The Care Management process encompasses communication and facilitates care across the continuum through effective resource coordination.
Posted Oct 1
Shift and hours
Days · 8-hour shifts · Variable days of the week Job Shift: Days Shift Hours: 8 Days of the Week: Variable40 hours a week
Unit and setting
Emergency Department · Case Management If assigned to the Emergency Department, the Care Management process is to address complex clinical and social situations efficiently in order to avoid unnecessary admissions.
License
RN license CERTIFICATION & LICENSURE: RN-Registered Nurse of California Upon Hire
Term
PermanentFull Time
Do you qualify?
License
RN-Registered Nurse of California Upon HireCERTIFICATION & LICENSURE: RN-Registered Nurse of California Upon HireCheck your license
Education
Graduate of an accredited school of nursingJob Description : EDUCATION: Graduate of an accredited school of nursing
Experience
2 years of experience in acute care case management or health plan case management/utilization managementTYPICAL EXPERIENCE: 2 years of experience in acute care case management or health plan case management/utilization management.
Experience
acute care case management or health plan case management/utilization management
Also asks
A broad knowledge base of health care delivery and case management within a managed care environmentA broad knowledge base of health care delivery and case management within a managed care environment.
Also asks
Comprehensive knowledge of Utilization Review, levels of care, and observation statusComprehensive knowledge of Utilization Review, levels of care, and observation status.
Also asks
Working knowledge of laws, regulations, and professional standards affecting case management practice in an integrated delivery system
Also asks
A broad knowledge base of post-acute levels of care and associated regulatory compliance requirementsA broad knowledge base of post-acute levels of care and associated regulatory compliance requirements.
Also asks
Intermediate computer and technology skillsIntermediate computer and technology skills.
Preferred
Also asks
Awareness of healthcare reimbursement systems: HMO, PPO, PPS, CMS, value-based reimbursement models, and alternative payment systemsAwareness of healthcare reimbursement systems: HMO, PPO, PPS, CMS, value-based reimbursement models, and alternative payment systems preferred.
Also asks
General understanding of coding and DRG assignment processGeneral understanding of coding and DRG assignment process preferred.
Top of California staff payCalifornia staff postings that state pay run $34/hr to $91/hr, the middle half $43/hr to $72/hr, across 3079 postings.
Pay reviews
geographic location varianceThe compensation range may vary based on the geographic location where the position is filled.geographic location where the position is filled
Pay reviews
total compensation considers experience, education, skills, licensure, certifications, equity, training, and organizational needs
Benefits
Benefitscomprehensive benefits package for eligible positionsEligible positions also include a comprehensive benefits package.
The role and schedule
Union
Non-union
Day to day
collaborate with patients, families, physicians, interdisciplinary teams, and payers
We are so glad you are interested in joining Sutter Health!
Organization
SMCS-Valley Administration
Position
Overview
collaboration with the Physician, Utilization Manager, Medical Social Worker and bedside RN to assure the timely progression and transition of patients to the appropriate level of care to prevent unnecessary admissions or readmissions. The Care Management process encompasses communication and facilitates care across the continuum through effective resource coordination. The goals of this role are to include the achievement of optimal health, access to care, and appropriate utilization of resources balanced with the patients' self
determination while coordinating in a timely and integrated fashion. He/She collaborates with patients, families, physicians, the interdisciplinary team, nursing management, quality, ancillary services, third party payers and review agencies, claims and finance departments, Medical Directors, and contracted providers and community resources. If assigned to the Emergency Department, the Care
Management process is to address complex clinical and social situations efficiently in order to avoid unnecessary admissions.
Job Description
Education
Graduate of an accredited school of nursing
Certification & licensure
RN-Registered Nurse of California Upon Hire
Typical
Experience
2 years of experience in acute care case management or health plan case management/utilization management.
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.
Awareness of healthcare reimbursement systems: HMO, PPO, PPS, CMS, value-based reimbursement models, and alternative payment systems preferred.
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 TJC.
A broad knowledge base of post-acute levels of care and associated regulatory compliance requirements.
General understanding of coding and DRG assignment process preferred.
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 patients, 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.
Strong verbal and written communication skills and negotiation skills
Must have excellent time management skills to develop organized work processes in a high-volume environment with rapidly changing priorities.
Intermediate computer and technology 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
Days
Schedule
Full Time
Shift Hours
8
Days of the Week
Variable
Weekend
Requirements
Rotating Weekends
Benefits
Yes
Unions
No
Position Status
Non-Exempt
Weekly Hours
40
Employee Status
Regular
Sutter Health is an equal opportunity employer EOE/M/F/Disability/Veterans.
Pay Range is $82.48 to $115.46 / 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. Eligible positions also include a comprehensive benefits package.
Neighborhoods+Nurses and local professionals tend to gravitate toward distinct pockets depending on housing age and hospital proximity. East Roseville, including established communities like Highland Reserve, Johnson Ranch, Olympus Heights, and Maidu, features mature tree-lined streets, larger lots, and fast access to both Sutter Health and Kaiser Permanente facilities near Interstate 80. In contrast, West Roseville encompasses newer master-planned developments like West Park and Fiddyment Farm, which offer modern open-concept builds, integrated trail networks, and neighborhood parks, though with a longer drive eastward to clinical campuses.
Nurses and local professionals tend to gravitate toward distinct pockets depending on housing age and hospital proximity. East Roseville, including established communities like Highland Reserve, Johnson Ranch, Olympus Heights, and Maidu, features mature tree-lined streets, larger lots, and fast access to both Sutter Health and Kaiser Permanente facilities near Interstate 80. In contrast, West Roseville encompasses newer master-planned developments like West Park and Fiddyment Farm, which offer modern open-concept builds, integrated trail networks, and neighborhood parks, though with a longer drive eastward to clinical campuses.
Getting around+Driving is the standard commute method for healthcare workers, with primary traffic flowing along Interstate 80 and Highway 65. Reaching Sutter and Kaiser medical campuses from East and Central Roseville is typically straightforward due to direct freeway proximity. However, commuting from western neighborhoods requires navigating surface arterials like Baseline Road, Blue Oaks Boulevard, and Pleasant Grove Boulevard before reaching Highway 65 or Interstate 80, which face noticeable slowdowns during peak hours and heavy weekend recreation traffic heading to and from Lake Tahoe.
Driving is the standard commute method for healthcare workers, with primary traffic flowing along Interstate 80 and Highway 65. Reaching Sutter and Kaiser medical campuses from East and Central Roseville is typically straightforward due to direct freeway proximity. However, commuting from western neighborhoods requires navigating surface arterials like Baseline Road, Blue Oaks Boulevard, and Pleasant Grove Boulevard before reaching Highway 65 or Interstate 80, which face noticeable slowdowns during peak hours and heavy weekend recreation traffic heading to and from Lake Tahoe.
Outdoors+The city maintains more than eighty parks connected by an integrated regional trail network that winds through creek corridors and preserved oak savannas. Royer Park near Downtown features sports courts, walking paths, and footbridges across the creek, while Campus Oaks Park offers dedicated pickleball courts and adjacent BMX tracks. Beyond the city borders, Placer County trails like Hidden Falls and mountain destinations around Lake Tahoe sit within easy driving distance for weekend hikes and snow sports.
The city maintains more than eighty parks connected by an integrated regional trail network that winds through creek corridors and preserved oak savannas. Royer Park near Downtown features sports courts, walking paths, and footbridges across the creek, while Campus Oaks Park offers dedicated pickleball courts and adjacent BMX tracks.
Beyond the city borders, Placer County trails like Hidden Falls and mountain destinations around Lake Tahoe sit within easy driving distance for weekend hikes and snow sports.
Check the commute at your shift’s start and end, upfront housing costs, and whether moving assistance must be repaid if you leave.
Living in Roseville
Roseville stands out as Placer County's premier healthcare and suburban hub, anchored by major campuses for Sutter Health and Kaiser Permanente. For nurses relocating here, the city's key decision lies in balancing daily transit with neighborhood vintage. East Roseville communities like Johnson Ranch, Maidu, and Highland Reserve place you minutes from the hospital clusters along Interstate 80, surrounded by mature canopy trees, retail at Westfield Galleria, and independent city utility power via Roseville Electric. Heading into West Roseville communities like Fiddyment Farm and West Park unlocks newly constructed floor plans and planned parks, but adds commuter traffic along Pleasant Grove and Blue Oaks Boulevards. Outside shift hours, life revolves around Vernon Street Town Square gatherings, local dining from Nixtaco to The Monk's Cellar, and quick weekend escapes to Sierra trailheads or Lake Tahoe. Expect hot, dry valley summers and suburban traffic bottlenecks near Highway 65, but in exchange, Roseville provides exceptional clinical opportunities within an exceptionally well-run community.
