RN Case Manager, Managed Care Referrals Specialist

11 hours ago


Goleta, California, United States Sutter Health Full time
Job Summary

We are seeking a skilled RN Case Manager to join our team at Sutter Health. This role will coordinate the utilization management, resource management, discharge planning, post-acute care referrals, and care facilitation for our patients.

Key Responsibilities
  • Coordinates the utilization management, resource management, discharge planning, post-acute care referrals, and care facilitation for patients.
  • Oversees the management of acute patient populations across the care continuum, focusing on providing coordinated and integrated care to prevent unnecessary admissions or readmissions.
  • Provides discharge planning coordination and intervention for high-risk patients presenting to the Emergency Department.
  • Strives to promote patient wellness, improved care outcomes, efficient utilization of health services, and minimized denials of payment among a patient population with complex health needs.
Requirements
  • Graduate of an accredited school of nursing.
  • RN-Registered Nurse of California.
  • BLS-Basic Life Support Healthcare Provider.
  • CCM - Certified Case Manager (certification may be required by entity and time to acquire may be dependent on qualifications for exam).
  • 2 years recent relevant experience.
Preferred Qualifications
  • 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.
What We Offer

Sutter Health offers a comprehensive benefits package, including medical, dental, and vision insurance, 401(k) matching, and paid time off. We are an equal opportunity employer and welcome applications from diverse candidates.



  • Goleta, California, United States Sutter Health Full time

    Job Summary:As a RN Case Manager, Managed Care Referrals Specialist at Sutter Health, you will play a critical role in coordinating the utilization management, resource management, discharge planning, post-acute care referrals, and care facilitation for our patients. You will oversee the management of acute patient populations across the care continuum,...


  • Goleta, California, United States Sutter Health Full time

    Job SummaryWe are seeking a highly skilled RN Case Manager to join our team at Sutter Health. As a key member of our healthcare team, you will play a critical role in coordinating the utilization management, resource management, discharge planning, post-acute care referrals, and care facilitation for our patients.Key ResponsibilitiesCoordinate the...


  • Goleta, California, United States Sutter Health Full time

    Job SummaryWe are seeking a skilled RN Case Manager to join our team at Sutter Health. As a key member of our healthcare team, you will play a vital role in coordinating patient care and ensuring seamless transitions between healthcare settings.Key ResponsibilitiesCoordinate utilization management, resource management, discharge planning, post-acute care...


  • Goleta, California, United States Sutter Health Full time

    Job Summary:We are seeking a skilled RN Case Manager to join our team at Sutter Health. As a key member of our care management team, you will play a critical role in coordinating the utilization management, resource management, discharge planning, post-acute care referrals, and care facilitation for our patients. Responsibilities:• Coordinate the...


  • Goleta, California, United States Sutter Health Full time

    Job SummaryWe are seeking a highly skilled RN Case Manager to join our team at Sutter Health. As a key member of our healthcare team, you will play a critical role in coordinating patient care and ensuring seamless transitions between acute and post-acute settings.Key ResponsibilitiesCoordinate utilization management, resource management, and discharge...


  • Goleta, California, United States Cottage Health Full time

    Job Title: Utilization Management Case ManagerCottage Health is seeking a skilled Utilization Management Case Manager to join our team. As a key member of our healthcare team, you will be responsible for ensuring the highest quality patient care and optimal resource utilization.Key Responsibilities:Conduct thorough patient assessments to identify needs and...


  • Goleta, California, United States Cottage Health Full time

    Job SummaryCottage Health is seeking a skilled Utilization Management Case Manager to join our team. As a key member of our healthcare team, you will be responsible for ensuring the optimal care and cost management of services and procedures for assigned patients.Key ResponsibilitiesConduct thorough utilization reviews to ensure quality outcomes and optimal...


  • Goleta, California, United States Trispoke managed services Full time

    Job SummaryWe are seeking a highly skilled Production Inventory Manager to join our team at Trispoke managed services. The successful candidate will be responsible for maintaining schedules for material requirements and availability to support production control by optimizing inventory storage systems.Key Responsibilities:Optimize inventory storage systems...


  • Goleta, California, United States KARL STORZ ENDOSCOPY Full time

    Job Title: Project Management Process SpecialistAt KARL STORZ ENDOSCOPY, we are seeking a highly skilled Project Management Process Specialist to join our team. As a key member of our project management team, you will be responsible for ensuring the successful delivery of projects across various product development initiatives.Key Responsibilities:Assist in...


  • Goleta, California, United States Santa Barbara Neighborhood Clinics Full time

    Job SummaryThe Enhanced Care Management Coordinator will oversee and coordinate care management services for individuals with complex medical and behavioral health needs. This role involves working closely with healthcare providers, insurance companies, and other members of the care team to ensure the delivery of high-quality, comprehensive...


  • Goleta, California, United States Marriott International, Inc Full time

    Nail Care ServicesWe are seeking a skilled Nail Care Specialist to join our team at The Ritz-Carlton Bacara Santa Barbara. As a Nail Care Specialist, you will be responsible for providing exceptional nail care services to our guests, including manicures and pedicures.Key Responsibilities:Assess guest needs and provide personalized nail care servicesExamine...


  • Goleta, California, United States Managed Staffing Full time

    Job SummaryWe are seeking a highly skilled Administrative Coordinator/Executive Assistant to join our team at Managed Staffing. This is an on-site role with potential for assignment extension and/or conversion to full-time employment.Key ResponsibilitiesManage calendars, handle internal and external communications, coordinate events and meetings (set up...


  • Goleta, California, United States Kyle's Kitchen Full time

    Assistant Manager Job DescriptionKyle's Kitchen is a socially responsible business that supports organizations and initiatives dedicated to improving the lives of people with special needs living in our community. Our motto is Eat Great Food, Help Great People, and we look forward to growing our company with individuals who care, who work with purpose and...


  • Goleta, California, United States Infinity Technologies Full time

    At Infinity Technologies, we are seeking a qualified Pedagogical Specialist to join our team in a residential group setting. The position is part-time with a weekly workload of 10 hours.The main focus of the role is to provide care and support for individuals with primarily intellectual disabilities. Your key responsibilities will include:Providing a key...


  • Goleta, California, United States Fastenal Full time

    Job Summary:We are seeking a highly motivated and detail-oriented Supply Chain Associate to join our team at Fastenal. As a key member of our supply chain team, you will play a pivotal role in supporting business-to-business operations by administering procurement, sourcing, and quoting functions that meet the needs of our customers and drive the success of...

  • Logistics Coordinator

    4 weeks ago


    Goleta, California, United States Trispoke managed services Full time

    Job SummaryWe are seeking a highly organized and detail-oriented Logistics Associate to join our team at Trispoke managed services. As a key member of our logistics team, you will be responsible for supporting the Goleta, CA logistics team and performing key logistics processes.Key Responsibilities:Stocking material, kitting material, cycle counting...


  • Goleta, California, United States Cottage Health System Full time

    Job SummaryThe Utilization Review Nurse is a critical member of the Cottage Health System team, responsible for ensuring the highest quality patient care while optimizing resource utilization. This role requires a strong clinical background, excellent communication skills, and the ability to work collaboratively with various stakeholders.Key...


  • Goleta, California, United States Cottage Health System Full time

    Job SummaryThe Utilization Review Nurse is a key member of the Cottage Health System team, responsible for ensuring the efficient and effective use of healthcare resources. This role involves conducting thorough reviews of patient care to identify opportunities for improvement and implementing strategies to optimize resource utilization.Key...

  • Subcontract Manager

    3 weeks ago


    Goleta, California, United States Raytheon Technologies Full time

    Job SummaryWe are seeking an experienced Subcontract Manager to join our team in Goleta, CA. As a Subcontract Manager, you will be responsible for developing and managing a portfolio of major subcontracts and procurement activities. You will participate in gate reviews and capture/proposal efforts, as well as facilitate relationships across organizations and...

  • General Manager

    1 month ago


    Goleta, California, United States Gold's Gym - SoCal Full time

    Job DescriptionAbout the Role:We are seeking a highly motivated and experienced General Manager to lead our Gold's Gym - SoCal team. As a key member of our management team, you will be responsible for driving sales growth, improving member satisfaction, and ensuring the overall success of our fitness center.Key Responsibilities:Management Tasks:Manage and...