NewDirector of Case Management Macpower Digital Assets Edge Private LimitedDirector of Case ManagementSan Ramon, CA$180,000–$230,000 / yearJob Summary: The individual in this position has overall responsibility for hospital utilization management, transition management and operational management of the Case Management Department in order to promote effective utilization of hospital resources, timely and accurate revenue cycle processes, denial prevention, safe and timely patient throughput, and compliance with all state and federal regulations related to case management services. Other: Required skills include demonstrated organizational skills, excellent verbal and written communication skills, ability to lead and coordinate activities of a diverse group of people in a fast-paced environment, critical thinking and problem-solving skills and computer literacy.
Travel Nurse (RN) - Case Management (Case Manager) Epic Travel StaffingTravel Nurse (RN) - Case Management (Case Manager)Oakland, CABy applying for this position, you agree that any calls from Epic Staffing Group and its subsidiaries may be monitored or recorded for training and quality assurance purposes. We`ll be your ticket to the travel RN - Case Manager job you`ll love with unparalleled recruiter support and industry-best benefits.
Manager, Case Management (LCSW/LMFT) VyncaManager, Case Management (LCSW/LMFT)San Mateo, CaliforniaRemoteThe ECM Clinical Manager will communicate directly with ECM staff and occasionally with patients via telephone, telehealth, or during Interdisciplinary Care Team meetings (as needed) to discuss medication management/adherence, ensure appropriate follow-up with Primary Care Provider, Behavioral Health Provider, and other specialist(s). The ECM Clinical Manager will collaborate with the client’s broader care team (PCP, BH clinicians, etc.) to provide client advocacy, ensure that the clients receive needed services, and measure progress toward the goals outlined in their patient-centered individualized care plan.
Manager - Case Management San Ramon Regional Medical CenterManager - Case ManagementSan Ramon, CAThe individual in this position has overall responsibility for hospital utilization management, transition management and operational management of the Case Management Department in order to promote effective utilization of hospital resources, timely and accurate revenue cycle processes, denial prevention, safe and timely patient throughput, and compliance with all state and federal regulations related to case management services. • Monitors case management processes and staff productivity to ensure medical necessity reviews are completed timely and accurately, payer communications are sent and authorizations or denials documented and followed up, and that transition planning assessments are completed timely.(20% daily, essential).
Lead Clinical Case Management Supervisor Bonita House, IncLead Clinical Case Management SupervisorOakland, CA$110,000–$115,000 / yearThe Lead Clinical Case Management Supervisor will provide case management oversight of referral and intake process of the SIL program providing leadership and training to case management staff working in the field to establish effective relationships to people with mental health issues and meet goals of individual client-centered care plans, which may include service coordination, medication management support, assistance with life skills training, finding and maintaining housing and healthcare. The Supervisor participates in the middle management team and is responsible for coordinating with other agency departments, hiring and evaluating staff teams, developing resources and implement training to ensure a well-trained high functioning team, and to provide direct oversight of all aspects of program to ensure quality and compliance.
Manager, Case Management (RN) VyncaManager, Case Management (RN)San Mateo, California$90,000–$115,000 / yearThe ECM Clinical Manager will communicate directly with ECM staff and occasionally with patients via telephone, telehealth, or during Interdisciplinary Care Team meetings (as needed) to discuss medication management/adherence, ensure appropriate follow-up with Primary Care Provider, Behavioral Health Provider, and other specialist(s). The ECM Clinical Manager will collaborate with the client’s broader care team (PCP, BH clinicians, etc.) to provide client advocacy, ensure that the clients receive needed services, and measure progress toward the goals outlined in their patient-centered individualized care plan.
Utilization Review/Case Management RN Pyramid, IncUtilization Review/Case Management RNSanta Clara, CA$75–$85 / hourFull timeKey Responsibilities: Utilization Management:-Performs daily pre-admission, admission, and concurrent utilization reviews using guidelines, institutional policies/procedures, and other information to determine appropriate levels of care and readiness for discharge. By applying to our jobs you agree to receive calls, AI-generated calls, text messages, or emails from Pyramid Consulting, Inc. and its affiliates, and contracted partners.
Travel Case Management RN in Oakland, California Gifted HealthcareTravel Case Management RN in Oakland, CaliforniaOakland, CACase Management RN job responsibilities include, but are not limited to: Pair patients with resources they need within or outside current facilities, finding affordable, efficient healthcare services that suit every patient’s unique medical condition . Case Management Nurses coordinate long-term individual care services beyond the bedside, providing long-term assistance to patients and family members to advocate for their quality care.
Supervisor, Case Management Santaclara Family Health PlanSupervisor, Case ManagementSan Jose, CAThe Supervisor of Case Management is responsible for the oversight of daily operations of case management activities, providing assistance with the development and implementation of new programs and related workflows, coordinating case management referrals for all lines of business, and serving as a resource for internal departments, members, providers, delegates and community partners. Monitor and provide continuous quality improvement to the processes of basic, specialty and complex case management, including timely completion of Health Risk Assessments (HRA), documented development of member care teams, development and monitoring of Individual Care Plans (ICP) and changes to members' risk stratification after time of enrollment.
NewSenior Paralegal - Employment Law Case Management Macpower Digital Assets Edge Private LimitedSenior Paralegal - Employment Law Case ManagementSan Jose, CA$35–$46 / hourJob Summary: We are seeking an experienced Employment Legal Paralegal/Case Manager to support our Employment Legal team. Project Management: Develop and manage project plans for high-priority legal projects.
Travel RN Case Management Voyage HealthTravel RN Case ManagementSan Mateo, California$2,825–$2,974At Voyage Healthcare, we help connect nurses, therapists, and allied health pros with high-paying travel jobs at top-rated facilities across the U.S. With thousands of openings nationwide, you can earn up to $3,500+ per week (depending on your specialty, location, housing, and benefits)—all while making a real impact on the communities that need you most. We're hiring experienced RN Case Management for a 13-week contract in San Mateo, California — earn up to ($2826 - $2975 per week) while providing essential care at a leading facility.
Patient Safety & Pharmacovigilance Case Management Operations Lead Corcept TherapeuticsPatient Safety & Pharmacovigilance Case Management Operations LeadRedwood City, CA$209,100–$340,000 / yearWith advanced clinical trials in patients with hypercortisolism, solid tumors, ALS and liver disease, Corcept is unlocking the power of cortisol modulation to help address some of the most devastating diseases patients face today. Strong expertise in safety database systems (e.g., Argus) and electronic reporting requirements, including demonstrated success with drug safety case processing combined with a thorough knowledge of drug safety database utilization, systems and applications.
Case Management Leader - Fully Remote MercorCase Management Leader - Fully RemoteSan Francisco, CaliforniaRemote$100–$150 / hourLead utilisation management and case management operations, including concurrent review, retrospective review, discharge planning, and care coordination. Coordinate with clinical teams, payers, and post-acute providers to facilitate appropriate care transitions and discharge planning.
Case Management Liaison Lead Stanford Health Care Tri-ValleyCase Management Liaison LeadPleasanton, CaliforniaThe salary of the finalist selected for this role will be set based on a variety of factors, including but not limited to, internal equity, experience, education, specialty and training. Will serve as a resource to the UM/CM team members and is responsible for processing authorizations within the scope of their assignment and will oversee the CM Liaison Team in the daily operations.
Temp Social Work Case Manager Santaclara Family Health PlanTemp Social Work Case ManagerSan Jose, CAThrough the development and implementation of member individualized care plans, the Social Work Case Manager II provides psychosocial and behavioral case management support to help coordinate resources and services for individuals across the healthcare and social services continuum, and facilitates the use of available healthcare benefits in compliance with all applicable state and federal regulatory requirements, SCFHP policies and procedures, and business requirements. Coordinate member's care with primary care providers, specialists, behavioral health providers, Long Term Services and Supports providers, public services, community providers, and vendors as necessary and appropriate to assist member to achieve and maintain optimal level of functional independence to reside in the most appropriate level of care.
Social Work Case Manager II Santaclara Family Health PlanSocial Work Case Manager IISan Jose, CAThrough the development and implementation of member individualized care plans, the Social Work Case Manager II provides psychosocial and behavioral case management support to help coordinate resources and services for individuals across the healthcare and social services continuum, and facilitates the use of available healthcare benefits in compliance with all applicable state and federal regulatory requirements, SCFHP policies and procedures, and business requirements. Coordinate member's care with primary care providers, specialists, behavioral health providers, Long Term Services and Supports providers, public services, community providers, and vendors as necessary and appropriate to assist member to achieve and maintain optimal level of functional independence to reside in the most appropriate level of care.
Temp RN Case Manager Santaclara Family Health PlanTemp RN Case ManagerSan Jose, CAThrough the development and implementation of member individualized care plans, the RN Case Manager provides medical and psychosocial case management support to help coordinate resources and services for individuals across the healthcare and social services continuum, and facilitate the use of available healthcare benefits in compliance with all applicable state and federal regulatory requirements, SCFHP policies and procedures, and business requirements. Maintenance of a valid California driver's license and acceptable driving record, in order to drive to and from offsite meetings or events; or ability to use other means of transportation to attend offsite meetings or events.
RN Case Manager Santaclara Family Health PlanRN Case ManagerSan Jose, CAThrough the development and implementation of member individualized care plans, the RN Case Manager provides medical and psychosocial case management support to help coordinate resources and services for individuals across the healthcare and social services continuum, and facilitate the use of available healthcare benefits in compliance with all applicable state and federal regulatory requirements, SCFHP policies and procedures, and business requirements. Facilitate and coordinate communication with member's interdisciplinary care team including SCFHP internal staff, as well as the member's physicians, specialists, public services, community agencies and vendors to ensure care plan development and coordination of benefits and services.
Case Manager I, Health Systems Navigation GlideCase Manager I, Health Systems NavigationSan Francisco, California$31–$33 / hourBachelor’s degree in social work, public health or related field and/or 2+ years providing harm reduction focused case management services to high-risk populations, including knowledge providing prescriptions for suboxone, naltrexone and other medications (and methadone dispensaries) used to support treatment adherence for clients who access HEAT MOUD services. GLIDE’s mission is to create a radically inclusive, just, and loving community mobilized to alleviate suffering and break the cycles of poverty and marginalization Position Summary: The Health Systems Navigation (HSN) Case Manager provides comprehensive, client-centered case management with a harm reduction focus to individuals who use substances.
NewBilingual Case Manager III (Senior Subsidy Program) Catholic CharitiesBilingual Case Manager III (Senior Subsidy Program)San Francisco, California$34.89–$35.41 / hourSensitivity to, and possess a knowledge of services for seniors and adults with disabilities, homelessness/unstable housing, substance use disorders, and associated Healthcare [physical and mental health – acute/chronic] issues. Catholic Charities Housing Support Services “To provide individual and crisis intervention counseling and services to program clients in order to ensure opportunity for clients to maintain their housing.