Education: Graduated from an accredited nursing school or college. BSN required. Masters prepared in nursing or other health related field preferred.
Licensure/Certification: Current California State RN License required. Certified Case Manager (CCM) or Accredited Case Manager (ACM) within (2) two years of starting the position.
Experience: Minimum of (2) two years relevant clinical experience required. Minimum (1) one year case management experience required; equivalent case management education and/or experience will be considered.
Skills:
- Knowledge of personal computer with experience entering and retrieving data and MS Suite software specifically MS Word processing and/or good keyboard skills required.
- Ability to effectively communicate with all levels of patients, physicians, health care personnel, supervisory staff, and peers.
- Demonstrates the exceptional ability to be organized and efficient in prioritizing and managing assignments with minimal oversight and direction.
- Demonstrates the willingness to research, learn, and obtain knowledge for the performance of the position.
- Demonstrates a courteous, professional demeanor at all times either working individually or in a team environment working collaboratively in an effective manner maintaining positive relationships with peers and supervisors alike.
- Utilizes critical thinking, and applies sound clinical judgment and assessment skills for decision making.
Interpersonal Skills: Demonstrates NorthBay's values and true north including nurturing care, own it, respect relationships, build trust, hardwire excellence.
Knowledge of:
- NCQA, DHS, CMS, JCAHO and EMTALA standards and federal and state regulations.
- Acute care, home care, subacute care, long-term care, hospice interventions, rehabilitation options, other community resources and requirements.
- Millimann, Interqual medical necessity guidelines.
- Expert knowledge of CPT and HCPC codes and related guidelines.
- Expert knowledge of ICE guidelines governing TAT, claims and the denial process.
- Current standards and trends in health care, best practices, management tools, and familiarity with related resources and literature.
- Capitation and Managed Care legislation.
- CMSA Standards of Practice
Hours of Work: Eight hour shift on scheduled days based on business need.
Interpersonal Skills and Values
Demonstrates NorthBay Health’s True North Values: Nurture Care, Own It, Respect Relationships, Build Trust, and Hardwire Excellence. These values guide behavior, accountability, teamwork, and commitment to high-quality patient care.
Why NorthBay Health
NorthBay Health is an independent, nonprofit health system serving the Napa, Solano, and Yolo County regions. We are expanding access to care across our communities through two acute-care hospitals, including a Level II Trauma Center and a Level III NICU maternity unit, along with a cancer center, urgent care locations, and a growing network of primary and specialty care clinics.
We provide advanced services in cardiovascular care, neuroscience, orthopedics, surgery, and outpatient specialties. NorthBay Health is nationally recognized for quality care, including Magnet with Distinction designation for nursing and multiple U.S. News and World Report high performing recognitions.
We are committed to being the trusted healthcare partner of choice and offer an environment where employees can grow, contribute meaningfully, and support the health of our communities.
NorthBay Health Benefits Options
NorthBay Health offers a comprehensive benefits package based on established eligibility requirements. Benefits may include medical, dental, and vision insurance, life, disability, and long-term care coverage, paid time off including vacation, sick leave, holidays, and bereavement, a 403(b) retirement plan with employer match, education reimbursement for eligible roles, professional development and training programs, Employee Assistance Program, wellness programs, recognition programs, shift differentials, and market-based compensation review and increases subject to approval and organizational performance.
Compensation Structure
NorthBay Health uses a structured compensation framework. Staff-level positions use a step-based system (Steps 1–5) based on years of directly related experience, with Step 5 representing 20 or more years of experience in the role. Manager level and above positions are paid a fixed annual base salary and are eligible for a variable incentive compensation plan. Physician compensation is structured based on specialty and role requirements.
Remote Work Disclosure
NorthBay Health is primarily an onsite organization due to the nature of healthcare. Some roles may allow hybrid or remote work based on business needs.
Remote work is not supported in Washington, Ohio, Wyoming, North Dakota, Puerto Rico, the U.S. Virgin Islands, or outside of the United States.
Notice to Recruitment Agencies
NorthBay Health utilizes a managed service provider (MSP) for agency partnerships and is not currently engaging external recruiting firms outside of established agreements. We do not accept unsolicited resumes or third-party candidate submissions. Please do not contact NorthBay Health employees, leaders, physicians, or hiring managers regarding recruitment or job postings.
More Information
Visit NorthBay Health Careers for recruitment FAQs and additional information.
