Location & Practice Overview

This RN Case Manager role is based with Sutter Care at Home – Valley and centers on delivering skilled nursing and care coordination in patients’ residences throughout the Sacramento area.

Practice Type Home health agency within a not-for-profit health system
Service Line Sutter Care at Home – Valley
Care Setting In-home visits across the Sacramento region
Geographic Context Sacramento, California and surrounding communities
Practice Model Interdisciplinary home-based care with assigned caseload

Responsibilities

  • Manage the overall care of an assigned patient caseload, including direct skilled nursing visits that meet established productivity standards.
  • Plan, organize, and direct all patient care services for caseload patients in accordance with current standards and regulations.
  • Coordinate the interdisciplinary team to implement the established plan of care while monitoring visit utilization and controlling related expenses.
  • Exercise independent nursing judgment in clinical assessment, care planning, and ongoing patient management within the home setting.
  • Recognize unsafe or emergency situations and respond appropriately while maintaining clear communication with patients, families, and the care team.

The role may also include supporting agency-wide orientation, competency evaluation, or clinical consultation based on specific expertise.

Qualifications & Requirements

Candidates must hold active California credentials and demonstrate recent relevant experience suitable for independent home health case management.

Education
Graduate of an accredited School of Nursing
Licensure
Current California Registered Nurse (RN) license
Certifications
BLS Healthcare Provider certification
Experience
2 years recent relevant experience
Transportation
Valid driver’s license, automobile insurance, and reliable transportation
Clinical Knowledge
Pathophysiology and treatment protocols for common home care diagnoses; understanding of palliative care for terminally ill patients

Compensation & Benefits

Pay is structured as an hourly rate within a published range that accounts for experience, education, skills, and organizational needs. Eligible positions include a comprehensive benefits package.

  • Hourly rate: $71.18–$99.65
  • Full benefits package available for eligible positions
  • Non-exempt status with 40 weekly hours

Schedule & Work Environment

Employment Status Full-time, regular, non-exempt
Shift Days, 8-hour shifts
Days of Week Monday–Friday
Weekends Rotating weekend requirements
Work Environment Community-based home visits with independent travel between patient residences

Patient Population & Clinical Setting

Care is delivered in the private residences of patients who require skilled nursing support after hospitalization, during recovery from acute episodes, or while managing chronic conditions.

Care Location Patients’ homes and community residences
Clinical Context Home health patients requiring ongoing skilled nursing oversight
Special Considerations Includes recognition of the needs of hospice and terminally ill patients when encountered in the home
Acuity Range Variable acuity typical of community-based skilled nursing caseloads

Clinical Focus & Key Services

The clinical core of this position is comprehensive case management of home health patients, combining skilled nursing assessment with coordinated multidisciplinary support to maintain quality care standards in the home environment.

Core Service Skilled nursing assessment and ongoing clinical management of common home care diagnoses
Care Coordination Interdisciplinary plan implementation and utilization management
Supportive Focus Palliative and comfort-oriented support for terminally ill patients encountered in the caseload
Safety Emphasis Infection control, basic safety principles, and emergency recognition within the home setting

Role Highlights

This position emphasizes autonomous clinical decision-making within a structured caseload model and includes opportunities to contribute to staff development.

  • High degree of independent nursing judgment required for planning and delivering care in patients’ homes
  • Direct accountability for visit utilization management and expense control across the assigned caseload
  • Opportunity to support agency orientation, competency evaluation, and clinical consultation in areas of specific expertise
  • Balanced full-time structure that combines weekday productivity standards with rotating weekend coverage

About Sutter Care at Home

Sutter Care at Home is a not-for-profit, Medicare-certified home health and hospice organization affiliated with Sutter Health. It delivers multidisciplinary home-based services across Northern California, including skilled nursing, therapy, medical social work, and home health aide support. The Sacramento location serves as a key branch for home health and related services in the Valley region.

Organization Type Not-for-profit home health and hospice agency
Affiliation Sutter Health
Geographic Reach Multiple counties across Northern California
Primary Services Skilled nursing, physical, occupational and speech therapy, medical social services, home health aide care
Sacramento Branch Home health and hospice services based in the Sacramento area

Frequently Asked Questions

Is reliable personal transportation required for this role?
Yes. A valid driver’s license, current automobile insurance, and reliable transportation are required because care is delivered through in-home visits across the service area.
Does the position involve productivity standards for visits?
Yes. The role includes a designated visit productivity standard and accountability for effective management of visit utilization within the assigned caseload.
Will I work primarily independently or with a team?
You function both independently in the home setting and as a coordinating member of an interdisciplinary team responsible for implementing each patient’s plan of care.
Are there opportunities to support other clinical staff?
The position may include assisting with agency-wide orientation, competency evaluations, and clinical consultation related to specific areas of expertise.
Does this role include exposure to hospice or palliative care needs?
Yes. The position requires the ability to recognize the special needs of hospice patients and an understanding of palliative care for terminally ill patients encountered in the home.
Is this a union position?
No. The posting indicates the position is non-union.

RN Case Manager, Home Health in Sacramento, CA

This full-time RN Case Manager position with Sutter Care at Home – Valley in Sacramento centers on managing an assigned caseload of home health patients. The role combines direct skilled nursing visits with overall responsibility for planning, organizing, and directing care services in accordance with regulatory standards. Working primarily in patients’ homes, the nurse coordinates an interdisciplinary team, monitors visit utilization, and maintains quality while meeting established productivity expectations. Candidates need a California RN license, BLS certification, a valid driver’s license with automobile insurance, reliable transportation, and two years of recent relevant experience. The schedule consists of daytime 8-hour shifts Monday through Friday with rotating weekend coverage. Compensation is $71.18–$99.65 per hour, and eligible employees receive a comprehensive benefits package. The position suits nurses who can exercise independent clinical judgment, communicate effectively with patients and families, and navigate the practical demands of community-based care, including recognition of hospice and palliative needs when they arise. Sutter Care at Home operates as a not-for-profit, Medicare-certified provider of multidisciplinary home health and hospice services across Northern California under the Sutter Health system.

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