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Director, Care Management

Job ID SHSO-2117917 Date Posted 01/13/2022 Location Roseville, California Schedule/Shift Full Time/ Day
Position Overview:

Responsible for Care Coordination operations for Sutter area Hospitals and/or campuses, as assigned. Works closely with the interdisciplinary, physician and administrative team to align Care Coordination activities and achieve desired goals and metrics. Has frequent contact with Administrators, Nursing Executives, Directors, Ancillary Services, Revenue Cycle and Finance departments, Risk Management and Ethics staff, Medical Directors, Medical Staff leaders, physicians, health plans and contracted providers, community resources post-acute agencies, patients and their families.



Qualifications:

Education

  • Masters in Nursing, Case Management, Health Administration or equivalent

Licensures and Certifications

  • Registered Nurse - State Licensure or Licensed Clinical Social Worker required
  • Certified Case Manager - CCM preferred

Experience

  • Acute hospital management in Case Management or Social Work Services
  • Experience in leading innovative case management programs and teams required
  • Planning, leading and organizing the resources of a team
  • Expertise in utilization management and discharge planning required
  • Experience in analyzing, interpreting and presenting financial utilization data
  • Leadership experience in case management in a third party administration or managed health care setting
  • Performance management and effective leadership
  • Utilizing Lean principles to motivate people and drive change

Skills and Knowledge

  • Knowledge of ACMA, CMSA & NASW Standards of Practice required
  • Knowledge of available health care and community resources
  • A broad knowledge base of health care delivery and case management within a managed care environment required
  • Comprehensive knowledge of local, state and federal 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, CDPHand the 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 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
  • Ability to work effectively in a fast paced environment, directing and managing multiple and complex projects
  • Analytical and mathematical skills
  • Demonstrated ability to implement continuous quality improvement processes and techniques, including benchmarking and outcomes measurements
  • Intermediate to advanced PC skills, word processing, spreadsheets and PowerPoint required
  • Strong problem resolution abilities and customer relation skills


Organization:Sutter Health System Office
Employee Status: Regular
Benefits: Yes
Position Status: Exempt
Union: No
Job Shift: Day
Shift Hours:8 Hour Shift
Days of the Week Scheduled:Monday-Friday
Weekend Requirements: None
Schedule: Full Time
Hrs Per 2wk Pay Period:80
Applications Accepted:All Applications Accepted

Sutter Health Affiliates are equal opportunity employers EOE/M/F/Disability/Veterans

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