Supervisor, Acute Case Management

Sutter Health

Modesto, CA

JOB DETAILS
SALARY
$138,881.60–$208,332.80 Per Year
SKILLS
Analysis Skills, Benchmarking, Case Management, Certified Case Manager (CCM), Communication Skills, Computer Skills, Content Management Systems (CMS), Customer Relations, Federal Laws and Regulations, Health Plan, Healthcare, Interpersonal Skills, Knowledge Base, Leadership, Licensed Clinical Social Worker (LCSW), Managed Care, Mathematics, Negotiation Skills, Nursing Management, Operations Management, Presentation/Verbal Skills, Problem Solving Skills, Project/Program Management, Provider Contracting, Quality Management, Regulations, Risk, Social Work, Spreadsheets, State Laws and Regulations, Team Player, Time Management, Utilization Management, Word Processing, Writing Skills
LOCATION
Modesto, CA
POSTED
2 days ago

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

Organization:

SMCS-Valley Administration

Position Overview:

Supervises the overall operations of the department for Sutter Health entities in accordance with current Federal and State regulations and guidelines. Has frequent contact with Nurse Managers/ Directors, Risk and Ethics staff, Ancillary Services, Patient Access staff, Medical Staff leaders, physicians, Health Plans and contracted providers, community resources and post-acute agencies as well as patients and their families.

Job Description:

EDUCATION:

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

CERTIFICATION & LICENSURE:

  • LCSW-Licensed Clinical Social Worker Upon Hire

TYPICAL EXPERIENCE:

  • 5 years of recent relevant experience.

SKILLS AND KNOWLEDGE:

  • Strong critical-thinking, problem resolution and time management abilities and customer relation skills.
  • Knowledge of ACMA, CMSA, and NASW Standards of Practice.
  • Knowledge of available health care and community resources
  • A broad knowledge base of health care delivery and case management within a managed care environment.
  • Comprehensive knowledge of laws, regulations and professional standards affecting case management practice in an integrated delivery system: including but not limited to: CMS, Title 22, CHA Consent Manual, CDPH and TJC.
  • Verbal and written communication skills.
  • Demonstrated ability to develop and manage complex projects.
  • Working knowledge of InterQual criteria.
  • Working knowledge of MIDAS and experience with an E.H.R.
  • Ability to promote teamwork and to effectively function in teams, both as a leader and as a team member.
  • Ability to interact effectively with key internal and external constituents using collaboration, negotiation and analytical problem resolution skills.
  • Effective human relations and interpersonal skills necessary to lead the efforts of diverse health professionals to meet program objectives.
  • Ability to work effectively in a fast paced environment, directing services at multiple locations.
  • Analytical and mathematical skills.
  • Demonstrated ability to implement continuous quality improvement processes and techniques, including benchmarking and outcomes measurements preferred.
  • PC skills, word processing, spreadsheets and managed care software programs.
  • Adheres to Sutter Health policies and procedures and supports Sutter Health philosophies and initiatives. Participates as a member of the utilization Management Committee (UMC).

Job Shift:

Days

Schedule:

Full Time

Days of the Week:

Monday - Friday

Weekend Requirements:

As Needed

Benefits:

Yes

Unions:

No

Position Status:

Exempt

Weekly Hours:

40

Employee Status:

Regular

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

Pay Range is $138,881.60 to $208,332.80 / annual salary

The compensation range may vary based on the geographic location where the position is filled. Total compensation considers multiple factors, including, but not limited to a candidate's experience, education, skills, licensure, certifications, departmental equity, training, and organizational needs. Base pay is only one component of Sutter Health's comprehensive total rewards program. Eligible positions also include a comprehensive benefits package.

About the Company

S

Sutter Health

Sutter Health has a long history in California. Some of our facilities have been providing care in the communities we serve for more than 100 years. Today, we’re proud to partner with more than 12,000 doctors to care for more than 3 million people.

We’re inspired by our Northern California community and work tirelessly to deliver top-rated, affordable healthcare. Doctors, hospitals, care teams and employees in the Sutter Health network are always looking for new, meaningful ways to care for you and your loved ones. We believe that every moment matters when it comes to helping you live a longer, healthier and happier life.

Our not-for-profit network delivers top-rated, personalized care in more than 100 Northern California communities. Recently ranked among the Top 15 Health Systems in the nation by Truven Health Analytics™, our team of more than 50,000 doctors, employees and volunteers partner to spread innovation, improve access to healthcare services and put our patients’ needs first—all to achieve the highest levels of quality, access and affordability.

COMPANY SIZE
10,000 employees or more
INDUSTRY
Healthcare Services
EMPLOYEE BENEFITS
Professional Development, 401K, Flexible Spending Accounts, Retirement / Pension Plans, Tuition Reimbursement, Life Insurance
FOUNDED
1921
WEBSITE
https://jobs.sutterhealth.org/