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Case Manager II, Ambulatory

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Before you apply
Salary$86 – $121/hr
LocationSan Francisco
Work modeon-site
Typefull-time
SeniorityMid
Experience2+ yrs
Company size10,000+ people
PostedNov 2, 2026 · 3d ago
Verified live1d ago
At a glanceSummarised by Seekless from the posting.
Graduate of an accredited school of nursing
RN-Registered Nurse of California
BLS-Basic Life Support Healthcare Provider if providing in-person patient care
2 years recent relevant experience
Comprehensive knowledge of a broad range of medical diagnoses, treatment modalities, therapeutic services and intervention techniques, and knowledge of hospital and/or ambulatory practices and procedures
NCQA standards and application, state and federal requirements as apply to managed care, utilization management criteria and its application
Knowledge of the health care financial environment and requirements for various payer types, e.g., Commercial, CMS, CCS for HMO and PPO cases, and ability to apply Managed Care concepts
Interpersonal skills collaborating with physicians, patients, families, care givers, service providers, and health care team
Clear oral and written communication skills, including the ability to effectively organize ideas and data for logical presentation and acceptance by staff; flexibility and knowledge in problem solving activities
Positive interpersonal relationship skills, to include presentations to small groups, and skill in time management
Sutter Health is an equal opportunity employer EOE/M/F/Disability/Veterans
Benefits
Health insurance
About the company
We are so glad you are interested in joining Sutter Health!
Organization:
SPMF-Sutter Pacific Medical Foundation - South
Position Overview:
Provides patient-centered case management to patients with chronic illness, complex medical conditions and who are in transition across the continuum of care settings. As a member of an interdisciplinary team coordinates care in accordance with the plan of care, to achieve optimal results by impacting the delivery of quality care in a holistic approach to the patient and family. Provides assessment, treatment, intervention, patient education and patient management for adult/child patients and their families based on approved standard protocols and within scope of practice.
Job Description:
EDUCATION:
•
Graduate of an accredited school of nursing
CERTIFICATION & LICENSURE:
•
RN-Registered Nurse of California
•
BLS-Basic Life Support Healthcare Provider if providing in-person patient care
TYPICAL EXPERIENCE:
•
2 years recent relevant experience.
SKILLS AND KNOWLEDGE:
•
Comprehensive knowledge of a broad range of medical diagnoses, treatment modalities, therapeutic services and intervention techniques, and knowledge of hospital and/or ambulatory practices and procedures.
•
NCQA standards and application, state and federal requirements as apply to managed care, utilization management criteria and its application.
•
Knowledge of the health care financial environment and requirements for various payer types, e.g., Commercial, CMS, CCS for HMO and PPO cases, and ability to apply Managed Care concepts.
•
Interpersonal skills collaborating with physicians, patients, families, care givers, service providers, and health care team.
•
Must exhibit , clear oral and written communication skills, including the ability to effectively organize ideas and data for logical presentation and acceptance by staff; flexibility and knowledge in problem solving activities.
•
Demonstrated , positive interpersonal relationship skills, to include presentations to small groups, and skill in time management.
Job Shift:
Days
Schedule:
Full Time
Shift Hours:
8
Days of the Week:
Monday - Friday
Weekend Requirements:
None
Benefits:
Yes
Unions:
No
Position Status:
Non-Exempt
Weekly Hours:
40
Employee Status:
Limited Term (Fixed Term)
Legal
Sutter Health is an equal opportunity employer EOE/M/F/Disability/Veterans.
Pay Range is $86.27 to $120.77 / hour
The posted pay range is based on the position’s primary work location. Candidates who reside and work outside of that location may be subject to a different pay range based on their work location. Candidate starting salaries consider 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.