally located in the heart of Mission Valley's retail and business district, with easy access to major freeways (I-163, I-805, and I-8), and is just a short distance from the vibrant Liberty Station where you'll travel regularly, offering a convenient and dynamic workplace. * Collaborative and Growth-Oriented Environment: As the RN Manager of Clinic Operations, you'll lead a growing team with standardized, model practice processes, working closely with physicians to deliver exceptional care. * Comprehensive Health Care Hub: The clinic provides a "one-stop" health care experience for families, fostering a dynamic and impactful environment to make a difference in the community. What you'll do: * Responsible for multiple specialties including Primary Care, Medical & Surgical Specialties across Mission Valley sites (two suites) and Liberty Station. * Responsible for the daily operations of the patient care units or departments in an efficient and cost effective manner, including creating and managing staffing plans and ensuring appropriate equipment and resources are available to staff to do their job. * Creates and maintains an environment that assures nursing practice reflects established standards of care and practice and a culture that promotes patient safety. * Ensures the safe transition of patients thru the continuum of care to include active participation of nursing staff in planning and coordinating patient care, and direct hand-off to next appropriate level of care. * Contributes to strategic planning of business units. Coordinates the ongoing development and productivity of the physician office practices. * Provides leadership and direction to staff to ensure smooth and efficient daily operations, quality outcomes, and internal and external customer service. * Responsible for entire scope of department/location, including facilities management, where appropriate. #LI-JS1 Required Education/Experience/Specialized Skills: * Associate's degree plus five years applicable clinical experience, two of which in a leadership role. * Requires excellent skills in communication, problem-solving, team development, planning and follow-through. * Ability to exercise the authority and responsibility for assigned services based on the scope of the organization and complexity of patient care. * Graduate of an accredited program. * Applicable experience in a healthcare environment and three years of leadership experience. * Ability to effectively manage healthcare business and operational practices. * Strong computer skills, including knowledge of MS Word, Excel, PowerPoint, and other applicable systems. Required Certification/Registration: * Maintains current California RN license. * Current American Heart Association Healthcare Provider BLS certification. Preferred Education/Experience/Specialized Skills/Certification: * Bachelor's/Master's degree or MSN preferred. * 2 years of Managerial experience in an ambulatory physician practice management setting. At Scripps Health, you will experience the pride, support and respect of an organization that has been repeatedly recognized as one of the nation's Top 100 Places to Work. You'll be surrounded by people committed to making a difference in the lives of their patients and their teammates. So if you're open to change, go ahead and unlock your potential. Position Pay Range: $72.71-$105.41/hour$72.7-105.4 hourly 37d agoRN Manager - Clinic Operations - Mission Valley & Liberty Station
Scripps Health
San Diego, CA jobs
This is a full time, benefited position generally working Monday-Friday from 8am-5pm. Located at Scripps Clinic Mission Valley & Liberty Station with travel to other sites as needed. Rotating on-call evenings & weekends with other leadership. This is an exempt and salaried position eligible for the Management Incentive Compensation Plan (MICP) at the Manager level. Why join Scripps Health? At Scripps Health, your ambition is empowered and your abilities are appreciated: Nearly a quarter of our employees have been with Scripps Health for over 10 years. Scripps is a Great Place to Work Certified company for 2025. Scripps Health has been consistently ranked as a top employer for women, millennials, diversity, and as an overall workplace by various national publications. Becker's Healthcare ranked Scripps Health on its 2024 list of 150 top places to work in health care. We have transitional and professional development programs to create a learning environment that enables you to thrive in your specific field as well as in your overall career. Our specialties have been nationally recognized for quality in areas such as cardiovascular care, oncology, orthopedics, geriatrics, obstetrics and gynecology, and gastroenterology. Why Scripps Clinic Mission Valley? Convenient Location: Scripps Clinic Mission Valley is centrally located in the heart of Mission Valley's retail and business district, with easy access to major freeways (I-163, I-805, and I-8), and is just a short distance from the vibrant Liberty Station where you'll travel regularly, offering a convenient and dynamic workplace. Collaborative and Growth-Oriented Environment: As the RN Manager of Clinic Operations, you'll lead a growing team with standardized, model practice processes, working closely with physicians to deliver exceptional care. Comprehensive Health Care Hub\: The clinic provides a “one-stop” health care experience for families, fostering a dynamic and impactful environment to make a difference in the community. What you'll do\: Responsible for multiple specialties including Primary Care, Medical & Surgical Specialties across Mission Valley sites (two suites) and Liberty Station. Responsible for the daily operations of the patient care units or departments in an efficient and cost effective manner, including creating and managing staffing plans and ensuring appropriate equipment and resources are available to staff to do their job. Creates and maintains an environment that assures nursing practice reflects established standards of care and practice and a culture that promotes patient safety. Ensures the safe transition of patients thru the continuum of care to include active participation of nursing staff in planning and coordinating patient care, and direct hand-off to next appropriate level of care. Contributes to strategic planning of business units. Coordinates the ongoing development and productivity of the physician office practices. Provides leadership and direction to staff to ensure smooth and efficient daily operations, quality outcomes, and internal and external customer service. Responsible for entire scope of department/location, including facilities management, where appropriate. #LI-JS1 Required Education/Experience/Specialized Skills: Associate's degree plus five years applicable clinical experience, two of which in a leadership role. Requires excellent skills in communication, problem-solving, team development, planning and follow-through. Ability to exercise the authority and responsibility for assigned services based on the scope of the organization and complexity of patient care. Graduate of an accredited program. Applicable experience in a healthcare environment and three years of leadership experience. Ability to effectively manage healthcare business and operational practices. Strong computer skills, including knowledge of MS Word, Excel, PowerPoint, and other applicable systems. Required Certification/Registration: Maintains current California RN license. Current American Heart Association Healthcare Provider BLS certification. Preferred Education/Experience/Specialized Skills/Certification: Bachelor's/Master's degree or MSN preferred. 2 years of Managerial experience in an ambulatory physician practice management setting.$114k-139k yearly est. Auto-Apply 31d agoNurse Case Manager II
Kaiser Permanente
Registered nurse case manager job at Kaiser Permanente
Provides case management services to a caseload of low- and medium-risk patients. Interviews patients and their caregivers to evaluate needs, goals, and current services. Proposes process improvements for determining initial eligibility, benefits, and education for all admissions, leveraging advanced knowledge to assess medical necessity and required level of care to inform physicians. Analyzes and ensures authorization data and escalates inaccuracies. Develops a client-focused case management plan in collaboration with healthcare team, patient, and caregivers that is consistent with regulatory, accreditation, and regional guidelines. Assists patients with gaining access to care based on their needs, making referrals as appropriate. Coordinates resources and services to assure continuity and quality of care. Attends case management rounds with clinician and updates authorizations and diagnoses as needed. Assesses patient progress toward treatment milestones and care plan goals. Identifies barriers to achieving goals and ensures that they are discussed with the patient and care team thoroughly. Verifies that all services remain consistent with established guidelines and standards. Documents the patients case in all medical files. Reviews benefits/services available to patients, caregivers, and other members of the community and addresses identified concerns. Connects patients and caregivers with the right entities to assist with benefits/coverage needs. Identifies patients ready for disposition planning activities. Develops and communicates a comprehensive disposition plan in collaboration with the patient, caregivers, physician, nurses, social services, and other healthcare providers and agencies. Obtains authorizations as needed for patient services. Recommends and attends professional seminars, workshops, and approved educational programs and workshops. Monitors and reviews operational team data and key metrics applied to own work. Makes suggestions for change or improvement as needed. Ensures adherence to regulatory requirements by implementing policy updates. Essential Responsibilities: + Promotes learning in others by proactively providing and/or developing information, resources, advice, and expertise with coworkers and members; builds relationships with cross-functional/external stakeholders and customers. Listens to, seeks, and addresses performance feedback; proactively provides actionable feedback to others and to managers. Pursues self-development; creates and executes plans to capitalize on strengths and develop weaknesses; leads by influencing others through technical explanations and examples and provides options and recommendations. Adopts new responsibilities; adapts to and learns from change, challenges, and feedback; demonstrates flexibility in approaches to work; champions change and helps others adapt to new tasks and processes. Facilitates team collaboration to support a business outcome. + Completes work assignments autonomously and supports business-specific projects by applying expertise in subject area and business knowledge to generate creative solutions; encourages team members to adapt to and follow all procedures and policies. Collaborates cross-functionally and/or externally to achieve effective business decisions; provides recommendations and solves complex problems; escalates high-priority issues or risks, as appropriate; monitors progress and results. Supports the development of work plans to meet business priorities and deadlines; identifies resources to accomplish priorities and deadlines. Identifies, speaks up, and capitalizes on improvement opportunities across teams; uses influence to guide others and engages stakeholders to achieve appropriate solutions. + Drives services related to the initial case assessment by: interviewing patients and their families to evaluate needs, goals, and current services independently; identifying and proposing process improvements for determining initial eligibility, benefits, and education for all admissions; analyzing and ensuring authorization data (e.g., authorization data regarding admitting/principle diagnoses, bed type(s), and disposition data for accuracy, after visit summary) and correcting and escalating inaccuracies; recommending and designing research plans that identify new and/or existing options to assure that quality, cost-efficient care is provided; and leveraging advanced knowledge to assess medical necessity for hospital admission and required level of care to inform physicians. + Provides services related to monitoring and evaluating plan of care by: coordinating resources and services to assure continuity and quality of care, sharing advanced knowledge with others, and developing strategies; updating authorizations, attending case management rounds with clinicians, and updating diagnoses as needed; contacting own patients periodically to assess progress toward treatment milestones and care plan goals, and beginning to coordinate team members to do the same; identifying barriers to achieving goals and ensuring that they are discussed with the patient and care team thoroughly, and guiding team members doing the same; promoting best practices for verifying that all services remain consistent with established guidelines and standards; and documenting/updating the patients case in all medical files while sharing standards with the team. + Drives services related to the case-planning process by: creating a client-focused case management plan with treatment goals based on the patients and familys/caregivers needs independently; collaborating independently with health-care team, patient, and caregivers to assure plan of care is safe, agreeable, and appropriate; and validating that the plan is consistent with regulatory, accreditation, and regional guidelines independently, and sharing feedback with team members as needed. + Supports efforts to remain updated on current research, policies, and procedures by: researching, recommending, and attending pertinent seminars, workshops, and approved educational programs and workshops specific to professional needs; implementing systems, processes, and methods to maintain team knowledge of community resources; monitoring and/or reviewing operational team data and key metrics applied to own work; making suggestions for change or improvement as needed, and helping others to develop ideas as needed; and implementing policy updates to ensure that regulatory requirements are being met. + Provides services related to patient disposition by: performing daily review for early identification of disposition planning activities; developing, evaluating, coordinating, and communicating a comprehensive disposition plan in collaboration with the patient, family, physician, nurses, social services, and other healthcare providers and agencies to meet each patients personal, psychosocial, economic, and cultural needs independently; and leveraging advanced knowledge to create, obtain, and approve authorizations/approvals as needed for services for the patient. + Connects patients with existing services by: guiding others to assist patients with gaining access to care based on their needs, integrating or referring them into existing programs/services, and resolving moderately complex issues; referring patients independently to outside entities, ambulatory case managers, care managers, social workers, and/or internal/external resources as appropriate; utilization management for internal case management post acute care services; hospital level of care, post-acute care, skilled nursing facility (SNF), and durable medical equipment (DME), and transition and complex case management and making location-specific adaptations as necessary. + Serves as liaison between internal and external care by: reviewing benefits/services available based on regulations or specific coverage to patients, families, and other members of the community, problem solving identified concerns, and connecting patients/families with the right entities to assist with benefits/coverage needs; providing case management to a caseload of low- and medium-risk patients referred to external facilities/agencies independently; applying strategies and concepts to independently propose recommendations in interdisciplinary team meetings with internal and/or external stakeholders; and leveraging advanced knowledge to act as a general resource for physicians, health plan administrators, and contracted vendors. Knowledge, Skills and Abilities: (Core) + Ambiguity/Uncertainty Management + Attention to Detail + Business Knowledge + Communication + Critical Thinking + Cross-Group Collaboration + Decision Making + Dependability + Diversity, Equity, and Inclusion Support + Drives Results + Facilitation Skills + Health Care Industry + Influencing Others + Integrity + Learning Agility + Organizational Savvy + Problem Solving + Short- and Long-term Learning & Recall + Teamwork + Topic-Specific Communication Knowledge, Skills and Abilities: (Functional) + Acts with Compassion + Business Relationship Management + Community Health + Company Representation + Confidentiality + Health Care Compliance + Health Care Quality Standards + Information Gathering + Maintain Files and Records + Managing Diverse Relationships + Member Service + Patient Safety + Quality Assurance and Effectiveness + Relationship Building + Written Communication Minimum Qualifications: + Bachelors degree in Nursing or related field AND minimum five (5) years of experience in nursing, case management, or a directly related field. + Registered Nurse License (California) required at hire Preferred Qualifications: + Certified Case Manager (CCM) in the state where care is provided. + Minimum one (1) year of experience in a leadership role with or without direct reports. COMPANY: KAISER TITLE: Nurse Case Manager II LOCATION: Redwood City, California REQNUMBER: 1402106 External hires must pass a background check/drug screen. Qualified applicants with arrest and/or conviction records will be considered for employment in a manner consistent with Federal, state and local laws, including but not limited to the San Francisco Fair Chance Ordinance. All qualified applicants will receive consideration for employment without regard to race, color, religion, sex, national origin, sexual orientation, gender identity, protected veteran, or disability status.$90k-113k yearly est. 13d ago
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