Case Manager III, Ambulatory ( RN )
S
Sutter Health
📍 San Francisco, CA, United States
Job Description
We are so glad you are interested in joining Sutter Health!
**Organization:**
SPMF-Sutter Pacific Medical Foundation - South
**Position Overview:**
Serves as a Case Manager (CM) Subject Matter Expert (SME) performing case management roles and functions, with a focus on InterQual medical necessity reviews, training newly hired team members, quality assurance and support. Conducts group and one-on-one training sessions with peers and new hire case managers, provides constructive feedback, and assesses progress and compliance with the system standardized utilization management process and case management workflows. Schedules RN Case Manager training sessions, conducts and presents audit findings, trends and program results to staff and leaders.
May have contact with patients, families, the interdisciplinary team, nursing management, quality and ancillary services, third party payers and review agencies. Develops key relationships with Case Managers, ...
**Organization:**
SPMF-Sutter Pacific Medical Foundation - South
**Position Overview:**
Serves as a Case Manager (CM) Subject Matter Expert (SME) performing case management roles and functions, with a focus on InterQual medical necessity reviews, training newly hired team members, quality assurance and support. Conducts group and one-on-one training sessions with peers and new hire case managers, provides constructive feedback, and assesses progress and compliance with the system standardized utilization management process and case management workflows. Schedules RN Case Manager training sessions, conducts and presents audit findings, trends and program results to staff and leaders.
May have contact with patients, families, the interdisciplinary team, nursing management, quality and ancillary services, third party payers and review agencies. Develops key relationships with Case Managers, ...