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Manager, Care Management (Social Worker)

Company: Sutter Health
Location: Grass Valley
Posted on: May 11, 2022

Job Description:

Position Overview:Manages the overall operations of the department for Sutter Health entities in accordance with current federal and state regulations and guidelines. Has frequent contact with the Administrative Team, Nurse Executives and Directors, Risk Management & Ethics staff, Ancillary Services, Revenue Cycle and Finance Department leaders, Medical Directors, Medical Staff leaders, physicians, contracted providers, community resources post-acute agencies, patients and their families.Qualifications:Education

  • Masters in Nursing, Case Management, or related field; or Masters of Social Work for Social Work candidates only -Licensures and Certifications
    • Register Nurse - State Licensure-RN OR Licensed Clinical Social Worker - LCSW required
    • Certified Case Manager preferred -Experience
    • Experience leading innovative case management programs.
    • Experience planning, leading and organizing the resources of a team preferred.
    • Experience in patient care or health education in variety of settings preferred.
    • Experience in utilization management and discharge planning required.
    • Leadership experience in acute case management required.
    • Experience with clinical assessment for clients with complex medical, emotional and social needs.
    • Experience in coordinating UM Committees/and or Clinical Review teams.
    • Experience coaching, counseling and administering corrective action.Skills and Knowledge
      • 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.
      • Group presentation design and facilitation 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. (EPIC preferred).
      • 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.
      • 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 member of the utilization.
      • Management committee (UMC).
      • Strong problem resolution abilities and customer relation skills. -Organization:Sutter Health System OfficeEmployee Status: RegularBenefits: YesPosition Status: ExemptUnion: NoJob Shift: DayShift Hours:8 Hour ShiftDays of the Week Scheduled:Monday-FridayWeekend Requirements: NoneSchedule: Full TimeHrs Per 2wk Pay Period:80Applications Accepted:All Applications AcceptedSchedule/Shift: Full Time/ Day

Keywords: Sutter Health, Roseville , Manager, Care Management (Social Worker), Executive , Grass Valley, California

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