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Demonstrates expertise in analyzing care management data and managing departmental quality assurance and performance improvement activities, as well as effectively participating in interdepartmental and Medical Center wide teams. | Monitors care managers’ involvement in the development of plans of care that are continuum-based; maintaining strong working relationships with other transitional levels of care within the community and surrounding areas. Redwood City, CA23 days ago Ability to provide leadership, influence others to meet patient needs and achieve shared goals, to effectively prioritize system resources to provide quality and valued patient care, promote cooperative behaviors, act as a role model, resource and mentor. Assistant Patient Care Managers differ from Patient Care Managers in that the latter are unit managers with total responsibility and accountability for one or more patient care units or services. Mountain View, Arizona19 days ago div style="background-color:transparent;color:black;font-family:'tahoma';font-size:10pt;font-weight:bold;text-align:left;border-style:none;border-color:transparent;border-width:1px;margin-left:0px;margin-top:0px;margin-right:0px;margin-bottom:0px">ESSENTIAL FUNCTIONS Redwood City, CA23 days ago Stanford Nursing offers a wide array of career advancement opportunities, access to the latest technologies and health care innovations, and boasts a workplace culture that encourages personal growth and work-life balance, while honoring its commitment to delivering evidence-based and patient-centered care. ANCC Magnet Designation: The American Nurses Credentialing Center (ANCC) Magnet Model provides a framework for clinical, operational, and leadership practice, serving as a roadmap for Stanford Nursing''s ongoing pursuit toward nursing excellence. Grow Your Leadership Career at Stanford: Stanford Health Care is committed to developing future healthcare leaders through mentorship, leadership development programs, process improvement initiatives, and opportunities to participate in innovative care models within a world-class academic health system. Be Part of Advanced Clinical Care: Our clinics perform a wide variety of specialized in-office procedures and coordinated specialty services, creating an exciting environment for leaders who enjoy operational complexity, clinical excellence, and helping teams deliver seamless patient care. Ability to provide leadership, influence others to meet patient needs and achieve shared goals, to effectively prioritize system resources to provide quality and valued patient care, promote cooperative behaviors, act as a role model, resource and mentor. Participates in unit goal and program planning, development, and evaluation of programs and special projects as assigned; participates in and supports continuous quality, process, and performance improvement and risk management programs at the unit(s) level. li>Ability to provide leadership, influence others to meet patient needs and achieve shared goals, to effectively prioritize system resources to provide quality and valued patient care, promote cooperative behaviors, act as a role model, resource and mentor. Assistant Patient Care Managers differ from Patient Care Managers in that the latter are unit managers with total responsibility and accountability for one or more patient care units or services. Ability to provide leadership, influence others to meet patient needs and achieve shared goals, to effectively prioritize system resources to provide quality and valued patient care, promote cooperative behaviors, act as a role model, resource and mentor. Assistant Patient Care Managers differ from Patient Care Managers in that the latter are unit managers with total responsibility and accountability for one or more patient care units or services. ANCC Magnet Designation: The American Nurses Credentialing Center (ANCC) Magnet Model provides a framework for clinical, operational, and leadership practice, serving as a roadmap for Stanford Nursing's ongoing pursuit toward nursing excellence. Stanford Nursing offers a wide array of career advancement opportunities, access to the latest technologies and health care innovations, and boasts a workplace culture that encourages personal growth and work-life balance, while honoring its commitment to delivering evidence-based and patient-centered care. li>Ability to provide leadership, influence others to meet patient needs and achieve shared goals, to effectively prioritize system resources to provide quality and valued patient care, promote cooperative behaviors, act as a role model, resource and mentor. Assistant Patient Care Managers differ from Patient Care Managers in that the latter are unit managers with total responsibility and accountability for one or more patient care units or services. Dublin, California30+ days ago This role is pivotal in mentoring Care Managers, monitoring caseload performance, and fostering strong collaboration across teams and community partners. The Senior Care Manager provides leadership and supervision to a team of Care Managers, each responsible for a portfolio of approximately 50 clients. San Leandro, CA30+ days ago The clinic care manager will also be the nurse case manager for an assigned panel of participants, responsible for comprehensive nursing assessment, care planning and effectuation, care coordination across settings (PACE center, home, contracted providers, hospital/SNF), and proactive management of chronic conditions to support participant safety, independence, and quality of life. To address these gaps, we've found a solution and model of care that integrates the quality care our elders receive at our health center with the most comprehensive support system, like transportation, culturally-inclusive meals, and social activities, our elders deserve. Pleasanton, CA23 days ago Clinical Practice: Ensures the effective delivery of competent, compassionate, and efficient patient care by planning, organizing, and directing the nursing services of unit(s), including the assessment of patients, implementation of physicians'' orders, treatment plans and medical procedures, administration of medication and record keeping of same as well as by monitoring and evaluating patient care processes and outcomes for the patient care unit(s); coordinates nursing activities with those of other services or disciplines. The Patient Care Manager is a Registered Nurse who provides unit leadership and works in partnership with nursing, the healthcare team, hospital/system leaders to develop a quality practice setting that support professional nursing and quality patient care. Mountain View, CA30+ days ago Through use of evidence-based practices, effective communication and utilization of available resources, Case Managers work in collaboration with the interdisciplinary team to advance patients care plan, ensure the appropriate level of care, and prevent unnecessary admissions and readmissions. El Camino Health will provide reasonable accommodations to qualified individuals with a disability if that will allow them to perform the essential functions of a job unless doing so creates an undue hardship for the hospital, or causes a direct threat to these individuals or others in the workplace which cannot be eliminated by reasonable accommodation. San Francisco, CA30+ days ago em> Valid Compact RN License Valid California RN license Valid Illinois RN license (or ability to obtain) Strong background with high risk Obstetrics To all current Molina employees: If you are interested in applying for this position, please apply through the Internal Job Board. Essential Job Duties Completes comprehensive assessments of members per regulated timelines and determines who may qualify for care management based on clinical judgment, changes in member health or psychosocial wellness and triggers identified in assessments. p>Anchor House is hiring a Lead Care Manager to support high-need Medi-Cal members through the CalAIM Enhanced Care Management (ECM) program. This role focuses on overseeing care coordination, supporting care managers, and ensuring quality service delivery. Santa Clara, CA11 days ago li>Drives services related to the initial case assessment by: interviewing patients and their families to evaluate needs, goals, and current services independently; identifying and proposing process improvements for determining initial eligibility, benefits, and education for all admissions; analyzing and ensuring authorization data (e.g., authorization data regarding admitting/principle diagnoses, bed type(s), and disposition data for accuracy, after visit summary) and correcting and escalating inaccuracies; recommending and designing research plans that identify new and/or existing options to assure that quality, cost-efficient care is provided; and leveraging advanced knowledge to assess medical necessity for hospital admission and required level of care to inform physicians. Supports efforts to remain updated on current research, policies, and procedures by: researching, recommending, and attending pertinent seminars, workshops, and approved educational programs and workshops specific to professional needs; implementing systems, processes, and methods to maintain team knowledge of community resources; monitoring and/or reviewing operational team data and key metrics applied to own work; making suggestions for change or improvement as needed, and helping others to develop ideas as needed; and implementing policy updates to ensure that regulatory requirements are being met. San Francisco, CA30+ days ago The Lead Care Manager (LCM) at the ECM program will maintain a caseload of members served under the Managed Care Plan (MCP) providing care by linking the client with appropriate services to address specific needs such as: health benefits, mental health, substance use disorder, physical health, employment, family and children services, Justice-Involved concerns, housing, community resources, outpatient substance use disorder services, and aftercare. A key feature of CalAIM is the statewide introduction of an Enhanced Care Management (ECM) benefit and a menu of Community Supports, which, at the option of a Managed Care Plan (MCP), publicly funded health insurance plans for low-income citizens, can address the clinical and non-clinical needs of Populations of Focus with the most complex medical and social needs. San Francisco, CA17 days ago p>. California pay range $100,000—$105,000 USD SUMMARY: Under the supervision of the Clinical Manager, the AHD Wound Care Center Case Manager (RN) is responsible for providing comprehensive case management services to clients identified with complex wound conditions and assist them with social challenges that are at risk for health status decline. Final compensation will be determined based on several factors, including but not limited to a candidate's experience, education, skills, licensure and certifications, departmental equity, applicable collective bargaining agreements, and the operational needs of the organization. San Francisco, CA10 days ago ul>Individuals transitioning from incarceration/Justice Involved: Adults transitioning from a correctional setting or transitioned from a correction setting within the past 12 months, or children and youth who are transitioning from a youth correctional facility or transitioned from being in a youth correctional facility within the past 12 months. - Adults living in the community and at risk for long-term care institutionalization: Adults who are living in the community who meet the SNF Level of Care criteria; or who require lower-acuity skilled nursing or equipment for prevention, diagnosis, or treatment of acute illness or injury.
Greenbrae, CA30+ days ago MarinHealth is already realizing the benefits of impressive growth and has consistently earned high praise and accolades, including being Named One of the Top 250 Hospitals Nationwide by Healthgrades, receiving a 5-star Ranking for Overall Hospital Quality from the Centers for Medicare and Medicaid Services, and being named the Best Hospital in San Francisco/Marin by Bay Area Parent, among others. Job Description Summary: The Social Work (SW) Case Manager, in collaboration with members of the inter-disciplinary healthcare team, leads the development and implementation of the multidisciplinary plan of care for patients, determining appropriate patient status and level of care; ensuring effective quality and cost-efficient outcomes, and supervising the provision of the discharge plan of care. p>MarinHealth is already realizing the benefits of impressive growth and has consistently earned high praise and accolades, including being Named One of the Top 250 Hospitals Nationwide by Healthgrades, receiving a 5-star Ranking for Overall Hospital Quality from the Centers for Medicare and Medicaid Services, and being named the Best Hospital in San Francisco/Marin by Bay Area Parent, among others. EXPERIENCE: Internal Candidates: - Requires at least two years of service at MarinHealth Medical Center as a Licensed Clinical Social Worker (LCSW) I, with progressing leadership qualities, duties, and responsibilities as evidenced by participation in quality improvement projects, committee participation, or other approved professional practice development projects.
MarinHealth is already realizing the benefits of impressive growth and has consistently earned high praise and accolades, including being Named One of the Top 250 Hospitals Nationwide by Healthgrades, receiving a 5-star Ranking for Overall Hospital Quality from the Centers for Medicare and Medicaid Services, and being named the Best Hospital in San Francisco/Marin by Bay Area Parent, among others. Job Description Summary: The Social Work (SW) Case Manager, in collaboration with members of the inter-disciplinary healthcare team, leads the development and implementation of the multidisciplinary plan of care for patients, determining appropriate patient status and level of care; ensuring effective quality and cost-efficient outcomes, and supervising the provision of the discharge plan of care. p>Our work is powered by a deeply collaborative team of nurses, social workers, community health workers, and medical professionals working alongside product, technology, and operations to close care gaps and improve outcomes for high-need patients. Meet members in person at their homes, in the community, or at partner organizations to complete new patient onboardings, deliver care packages, or collect health readings such as blood pressure. San Francisco, CA11 days ago p>Enhanced Care Management (ECM) is a Medi-Cal managed care benefit that addresses clinical and non-clinical needs of high-need youth and families through the coordination of services and comprehensive care management. This vital role involves close collaboration with an extended ECM team across counties, partnering with managed care plans, and building strong relationships to ensure youth and families receive the services they need to thrive. Enhanced Care Management (ECM) is a Medi-Cal managed care benefit that addresses clinical and non-clinical needs of high-need youth and families through the coordination of services and comprehensive care management. This vital role involves close collaboration with an extended ECM team across counties, partnering with managed care plans, and building strong relationships to ensure youth and families receive the services they need to thrive. |