Case Manager II, Acute

Case Manager II

Organization: ABSMC-Alta Bates Herrick Campus

Position Overview:

Case manager II position provides a critical role in the central intake department. Position plays a key role in admissions to Herrick's psychiatric hospital. Position reviews, assesses and presents psychiatric cases for admission to Herrick's four psychiatric units. This position coordinates the utilization management, resource management, discharge planning, post-acute care referrals and care facilitation. This position oversees the management of acute patient populations across the care continuum with a focus to provide coordinated and integrated care to prevent unnecessary admissions or readmissions. Provides discharge planning coordination and intervention for the high risk patient presenting to the Emergency Department. This position 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.

Schedule: Weekday shifts will be scheduled on either Monday or Wednesday from 3:00 PM to 11:30 PM (based on operational needs), and every Sunday from 7:00 AM to 3:30 PM.

Job Description:

These Principal Accountabilities, Requirements and Qualifications are not exhaustive, but are merely the most descriptive of the current job. Management reserves the right to revise the job description or require that other tasks be performed when the circumstances of the job change (for example, emergencies, staff changes, workload, or technical development).

EDUCATION:

• Equivalent experience will be accepted in lieu of the required degree or diploma.
• Master's: Social Work or related field. Master's: Psychology highly preferred.

TYPICAL EXPERIENCE:

• 2 years recent relevant experience.
• Prior inpatient psychiatric experience preferred.

SKILLS AND KNOWLEDGE:

• 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: including but not limited to CMS, Title 22 CHA Consent Manual, CDPH and The Joint Commission (TJC)
• A broad knowledge base of post-acute levels of care and associated regulatory compliance requirements.
• Must be able to effectively communicate with, and promote cooperation and collaboration between individuals including patients/families/caretakers, physicians, nurses and other ancillary partners.
• Ability to work independently and exercise sound judgment in interactions with physicians, payers, and patients and their families.
• Demonstrates commitment to service excellence in all patient, family and employee interactions and in performing all job responsibilities.
• Functions in a manner to promote quality patient care and assure a positive patient experience.
• Verbal and written communication skills.
• Interpersonal communication and negotiation skills.
• Must have time management skills to develop organized work processes in a high-volume environment with rapidly changing priorities.
• Intermediate computer skills.
• Ability to promote teamwork and to effectively function in teams.
• Ability to interact effectively with key internal and external constituents using collaboration, and customer service skills that promote excellence in the patient experience.

Job Shift: Varied

Schedule: Short Hour

Shift Hours: 8

Days of the Week: Monday, Variable, Wednesday

Weekend Requirements: Sunday

Benefits: No

Unions: Yes

Position Status: Non-Exempt

Weekly Hours: 16

Employee Status: Short Hour

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

Pay Range is $59.00 to $79.35 / hour

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.