Jobs in the United States

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Added 2 mins ago
CC
Clinician II/III ACT
Cascade Community Healthcare
Centralia, WA
- $33.9 to $43.96 USD / hour
Must meet productivity/direct service requirements as assigned by program manager or director.
Added 4 mins ago
PB
Personal Banker I (Full Time) - SB Heights
PROSPERITY BANK
Houston, TX
- Full-time
Keeps Banking Center Manager informed of area activities and significant problems.
Added 8 mins ago
Project Manager II - Power Delivery
Mortenson
Minneapolis, MN · MN
Mortenson is currently seeking a Project Manager II within our Power Delivery Solutions group to lead project quality, timeliness, and safety while mentoring the team. This role also…
Added 10 mins ago
SE
Field Technician II
SCS Engineers
Murfreesboro, TN
- $27 to $29 USD / hour
…environmental control systems. You will report to a senior-level supervisor, such as a Project Superintendent or a Project…
Added 10 mins ago
Acute Care RN-Medical Unit Registered Nurse
Trinity Health
Dubuque, IA
As the region's leading hospital, MercyOne Dubuque Medical Center offers the only Level II NICU and the most comprehensive cardiology center in the tri-state area. It holds Magnet…
Added 10 mins ago
Logistics Item Manager
Canvas II, LLC.
Robins AFB, GA
…situations to develop successful outcomes within established program / project guidelines. Work is performed independently or under the oversight of more senior Contractor employees.…
Added 12 mins ago
Outpatient Coder II
UMass Memorial Health Care, Inc.
Remote, United States
4. Participates in the continuous coding audit and performance management program.
Added 21 mins ago
Engineering 2
Sand & Sea
Santa Monica, CA
Director of Engineering, Engineering Manager or Assistant Engineering Manager
Added 25 mins ago
Security Specialist III
JT4, LLC
North Las Vegas, NV
Provide senior level administrative and personnel security support to the unit manager and security staff.
Added 28 mins ago
Environmental Risk Officer II
Truist Bank
Atlanta, GA · Charlotte, NC
1. Independently determine appropriate scope and level of environmental due diligence based on property type, current and historical use, transaction structure, identified environmental…
Added 32 mins ago
Instructor - Digital Multimedia Program
Computer Systems Institute Inc
Charlestown, MA
Supervisor’s Title: Academic Dean/Program Manager
Added 36 mins ago
Medical Assistant II
University of Maryland Medical System
Bel Air, MD
The following statements are intended to describe the general nature and level of work being performed by people assigned to this classification. They are not to be construed as an…
Added 38 mins ago
Relationship Banker II - Plano Branch
Regions Bank
Plano, TX
…including completing duties delegated and assigned by the Branch Manager; as a member of the branch team, ensures sound banking practices, including managing, identifying and reporting…
Added 38 mins ago
Relationship Banker II - Nora
Regions Bank
Indianapolis, IN
…including completing duties delegated and assigned by the Branch Manager; as a member of the branch team, ensures sound banking practices, including managing, identifying and reporting…
Added 38 mins ago
Relationship Banker II - Orange Park
Regions Bank
Jacksonville, FL
…including completing duties delegated and assigned by the Branch Manager; as a member of the branch team, ensures sound banking practices, including managing, identifying and reporting…
Added 38 mins ago
Relationship Banker II - Southside Jackson TN ranch
Regions Bank
Jackson, TN
…including completing duties delegated and assigned by the Branch Manager; as a member of the branch team, ensures sound banking practices, including managing, identifying and reporting…
Added 38 mins ago
Relationship Banker II - Delray Beach Branch
Regions Bank
West Palm Beach, FL
…including completing duties delegated and assigned by the Branch Manager; as a member of the branch team, ensures sound banking practices, including managing, identifying and reporting…
Added 42 mins ago
CC
Crew Leader (Manheim)
CAI Cox Automotive Corp Svcs., LLC
Tolleson, AZ
- $15.1 to $22.69 USD / hour
…include commission (annual, monthly, etc.) and/or an incentive…
Added 51 mins ago
General Manager II- Store 4513 Poughkeepsie, NY
Advance Stores Company Inc (500)
Poughkeepsie, NY
A General Manager must be committed to inspiring our team, helping our Customers succeed and growing our business with integrity. Professional level sales and management position capable of…
Added 51 mins ago
General Manager II - Store 9224 - Fort Myers, FL
Advance Stores Company Inc (500)
Fort Myers, FL
A General Manager must be committed to inspiring our team, helping our Customers succeed and growing our business with integrity. Professional level sales and management position capable of…
Added 53 mins ago
Youth Program Officer II- $5,000 Sign on Incentive (Incentive is for External Hires Only)
Bernalillo County
Albuquerque, NM
The classification, under general supervision of a Program Manager, provide direct supervision, care and treatment of residents who are in the custody of the Youth Services Center or its…
Added 55 mins ago
CH
Master's Level Clinician (CM II) (Full-Time, .9 Day, 7am-7:30pm)
Connections Health Solutions
King of Prussia, PA
- Full-time
The Case Manager (CM II) is responsible for managing the care of individuals who are in crisis and stabilizing from crisis situations. This role involves facilitating admission intakes,…
Added 56 mins ago
Technician II - (Sidney, IL)
NovaSource Power
Modoc, IN
2+ years of experience in a related position or Journey level certification.
Added 57 mins ago
System Administrator II
LHC New Liberty Hospital Corporation
Lenexa, KS
Systems Administration provides design, implementation, maintenance, and support services for server level enterprise applications and medical devices. System Administrators (SysAdmins) are…
Added 1 hour ago
T
Engagement Manager II
TEKsystems
Memphis, TN
- $105,000 to $150,000 USD / year
The Engagement Manager II (EM II) is a delivery leadership position within the TEKsystems Global Services (TGS) organization, responsible for managing one or more engagements or engagement…

Sutter Health

Case Manager II

United States

$82.48 to $115.46 USD / hour

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Job details

Pay: $82.48 to $115.46 USD / hour
Apply by: Nov 5, 2026
Experience: 2 years of experience in acute care case management or health plan case management/utilization management required.
Posting language: English
Posted: Nov 3, 2026

Original job description

We are so glad you are interested in joining Sutter Health!

Organization:

SHSO-Sutter Health System Office-Valley

Position Overview:

Conducts concurrent utilization management reviews for hospitalized and acute care patients using established clinical criteria and evidence-based guidelines to evaluate medical necessity, appropriateness of care, continued stay, and level-of-care requirements. Assesses the patient’s clinical status and progression of care throughout the hospitalization to support timely, appropriate, and effective utilization of healthcare services. Collaborates with physicians, hospital care teams, case management, health plans, post-acute providers, and other stakeholders to identify barriers to progression of care, support timely transitions, and facilitate appropriate discharge planning and post-acute services. Escalates cases requiring additional clinical review or physician involvement in accordance with regulatory, health plan, and organizational requirements. Prioritizes concurrent reviews based on clinical urgency, required review intervals, regulatory and health plan turnaround times, and organizational standards. Monitors continued-stay reviews, length of stay, level of care, documentation needs, and discharge readiness to promote timely clinical decision-making and reduce avoidable delays in care. Maintains accurate and timely documentation to support medical necessity determinations, communication with providers and health plans, regulatory compliance, and audit readiness. Ensures adherence to applicable CMS, DMHC, health plan, and organizational requirements related to utilization management, physician review, notifications, and coordination of care. Promotes patient-centered care, quality outcomes, safe transitions, and responsible utilization of healthcare resources while supporting regulatory compliance, patient safety, and organizational stewardship for patients with complex acute and post-acute care needs.

Job Description:

EDUCATION:

Other: Graduate of an accredited school of nursing

CERTIFICATION & LICENSURE:

RN-Registered Nurse of California

TYPICAL EXPERIENCE:

2 years of experience in acute care case management or health plan case management/utilization management required.

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: Centers for Medicare and Medicaid Services (GR) Grouper (CMS), Department of Managed Health Care, National Committee for Quality Assurance (NCQA).
A broad knowledge base of outpatient, acute, and 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.
Identify repatriation opportunities for members receiving care at out-of-network facilities and assess when the member is clinically appropriate for transfer to a Sutter facility. This aligns with the current workflow in which UM reviews the patient's clinical condition and works with the external care team to determine readiness for repatriation.
Initiate and actively support the repatriation process by communicating with the external facility's case management/clinical team and engaging the Transfer Center once the patient is clinically appropriate for transfer. The Transfer Center coordinates receiving-facility/provider matching, acceptance, capacity, bed placement, and transfer activities.
Monitor repatriation cases through resolution, following up on clinical status and identifying barriers that could delay transfer, escalation, or disposition. Internal workflow materials specify that the RN case manager monitors the stay while the Transfer Center coordinates repatriation.
Escalate barriers to timely repatriation through established clinical and operational pathways when issues involve medical appropriateness, provider acceptance, capacity, or other unresolved barriers.
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:

Evening/ Night

Schedule:

Full Time

Shift Hours:

Days of the Week:

Variable

Weekend Requirements:

Occasionally

Benefits:

Yes

Unions:

Position Status:

Non-Exempt

Weekly Hours:

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 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.

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