Care Management Specialist
6 days ago
Care Management Role Overview
Sutter Health is seeking a skilled Care Management Specialist to join our team. As a key member of our care coordination team, you will play a vital role in ensuring the timely progression and transition of patients to the appropriate level of care.
Key Responsibilities:
- Collaborate with physicians, utilization managers, medical social workers, and bedside RNs to coordinate patient care.
- Develop and implement effective care plans to prevent unnecessary admissions or readmissions.
- Communicate with patients, families, and healthcare providers to ensure seamless care transitions.
- Work with interdisciplinary teams to achieve optimal health, access to care, and resource utilization.
Requirements:
- Graduate of an accredited school of nursing.
- Broad knowledge of healthcare 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, including HMO, PPO, PPS, CMS, and value-based reimbursement models.
Working at Sutter Health
Sutter Health is an equal opportunity employer and offers a competitive compensation package, including base pay, benefits, and opportunities for professional growth and development.
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