p>Journey Home Case Managers spearhead mobile and on-premises client outreach, intake, assessment, and low-threshold to intensive case management: develop and manage individualized care plans, coordinate resources and wrap-around services, transport clients to appointments, connect clients with shelter and housing, facilitate health, mental health, and substance use disorder treatment, arrange travel and transportation, and help clients reunite with family, support networks, and careers for long-term well-being and housing stabilization. - Bachelor’s degree in social work, public health, or 2+ years providing outreach, navigation, and low-threshold to intensive case management services to high-risk populations, including expert knowledge of stabilization, shelter, housing, and substance use disorder treatment centers.
Palm Springs, CA3 days ago
p>Desert Care Network serves the healthcare needs of the Coachella Valley and Morongo Basin regions in Southern California with three hospitals Desert Regional Medical Center in Palm Springs, JFK Memorial Hospital in Indio and Hi-Desert Medical Center in Joshua Tree. GENERAL DUTIES:
The individual in this position is responsible to facilitate care along a continuum through effective resource coordination to help patients achieve optimal health, access to care and appropriate utilization of resources, balanced with the patient’s resources and right to self-determination.
li>The Case Manager works with the participants, their legal representatives, circles of support, and/or primary care physicians and providers to ensure their safety, services, and goals are met.
The Case Manager must report all signs of abuse or neglect to DHCS and the Ombudsman (if abuse or neglect occurs in a facility) or DHCS and APS (if abuse or neglect occurs in Physical home).
Santa Cruz, CA30+ days ago
p>Additional departments include Student Health Outreach and Promotion (SHOP), home of the Condom Co-op, the Cove Collegiate Recovery Program (CCRP), where students receive harm-reduction and recovery services; CARE (Center for Advocacy, Resources & Empowerment) the advocacy and prevention education office that supports those who have experienced sexual assault, stalking, and dating/domestic violence; Optometry, and Student Insurance and Referral Programs. Counseling and Psychological Services (CAPS) provides a variety of mental health and psychological services to UCSC undergraduate and graduate students, including intake assessment, brief and long-term individual, group therapy, crisis intervention, mental health outreach and workshop programming, consultation, and liaison relationships to support student mental health and well-being.
In addition, Medical Case Managers are eligible for bonus and will be provided state-of-the-art technological devices to ensure ready access to CorVel's proprietary Case Management application, enabling staff to retrieve documents on the go and log activities as they occur. Pay rates are established taking into account the following factors: federal, state, and local minimum wage requirements, the geographic location differential, job-related skills, experience, qualifications, internal employee equity, and market conditions.
In addition, Medical Case Managers are eligible for bonus and will be provided state-of-the-art technological devices to ensure ready access to CorVel's proprietary Case Management application, enabling staff to retrieve documents on the go and log activities as they occur. Pay rates are established taking into account the following factors: federal, state, and local minimum wage requirements, the geographic location differential, job-related skills, experience, qualifications, internal employee equity, and market conditions.
In addition, Medical Case Managers are eligible for bonus and will be provided state-of-the-art technological devices to ensure ready access to CorVel's proprietary Case Management application, enabling staff to retrieve documents on the go and log activities as they occur. Pay rates are established taking into account the following factors: federal, state, and local minimum wage requirements, the geographic location differential, job-related skills, experience, qualifications, internal employee equity, and market conditions.
FLSA StatusNon-ExemptSalary Range$26.00 - $30.00 per hourReports ToECM Program ManagerDirect ReportsNoneLocationMerced, CATravelUp to 80%Work TypeRegularScheduleFull-Time (40 hours)Part-Time (20 hours)Position Description: Educating members about ECM services, assisting them with enrollment and serving as the primary liaison between the member and any services they may need. Our comprehensive NCQA certified population health management platform and highly experienced team brings deep expertise, experience, proven tools, and processes to improve financial performance and quality outcomes for all types of payers and providers.
Essential Responsibilities: The individuals responsibilities include the following activities: a) accurate medical necessity screening and submission for Physician Advisor review b) care coordination, c) implementation of the transition plan based on RN Case Manager and/or Social Worker (SW) assessment(s), d) communication with interdisciplinary team during patient care conferences, e) management of concurrent disputes, f ) communication with patients and families regarding the plan of care established by RN, SW and Physician, g) collaboration with physicians, office staff and ancillary departments, h) clear, complete and concise documentation in electronic system, i) maintenance of accurate patient demographic and insurance information, j) identification and documentation of potentially avoidable days, k) identification and reporting of over and underutilization , l) and other duties as assigned. Job Summary: The LVN/LPN Case Manager Assistant is responsible to conduct medical necessity screening and work collaboratively with the interdisciplinary team to provide care coordination for patients under the direction of a Registered Nurse and in compliance with evidence-based practice and regulatory requirements.
Leveraging our extensive, hands-on expertise in helping IPAs, ACOs and health systems achieve successful outcomes in risk contracts, our team of managed care experts draw insights from the analytic outputs that are tailored to each organization’s unique circumstances to interpret the data and recommend initiatives to help improve total cost and quality. FLSA StatusNon-ExemptSalary Range$26.00 - $30.00 per hourReports ToLicensed Clinical Social WorkerDirect ReportsNoneLocationSalinas, CATravelUp to 80%Work TypeRegularScheduleFull TimePosition Description: Educating members about ECM services, assisting them with enrollment and serving as the primary liaison between the member and any services they may need.
Palm Springs, CA3 days ago
p>Desert Care Network serves the healthcare needs of the Coachella Valley and Morongo Basin regions in Southern California with three hospitals Desert Regional Medical Center in Palm Springs, JFK Memorial Hospital in Indio and Hi-Desert Medical Center in Joshua Tree. GENERAL DUTIES:
The individual in this position is responsible to facilitate care along a continuum through effective resource coordination to help patients achieve optimal health, access to care and appropriate utilization of resources, balanced with the patient's resources and right to self-determination.
Los Angeles, CA30+ days ago
p>As the program's clinical expert and primary Case Manager, the incumbent conducts medical and social assessments, evaluates patient progress, provides patient and family education, and ensures consistent follow-up and quality assurance. The Clinical Operations Lead/Nurse Case Manager for the IMPACT Program provides clinical and administrative leadership for a statewide prostate cancer treatment initiative.
In addition, Medical Case Managers are eligible for bonus and will be provided state-of-the-art technological devices to ensure ready access to CorVel’s proprietary Case Management application, enabling staff to retrieve documents on the go and log activities as they occur. Pay rates are established taking into account the following factors: federal, state, and local minimum wage requirements, the geographic location differential, job-related skills, experience, qualifications, internal employee equity, and market conditions.
In addition, Medical Case Managers are eligible for bonus and will be provided state-of-the-art technological devices to ensure ready access to CorVel’s proprietary Case Management application, enabling staff to retrieve documents on the go and log activities as they occur. Pay rates are established taking into account the following factors: federal, state, and local minimum wage requirements, the geographic location differential, job-related skills, experience, qualifications, internal employee equity, and market conditions.
Huntington Beach, California16 days ago
p style="margin:0px">Registered Nurse (RN), Nursing, Home Care Registered Nurse, Emergency Room Registered Nurse, Clinical Nurse, Nurse Case Manager, Field Case Manager, Medical Nurse Case Manager, Workers’ Compensation Nurse Case Manager, Critical Care Registered Nurse, Advanced Practice Registered Nurse (APRN), Nurse Practitioner, Case Management, Case Manager, Home Healthcare, Clinical Case Management, Hospital Case Management, Occupational Health, Patient Care, Utilization Management, Acute Care, Orthopedics, Rehabilitation, Rehab, CCM, Certified Case Manager, CDMS, Certified Disability Management Specialist, CRC, Certified Rehab Certificate, CRRN, Certified Rehab Registered Nurse, COHN, Certified Occupational Health Nurse, CMC, Cardiac Medicine Certification, CMAC, Case Management Administrator Certification, ACM, Accredited Case Manager, MSW, Masters in Social Work, URAC, Vocational Case Manager. As a Field Case Manager, you will work closely with treating physicians/providers, employers, customers, legal representatives, and the injured/disabled person to create and implement a treatment plan that returns the injured/disabled person back to work appropriately, ensure appropriate and cost-effective healthcare services, achievement of maximum medical recovery and return to an optimal level of work and functioning.
San Francisco, CA15 days ago
The Department of Veterans Affairs performs pre-employment reference checks as an assessment method used in the hiring process to verify information provided by a candidate (e.g., on resume or during interview or hiring process); gain additional knowledge regarding a candidates abilities; and assist a hiring manager with making a final selection for a position. At the time of appointment, the supervisor, chief social work or social work executive will provide the unlicensed/uncertified social worker with the written requirements for licensure or certification, including the time by which the license or certification must be obtained and the consequences for not becoming licensed or certified by the deadline.
The Care Management Supervisor – Adult Programs will lead both clinical and non-clinical staff in addressing the medical and psychosocial needs of members, while providing resources and facilitating connections to government programs, social services, and community resources. Refer members to specialized programs such as California Children's Services (CCS), Tri County Regional Center (TCRC), County Behavioral Wellness, Public Health, Local Educational Agency (LEA), In-Home Waiver, Family Service Agency (FSA), etc.
Sunnyvale, CA30+ days ago
The Case Manager works with insurance carriers, medical care providers, attorneys, employers, and employees and closely monitors the progress of the injured worker and reports results back to the employer and insurance carriers. For the fourth year in a row, weve been certified by Great Place to Work and for the third consecutive year, weve earned a spot on Fortunes Best Workplaces in Health Care list.
The RN Case Manager serves as a clinical care coordinator and population health resource focused on reducing avoidable hospital readmissions, improving transitions of care, supporting preventive services, and facilitating interdisciplinary coordination for medically complex post-acute and long-term care patients. This role works collaboratively with CHCA physicians, nurse practitioners, physician assistants, social workers, facility nursing staff, specialists, and ancillary service providers to improve patient outcomes and continuity of care.
Monterey, California30+ days ago
strong>CNAs and Trained Caregivers
Peggy’s Home Care Monterey CA trains all Caring Professionals with our customized training that teaches the individuals providing care a holistic approach to highly skilled care.
We engage our Caring Professionals in quarterly free wellness trainings called “Care for the Caregivers”.
Where Purpose Meets Performance.
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.
Schedules appointments and conducts interactive, fact-gathering interviews with applicants and recipients to obtain demographic, financial, and asset information necessary to determine initial and/or ongoing eligibility for various public assistance, medical, housing, and/or workforce development programs; conducts interviews in the County welfare office, satellite offices, hospitals, participants homes, and other locations. If a new employee is currently a member of a qualifying California public retirement plan without a break in service of no more than 6 months (documentation will be required), or ever worked for Kings County previously, they may qualify instead for either of these plans (with single highest year final compensation) in effect prior to January 1, 2013: Miscellaneous - 2% at 55.
Los Angeles, CA30+ days ago
li>Maintains a working a knowledge of up-to-date medical information including but not limited to medications, procedures, equipment, therapies, treatments, their uses, contraindications, side effects, etc. and provides research information to adjusters to assist with determinations of medical necessity and appropriateness. The Field Case Manager position is responsible for assessing and analyzing information pertinent to injured employees to evaluate the medical and vocational needs required to facilitate the patient's rehabilitation in order to promote appropriate and timely return to work.
San Diego, CA30+ days ago
li>Maintains a working a knowledge of up-to-date medical information including but not limited to medications, procedures, equipment, therapies, treatments, their uses, contraindications, side effects, etc. and provides research information to adjusters to assist with determinations of medical necessity and appropriateness. The Field Case Manager position is responsible for assessing and analyzing information pertinent to injured employees to evaluate the medical and vocational needs required to facilitate the patient's rehabilitation in order to promote appropriate and timely return to work.
San Diego, CA30+ days ago
li>Maintains a working a knowledge of up-to-date medical information including but not limited to medications, procedures, equipment, therapies, treatments, their uses, contraindications, side effects, etc. and provides research information to adjusters to assist with determinations of medical necessity and appropriateness. The Field Case Manager position is responsible for assessing and analyzing information pertinent to injured employees to evaluate the medical and vocational needs required to facilitate the patient's rehabilitation in order to promote appropriate and timely return to work.
li>Maintains a working a knowledge of up-to-date medical information including but not limited to medications, procedures, equipment, therapies, treatments, their uses, contraindications, side effects, etc. and provides research information to adjusters to assist with determinations of medical necessity and appropriateness. The Field Case Manager position is responsible for assessing and analyzing information pertinent to injured employees to evaluate the medical and vocational needs required to facilitate the patient's rehabilitation in order to promote appropriate and timely return to work.
li>Maintains a working a knowledge of up-to-date medical information including but not limited to medications, procedures, equipment, therapies, treatments, their uses, contraindications, side effects, etc. and provides research information to adjusters to assist with determinations of medical necessity and appropriateness. The Field Case Manager position is responsible for assessing and analyzing information pertinent to injured employees to evaluate the medical and vocational needs required to facilitate the patient's rehabilitation in order to promote appropriate and timely return to work.
Los Angeles, CA30+ days ago
li>Maintains a working a knowledge of up-to-date medical information including but not limited to medications, procedures, equipment, therapies, treatments, their uses, contraindications, side effects, etc. and provides research information to adjusters to assist with determinations of medical necessity and appropriateness. The Field Case Manager position is responsible for assessing and analyzing information pertinent to injured employees to evaluate the medical and vocational needs required to facilitate the patient's rehabilitation in order to promote appropriate and timely return to work.
The Case Manager works with insurance carriers, medical care providers, attorneys, employers, and employees, and closely monitors the progress of the injured worker and reports results back to the employer and insurance carriers. We're striving to build a culture that better reflects the society we live in and empowers our team to deliver the highest levels of compassion and care to those we serve.
p>Current unencumbered Registered Nurse RN license in California Experience in case management of workers comp cases preferred Recommended certifications: CCM, CRRN, CDMS, CRC (strongly preferred, will need to obtain within two years of hire date) Skills required for success: - Organization and timeline adherence skills. The Case Manager works with insurance carriers, medical care providers, attorneys, employers, and employees, and closely monitors the progress of the injured worker and reports results back to the employer and insurance carriers.
p>For-jobs-where-work-will-be-performed-in-unincorporated-LA-County,-the-employer-provides-the-following-statement-in-accordance-with-the-Los-Angeles-County-Fair-Chance-Ordinance.-Criminal-history-may-have-a-direct,-adverse,-and-negative-relationship-on-the-following-job-duties,-potentially-resulting-in-the-withdrawal-of-the-conditional-offer-of-employment: - Consistently-supports-compliance-and-the-Principles-of-Responsibility-(Kaiser-Permanente's-Code-of-Conduct)-by-maintaining-the-privacy-and-confidentiality-of-information,-protecting-the-assets-of-the-organization,-acting-with-ethics-and-integrity,-reporting-non-compliance,-and-adhering-to-applicable-federal,-state,-and-local-laws-and-regulations,-accreditation,-and-licensure-requirements-(where-applicable),-and-Kaiser-Permanente's-policies-and-procedures. Criminal history may have a direct, adverse, and negative relationship on the following job duties, potentially resulting in the withdrawal of the conditional offer of employment:
Consistently supports compliance and the Principles of Responsibility (Kaiser Permanente's Code of Conduct) by maintaining the privacy and confidentiality of information, protecting the assets of the organization, acting with ethics and integrity, reporting non-compliance, and adhering to applicable federal, state, and local laws and regulations, accreditation, and licensure requirements (where applicable), and Kaiser Permanente's policies and procedures.
San Bruno, CA30+ days ago
Senior social workers must be licensed or certified by a state at the Advanced Practice Level which included an advanced generalist or clinical examination, unless they are grandfathered by the state in which they are licensed to practice at the advanced practice level (except for licenses issued in California, which administers its own clinical examination for advanced practice) and they must be able to provide supervision for licensure. The HUD-VASH program, a partnership between the Department of Housing and Urban Development (HUD) and the Depart of Veterans Affairs, is a clinical case management program for chronically homeless Veterans aimed at providing psychosocial services to Veterans who acquire permanent housing through HUDs Section 8 voucher system.