Sutter Health

• Seeking a board-certified Nocturnist Urgent Care Nurse Practitioner or Physician Assistant • Handle remote virtual urgent care shifts • Provide care for patients aged 6 months and older • Work with a stable and growing group using EHR: Epic

Role Description The Home Health Clinical Referral Nurse serves as the initial point of contact for potential home health patients, working closely with our clerical home health coordinators. This role is pivotal in managing new referrals and ongoing follow-ups, acting as a liaison between patients, families, and referral sources. This position is eligible for mobile/remote work if you meet eligibility requirements. - Referral Management: Receive and process referrals for patient care, ensuring timely and consistent admissions. - Communication: Make and take calls for new referrals and follow-ups, maintaining clear communication with patients, families, and referral sources. - Collaboration: Work closely with referring hospitals, physicians, board and care facilities, skilled nursing facilities, and other healthcare providers. - Data Entry: Enter referral information into the Electronic Medical Records (EMR) system and create initial orders to facilitate the start of care. - Customer Service: Utilize and promote excellent customer service skills in all interactions. - Team Interaction: Collaborate with referral center staff, home health, Advanced Illness Management (AIM), and hospice staff across offices. Qualifications - Graduate of an accredited school of nursing. - Valid and unrestricted RN license in your state of residence. - RN-Registered Nurse of California within 90 days for SCAH After Hours Department. - 2 years recent relevant experience. Requirements - Must have the clinical knowledge and critical thinking skills to effectively plan and provide coordination of patient care consistent with standards and regulations. - Must have exceptional interpersonal and customer service skills. - Must be able to effectively solve unique problems as they arise or identify when to consult the supervisor. - Must have knowledge of current Hospice/Home Health admission criteria; Medicare, Medi-Cal, Commercial, State and Federal regulations. - Familiarity with ICD-10 coding preferred but not essential. - Must be able to demonstrate problem-solving abilities as well as telephone, interpersonal, verbal and written communication skills in English. - Commitment to teamwork and customer service, both internally and externally, is required. - Must have proven data entry and general computer skills. - Must be able to demonstrate proficiency (after training and introductory period) in efficient use of electronic medical record systems. - Must be able to flex with the increased workflow when census is higher and recognize urgency of each task. - Must be flexible with schedule including, but not limited to, the ability to participate in department rotation for weekend coverage if needed. - Must be able to drive to designated SCAH location(s) for meetings, training, and needs as designated by business needs. Benefits - Pay Range is $37.19 to $48.71 / hour. - State Pay Range: Nevada, Oregon, Texas Pay Range is $40.91 to $47.25 / hour. - Eligible positions include a comprehensive benefits package.

Role Description This position is eligible to work from home from within the state of California. Responsible for completion of credentialing functions. Ensures program integrity and compliance with standards, federal/state requirements, and health plan credentialing requirements. Maintains relationships with health plan auditors, communicates and works with physician leaders on credentialing issues, works with other departments in multiple areas that relate to credentialing issues. Audits Credentialing Verification Organization's released files to ensure it obtains primary source verification of required physician information. Maintains database of current and accurate information concerning licensure, board certification, professional liability coverage and claims for physicians, contracted providers and Allied Health Professionals. Qualifications - HS Diploma or General Education Diploma (GED) - 2 years recent relevant experience - Knowledge of medical provider credentialing and accreditation principles, processes, procedures, and documentation. - Knowledge of computer spreadsheets and other related applications. - Ability to use independent judgment and to manage and impart confidential information. - PC skills (MS Word, MS Excel, and MS Access) and proficiency regarding data entry skills. - Organizational skills with ability to prioritize, problem solve and meet deadlines. - Ability to analyze, interpret, and draw inferences from research findings, and prepare reports. - Able to use independent judgment and to manage and impart confidential information. - Ability to analyze data/reports and to make recommendations. Requirements - Job Shift: Days - Schedule: Full Time - Shift Hours: 8 - Days of the Week: Monday - Friday - Weekend Requirements: None - Position Status: Non-Exempt - Weekly Hours: 40 - Employee Status: Regular Benefits - Yes Company Description Sutter Health is an equal opportunity employer EOE/M/F/Disability/Veterans. Pay Range is $32.36 to $46.93 / 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.

Role Description Provides medical administration support to providers by obtaining referral or prior authorizations for patients to see specialty providers. Completes referrals and/or authorizations accurately and consistently with minimal supervision. In Managed Care, processes authorization and referral requests for members in coordination with health plans and contracted providers. Provides support to the Case Management staff. Serves as a resource to providers regarding the authorization process. Qualifications - HS Diploma or equivalent education/experience - 2 years experience working in a health care setting and insurance verification - 2 years experience working with insurance prior authorizations, referrals and working with electronic health record Requirements - Medical terminology, Current Procedural Terminology (CPT)/Healthcare Common Procedure Coding System (HCPCS)/International Classification of Diseases (ICD)-9 coding knowledge - Knowledge of medical terminology/anatomy - Ability to exercise discretion and make independent judgments, seeking review when decisions represent significant departure from established guidelines - Knowledge of Microsoft Office programs including Excel, Word or similar programs - Ability to maintain composure during challenging interpersonal interactions - Active listening skills; including interpersonal skills and telephone communication - Organizational skills with attention to detail and follow-up Benefits - Comprehensive benefits package

Role Description Supports the patient and family experience through the investigation of patient/family complaints, concerns, and other feedback received by the organizations. Complaints and grievances include, but are not limited to: - Care provided by physicians and other health care professionals - Potential liability - Quality of care - Sutter Health policy and procedure - Extensive conflict resolution with challenging patients and families Problems encountered are often of a high level of complexity and require a great deal of innovation. Must collaborate closely with managers, physicians, and staff throughout the organization. Collaboration across legal and risk management services is required on a frequent basis for complex medical legal issues. Assists staff members who request intervention in diffusing difficult or volatile patient situations. Qualifications - Bachelor's degree in Business Administration, Nursing, Social Work, or other health care related field - Equivalent experience will be accepted in lieu of the required degree or diploma - 2 years recent relevant experience Requirements - Oral and written communication skills, including the ability to synthesize the facts of an investigation and respond with compassion to patients on behalf of the organization - Analytical skills, including medical record review/analysis, investigation of quality of care complaints, and synthesis of facts to follow up on related patient complaints and related safety issues - Case management skills: ability to manage a high caseload while providing documented and timely responses to meet regulatory timelines - Interpersonal, conflict resolution, and problem-solving skills while working in a fast-paced environment - Computer skills including word processing, email, calendar, database, and departmental specific software - Sensitivity to issues of diversity and demonstrates cultural competence - Ability to work collaboratively with managers, faculty, and staff throughout the institution - Ability to work independently and be resourceful when navigating complex situations Benefits - Comprehensive benefits package

Role Description Responsible for overseeing the daily operations and strategic development of clinical programs. Ensures program efficiency, quality improvement, and alignment with organizational goals. Collaborates with internal and external stakeholders, supervises staff, and supports outreach and education initiatives to enhance patient care and service delivery. Qualifications - Bachelor’s degree in Healthcare Administration, Business Administration, or related field - 4 years recent relevant experience - Cancer Department Management experience (preferred) Requirements - Experience in healthcare operations, program management, or clinical services - Strong understanding of strategic planning and business development - Excellent communication and interpersonal skills - Ability to lead teams and manage complex projects - Proficiency in data analysis and performance measurement - Familiarity with healthcare regulations and compliance standards Benefits - Comprehensive benefits package Company Description Sutter Health, Northern California's largest health network with 29 acute care hospitals, more than 5,000 primary care physicians and specialists, home health, occupational health, psychiatric care and more provides comprehensive medical services in more than 100 Northern California communities. Our mission, vision and values lay the foundation for our day-to-day work in doctors’ offices, home health and hospice programs, hospitals, laboratories, research facilities, administrative offices and medical education services. As a unified health care network, we partner to spread innovation, improve access to health care services and put our patients’ needs first—all to achieve the highest levels of quality, access and affordability.

Role Description Accumulates, processes, interprets, and documents timely payer information to justify acute hospital admission, need for continued stay, and proper level of care billing based on clinical outcomes. Responsible for processing concurrent and retrospective denials in collaboration with clinical utilization management staff and internal physician advisors. Under the direction of management, develops, coordinates and monitors systems for the appeal/denial process, tracks and trends data, and coordinates utilization management operations activities with leadership and key stakeholders. Collaborates with other departments. - Monitors and acts as a liaison between leadership, external payers, staff, and other related services and departments to assist with troubleshooting, tracking, and trending the appropriate level of service, payer behavior, and identifying opportunities for improvement. - Assists with assigned projects and participates in department meetings and team discussions. - Adheres to all local, state, and federal regulations, codes of conduct, policies, and procedures to ensure privacy and safety while delivering optimal patient care. Qualifications - HS Diploma or General Education Diploma (GED) - Equivalent experience will be accepted in lieu of the required degree or diploma. - 1 year of recent relevant experience preferred. Requirements - Working knowledge of medical terminology, experience with medical insurance verification, payer reimbursement plans, revenue cycle processes. - Knowledge of criteria required for payment processes. - Ability to interpret a variety of data and instructions, furnished in written, oral, diagram, or schedule form. - Possess written and verbal communications skills to communicate with fellow team members, supervisors, patients, and other personnel. - Well-developed time management and organizational skills, including the ability to prioritize assignments and work within standardized policies and procedures to achieve objectives and meet deadlines, production and quality standards. - Demonstrated knowledge of electronic health record and computer applications. - Ability to work independently, as well as be part of the team, including accomplishing multiple tasks in an environment with interruptions. - Ability to identify, evaluate and problem-solve by selecting appropriate solutions from established options before escalating to leadership. - Ability to build collaborative relationships with peers and other internal/external customers to achieve departmental and enterprise objectives. Benefits - Comprehensive benefits package. Company Description Sutter Health is an equal opportunity employer. EOE/M/F/Disability/Veterans. Pay Range is $29.96 to $43.45 / 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.

Title: Grants & Contracts Analyst III, Post Award Location: Columbia United States Job Description: We are so glad you are interested in joining Sutter Health! Organization: SHSO-Sutter Health System Office-Valley Position Overview: The major functions for post-award grants management and administration for federal and private foundations for basic sciences and clinical research. This position will work with a team of post award analysts providing financial and compliance oversight of grants and contracts. This position will provide management of R01, Cooperative Agreements, Center Grants and Program Project Grants and other award mechanisms. Management will include an entire portfolio of an investigator or laboratory. Management includes financial reporting and projections, assistance with progress reports, an understanding of all the reporting requirements and the notice of grant award, as well as an understanding of policies, guidelines, and regulations pertaining to effective grants management. Job Description: This role has a work from home opportunity. EDUCATION Equivalent experience will be accepted in lieu of the required degree or diploma. - Bachelor's or equivalent education/experience TYPICAL EXPERIENCE: - 5 years year recent relevant experience SKILLS AND KNOWLEDGE: - Advanced analytical skills and generalized knowledge of policies and procedures in more than one functional area or substantive knowledge in a specialized field. - Knowledge of federal government circulars Office of Management and Budget (OMB A-110, A-122 and A-133) state and local regulations and standard contract clauses. - Skills in communication (both written and oral) in the English language, have ability to articulate needs and questions clearly, and have organization, time management, and problem solving skills. - Must be detail-oriented, work quickly and accurately, and be able to multi-task. - Ability to work with competing deadlines and numerous personalities with diplomacy and tact. - Able to work independently with minimal supervision and exercise good judgment according to the goals of the unit. - Demonstrated skills in spreadsheet, word processing, and accounting applications (MS Office, Word, Excel). - Demonstrated ability with financial forecasting. - Knowledge of grants management practices. - Proficient knowledge of accounting practices. - Must possess follow-up and follow-through and investigative skills. - Ability to participate effectively as a member of a clinical research team. Job Shift: Days Schedule: Full Time Days of the Week: Friday, Monday, Thursday, Tuesday, Wednesday Weekend Requirements: None Benefits: Yes Unions: No Position Status: Exempt Weekly Hours: 40 Employee Status: Regular Sutter Health is an equal opportunity employer EOE/M/F/Disability/Veterans. Pay Range is $94,848.00 to $142,272.00 / annual salary. CA Bay Area Pay Range is $109,075.00 to $163,612.00 / annual salary. Arizona, Arkansas, Idaho, Louisiana, Missouri, Montana, South Carolina, Tennessee, Utah Pay Range is $75,878.00 to $113,817.00 / annual salary. Colorado, Florida, Georgia, Illinois, Michigan, Minnesota, Nevada, North Carolina, Ohio, Oregon, Pennsylvania, Texas, Virginia Pay Range is $85,363.00 to $128,044.00 / annual salary. 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.

Role Description This position is available to work from home from within the Sutter Health Northern California footprint. Responsible for performing the appropriate processes to verify patient eligibility, coordinate benefits, ensure insurance coverage, and determine if prior authorization is needed for said order. If needed, obtains authorization and documents in the patient electronic medical record. Facilitates responses to patient inquiries regarding authorizations within turnaround standards. Qualifications - HS Diploma or GED - 1 year recent relevant experience Requirements - Medical terminology, Current Procedural Terminology (CPT)/Healthcare Common Procedure Coding System (HCPCS)/International Classification of Diseases (ICD)-9 coding knowledge - Knowledge of medical terminology/anatomy - Ability to exercise discretion and make independent judgments, seeking review when decisions represent significant departure from established guidelines - Knowledge of Microsoft Office programs including Excel, Word or similar programs - Ability to maintain composure during challenging interpersonal interactions - Active listening skills; including interpersonal skills and telephone communication - Organizational skills with attention to detail and follow-up Benefits - Comprehensive benefits package Company Description Sutter Health is an equal opportunity employer EOE/M/F/Disability/Veterans. Pay Range is $27.50 to $34.37 / 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.

• Creates and maintains standard project artifacts and helps support the execution of project activities • Coordinates activities and resources in support of one or more small to medium-sized project(s) that impact multiple departments, systems, work flows with medium to high risk, scope, size and complexity • Collaborates with project team to develop, maintain, and project manage aspects of a particular project(s) • Develops and maintains project infrastructure in relation to tools, processes, and resources in conjunction with leadership • Works closely with other team members to collect and route information and assists in managing project timelines and escalates as appropriate • Independently manage work plans for sub teams or workgroups within the context of more complex projects.