December 21, 2021
    Sonoma County, California
    Job Type



    Sonoma County CA


    Base Salary - USD $122,408 to $209,081


    Benefits - Full

    Relocation Assistance Available



    Sonoma County facilities aligned with our client hospital include the 278-bed, the region's only Level II trauma center. In addition, the 80-bed Petaluma Valley Hospital and 43-bed Healdsburg Hospital are secular (non-religious) affiliates of our hospital. Their services also encompass three Urgent Care centers, Hospice of Petaluma, Memorial Hospice and North County Hospice, the Annabel Medical Group doing business as our Medical Group, as well as the Home Care Network (post-acute care services)



    Job Summary:

    This position provides for development and delivery of a Care Management system that utilizes best practices in the areas of pre-admission, registration, utilization management, discharge planning, case management, and social services. The position is responsible for ensuring that patients receive timely and appropriate care during their hospitalization, for identifying delays in treatment, and for targeting opportunities to improve or enhance resource utilization. Additionally, the position is accountable for ensuring timely discharge through early intervention and identification of post hospital care needs, as well as ensuring continuity of care needs are met. The Care Management Director manages assigned departments and functions across the area continuum of care to provide integrated services in a fiscally responsible manner through direction, support, and development of administrative staff, and community groups and agencies.


    Knowledge of third-party payer billing and managed care requirements.

    Knowledge of The Joint Commission and Public Health licensing requirements.

    Leadership skills consistent with the mission, vision and values of the Health System.

    General knowledge of illnesses, current treatments, and their physical and psychosocial sequelae.

    Knowledge of applicable laws and regulations, government and insurance benefits.

    Knowledge of utilization review process, discharge planning process, use of best practice guidelines and pathways.

    Knowledge of available healthcare and community resources appropriate for population served.

    Knowledge of requirements and eligibility parameters for payers, MediCal, and Medicare.

    Knowledge of individual and family development over the life span, and the influence of cultural and spiritual values in healthcare.

    Knowledge of statistical data collection techniques and methods of analyzing and reporting statistical data.

    Demonstrated leadership skills, including facilitating teamwork, coaching, consensus-building and problem-solving.

    Strong foundation of clinical assessment skills necessary to provide care management for clients with highly complex medical, emotional and social needs.

    Effective oral and written communication and negotiation skills in conflict-laden situations, skillfully balancing competing demands without alienating others.

    Critical thinking and problem solving skills necessary to develop creative solutions and achieve desired results.

    Excellent interpersonal skills with demonstrated ability to work diplomatically with a wide variety of people; ability to work effectively as a team leader, guiding the actions of others in order to accomplish team objectives.

    Strong organizational and time management skills to work effectively in a fast-paced environment with rapidly shifting priorities and competing demands.

    Ability to exercise sound judgement in order to make independent decisions in situations where guidelines are not established and/or seek consultation when decisions would represent significant departure from organization objectives.



    Minimum Position Requirements:

    Education: Bachelor's Degree Nursing.


    10 or more years Related experience in an acute health care setting in care management

    8 years Progressive leadership experience

    Educational program on management techniques or care management

    On-the-job training in care management, utilization management, and discharge planning.

    Licenses and Certifications: CA Public Health Nurse (PHN) certification


    Preferred Position Qualifications:

    Education: Master's Degree Nursing or related healthcare field from an accredited program.



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