The RN Case Manager is expected to function within the full scope of the nursing practice with specialized focus on care coordination, compliance, transition management, education, and utilization management.Education:
Modified 12:00:00 AM Account Manager: Quinton Reed Account Manager Email: COVID-19 Vaccine: Unknown Flu Vaccine: Unknown Job Requirements & Qualifications Previous Charge Experience : Preferred Years of Experience : 2 Patient Ratio Experience : 10 Charting System Experience : - Charting System Name : Epic Community Hospital Experience : - LTAC Experience : - Trauma Level I Experience : - Trauma Level II Experience : - Travel Experience Required : - Certifications : BLS, CA RN LicenseSkills : Acute Hospital, Care coordination, Discharge Planning Unit Details Staffing & Scheduling Scheduling Type : - Patient Ratios Days : 15 Patient Ratios Nights : - Patient Ratios Weekends : 25 Float Required : - Call Required : - Weekend Coverage : True Number of Weekend Shifts Per Contract : - Pre-Approved Time Off : - Orientation Hours : - Facility & Patient Care Details Patient Age Groups : Adults, Geriatrics Daily Census : - Number of Visits Per Day : - Number of Rooms : - Number of Beds : - Additional Unit Information Interdisciplinary Support : - Patient Diagnoses : - Special Procedures/Unit Details : - Special Equipment : - #Tier3 Travel Compliance Sutter Submission Rules: Local candidates: Locals accepted at local rate; 50-mile radius rule RN Licensure: Uploaded Nursys within the last 2 weeks with Valid CA State License Certifications: Uploaded any applicable certifications with valid expiration dates Certifications must be AHA or ARC References: 2 references obtained within the last year Return Staff/Travelers: No separation time required. Any time spent on modules exceeding the 16 NBO hours are billable Modules are completed during orientation, and module hours vary by specialty Modules are recorded through e-learning Submittal Details: #Tier3 Travel ComplianceSutter Submission candidates: Locals accepted at local rate; 50-mile radius ruleRN Licensure: Uploaded Nursys within the last 2 weeks with Valid CA State LicenseCertifications: Uploaded any applicable certifications with valid expiration datesCertifications must be AHA or ARCReferences: 2 references obtained within the last yearReturn Staff/Travelers: No separation time required.
The position may also require outreach in outdoor or residential environments, including shelters, encampments, and other community locations, where exposure to varying weather conditions and environmental factors can occur. Responsible for the coordination and provision of supportive services including financial assistance, income and health benefits, income maximization supports, and health care navigation.
Job Title: Case Manager RN Profession: Registered Nurse Specialty: Case Management Duration: 13 weeks Shift: Day Hours per Shift: 8 hours (08:00 - 16:30) Experience: 5+ Years of RN Case Management Experience License: CA RN License Certifications: BLS Must-Have: Inpatient Acute Case Management Experience Description: Case Manager RN needed for a day shift. Ensures timely progression and transition of patients to the appropriate level of care to prevent unnecessary admissions or readmissions.
Works closely with providers, social workers, and external agencies to ensure timely, efficient, and effective discharge planning and transitions. Description: The RN Case Manager coordinates patient care plans and services across the continuum of care.
p>The ideal candidate will bring a deep understanding of acute care processes, demonstrate proficiency in EPIC EMR, and possess the ability to assess patient needs, coordinate interdisciplinary care, and apply evidence-based utilization criteria. Position Overview:We are seeking a highly skilled Registered Nurse (RN) Case Manager with strong Utilization Review and InterQual experience to join our care management team.
San Leandro, CA3 days ago
Pioneer Healthcare Services specializes in staffing and travel recruiting for healthcare professionals across the U.S., with a focus on top school and medical opportunities. Responsibilities:- Coordinate and oversee patient care plans to ensure optimal health outcomes and efficient use of healthcare resources.
YesWill accept 1 RTO request prior to booking Modified 12:00:00 AM Account Manager: Kyle Shook Account Manager Email: COVID-19 Vaccine: Unknown Flu Vaccine: Unknown Job Requirements & Qualifications Previous Charge Experience : Preferred Years of Experience : 5 Patient Ratio Experience : 15 Charting System Experience : Required Charting System Name : Any Community Hospital Experience : Preferred LTAC Experience : Preferred Trauma Level I Experience : - Trauma Level II Experience : - Travel Experience Required : - Certifications : BLS, RN LICENSE IN CASkills : Acute Hospital, Long Term Acute Care/Rehab/Skilled Nursing*, Admission Criteria, Care coordination, Discharge Planning, Utilize InterQual Criteria*, Utilize Milliman Guidelines, Admission Criteria, Appeals and Denials, Concurrent Review, Continued Stay Reviews, Medical Necessity, Retrospective Review, Utilize InterQual Criteria, Utilize Milliman Guidelines, CMS: Centers for Medicare and Medicaid Services, CPT (Current Procedural Terminology) coding and billing, Department of Health, DRG (Diagnosis Related Groups), HEDIS (The Healthcare Effectiveness Data and Information Set) Measures, HIPAA guidelines (Health Insurance Portability and Accountability Act), ICD 10 Coding, NCQA (National Committee for Quality Assurance), OSHA, The Joint Commission/ Core Measure/National Safety Goals, Workers Compensation, Behavioral Health*, Emergency Department, ICU, MS, Surgical Services, Appeals and Denials, Benefits Eligibility, Concurrent Review, Continued Stay Reviews, Determine Medical Necessity per Evidence-Based Guidelines, Disease management, Needs Assessment/ Order DME, Plan of Care, Pre-Cert Review, Retrospective Review, Worker s comp case management Unit Details Staffing & Scheduling Scheduling Type : Other Patient Ratios Days : - Patient Ratios Nights : - Patient Ratios Weekends : - Float Required : - Call Required : - Weekend Coverage : True Number of Weekend Shifts Per Contract : - Pre-Approved Time Off : one Orientation Hours : 8 Facility & Patient Care Details Patient Age Groups : Adults Daily Census : 35 Number of Visits Per Day : 35 Number of Rooms : 35 Number of Beds : 35 Additional Unit Information Interdisciplinary Support : Physical Therapy, Respiratory Services, Interpretation Services, Phlebotomy, Radiology, Social Services, Rapid Response Teams, Pharmacy Patient Diagnoses : 2 INPATIENT UNITS #1:ICU CAPACITY 10 PTS. LONG LENGTH OF STAYS WITH SOCIAL NEEDS AND RESOURCES Special Procedures/Unit Details : STEMI-PCIBALLOON PUMPSORTHO SURGERY GENERAL SURGERYINTERVENTIONAL RADIOLOGY AND CARDIOLOGYOUT PATIENT ELECTIVE PROCEDURES Special Equipment : FEEDING PUMPSLIFT EQUIPMENTSWOUND VACSHOME DRESSING/WOUND CARE SUPPLIESHOME OXYGENHOME VENTSDMES #Tier2 Travel Compliance Submittal Details: #Tier2 Travel Compliance Guaranteed Hours: Contract Weeks:91
San Francisco, CA2 days ago
Job Title: Case Manager Profession: Registered Nurse Specialty: Case Management Duration: 13 weeks Shift: Day Hours per Shift: 8 hours (08:00 - 16:30) Experience: Minimum 2 years of experience required License: Current CA License required. Candidates will be expected to demonstrate skills in acute hospital care and disease management.
San Francisco, CA2 days ago
Requirements:CA LicenseInpatient CM ExperienceShift Details: 5x8s - 0800-1630; float to SF and Emeryville offices as needed Modified 12:00:00 AM Account Manager: Quinton Reed Account Manager Email: COVID-19 Vaccine: Unknown Flu Vaccine: Unknown Job Requirements & Qualifications Previous Charge Experience : Preferred Years of Experience : 2 Patient Ratio Experience : 25 Charting System Experience : Required Charting System Name : Epic Community Hospital Experience : Required LTAC Experience : - Trauma Level I Experience : Preferred Trauma Level II Experience : Preferred Travel Experience Required : Yes Certifications : BLS, CA RNSkills : Acute Hospital, Admission Criteria, Admission Criteria, Ambulatory*, Behavioral Health*, Behavioral Health*, Benefits Eligibility, Care coordination, CMS: Centers for Medicare and Medicaid Services, Concurrent Review, Concurrent Review, Continued Stay Reviews, Continued Stay Reviews, Discharge Planning, Disease management, DRG (Diagnosis Related Groups), Emergency Department*, HIPAA guidelines (Health Insurance Portability and Accountability Act), ICU, Medical Necessity, MS, Needs Assessment/ Order DME, PICU, Plan of Care, Prior Authorization, Prior Authorizations, Retrospective Review, SDU/PCU/IMC/Obs*, Surgical Services, Telephonic, The Joint Commission/ Core Measure/National Safety Goals, Utilize InterQual Criteria, Utilize InterQual Criteria Unit Details Staffing & Scheduling Scheduling Type : Other Patient Ratios Days : 20 Patient Ratios Nights : - Patient Ratios Weekends : - Float Required : - Call Required : - Weekend Coverage : - Number of Weekend Shifts Per Contract : - Pre-Approved Time Off : - Orientation Hours : - Facility & Patient Care Details Patient Age Groups : Adults, Geriatrics Daily Census : - Number of Visits Per Day : - Number of Rooms : - Number of Beds : - Additional Unit Information Interdisciplinary Support : Interpretation Services, Social Services Patient Diagnoses : - Special Procedures/Unit Details : - Special Equipment : - #Tier3 Travel Compliance Sutter Submission Rules: Local candidates: Locals accepted at local rate; 50-mile radius rule RN Licensure: Uploaded Nursys within the last 2 weeks with Valid CA State License Certifications: Uploaded any applicable certifications with valid expiration dates Certifications must be AHA or ARC References: 2 references obtained within the last year Return Staff/Travelers: No separation time required. Any time spent on modules exceeding the 16 NBO hours are billable Modules are completed during orientation, and module hours vary by specialty Modules are recorded through e-learning Submittal Details: #Tier3 Travel ComplianceSutter Submission candidates: Locals accepted at local rate; 50-mile radius ruleRN Licensure: Uploaded Nursys within the last 2 weeks with Valid CA State LicenseCertifications: Uploaded any applicable certifications with valid expiration datesCertifications must be AHA or ARCReferences: 2 references obtained within the last yearReturn Staff/Travelers: No separation time required.
San Francisco, CA5 days ago
As part of a high impact team operating at the intersection of new technology and legacy operations, this role helps define how stablecoins can transform customer experiences with moving money and unlock new value for clients and partners. Visa is a world leader in payments technology, facilitating transactions between consumers, merchants, financial institutions and government entities across more than 200 countries and territories, dedicated to uplifting everyone, everywhere by being the best way to pay and be paid.
Foster City, CA4 days ago
div>Reporting to the Director, this leader will be responsible for three pillars of Product Solutions and Growth driven by Customer Obsession as the core principles:
Unlock new consumer experiences - Lead growth through solutioning of new concepts and product constructs in partnership with regional teams Big Tech partners hypergrowth fintech and processors. Masters, MBA, JD, MD) or 3 or more years of experience with a PhD • Bachelor’s or master’s degree in a technical or engineering field such as industrial engineering, systems engineering, engineering management, computer science, software engineering, or product design • 6 + years of experience in product management, technology product development, or a related field.
San Francisco, CA4 days ago
p/>The Visa Global Digital Sales team is responsible for building out a digital response and sales coverage engine supporting multiple digital sales centers, enabling Visa to accelerate growth, leveraging continuous innovation with an optimized sales model while building deeper relationships with our customers. Visa is a world leader in payments technology, facilitating transactions between consumers, merchants, financial institutions and government entities across more than 200 countries and territories, dedicated to uplifting everyone, everywhere by being the best way to pay and be paid.
Registered Nurse (RN), Licensed Vocational Nurse (LVN), Licensed Practical Nurse (LPN), Advanced Practice Social Worker (APSW), Certified Health Education Specialist (CHES), Licensed Professional Counselor (LPC), Licensed Professional Clinical Counselor (LPCC) or Licensed Marriage and Family Therapist (LMFT). See Molina Healthcare Privacy Policy at https://www.molinahealthcare.com/members/common/en-US/Pages/terms_privacy.aspx? and SonicJobs Privacy Policy at https://www.sonicjobs.com/us/privacy-policy and Terms of Use at https://www.sonicjobs.com/us/terms-conditions.
Registered Nurse (RN), Licensed Vocational Nurse (LVN), Licensed Practical Nurse (LPN), Advanced Practice Social Worker (APSW), Certified Health Education Specialist (CHES), Licensed Professional Counselor (LPC), Licensed Professional Clinical Counselor (LPCC) or Licensed Marriage and Family Therapist (LMFT). See Molina Healthcare Privacy Policy at https://www.molinahealthcare.com/members/common/en-US/Pages/terms_privacy.aspx? and SonicJobs Privacy Policy at https://www.sonicjobs.com/us/privacy-policy and Terms of Use at https://www.sonicjobs.com/us/terms-conditions.
PS Instructor direction, works with adult interns and school
Instructors, school district Job Coaches and host management and
staff to assure consistent program implementation.
4.Provide regular, specific and frequent feedback to the interns and
communicate regularly with each adult intern’s key support persons
and/or the PS Instructor regarding progress and needs.
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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.
South San Francisco, CA7 days ago
div style="text-align:justify">Responsibilities:
- Plans, develops, implements and maintains social services policies and procedures, delivery of social work programs, and discharge planning services.
Basic Qualifications:
- Minimum two years of leadership or supervisory experience in medical social work.
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.
San Francisco, CA19 days ago
li>Collaborates with medical center departments, community agencies and health plan members on matters related to discharge planning and ensures that services are provided in an integrated fashion. Recommends, develops, and implements new programs enhancing services to specialized patient populations and reducing hospital and office visit utilization.
San Francisco, CA4 days ago
li>For patients with significant or intensive psychosocial needs, serve as primary care manager, working in close collaboration with case manager to manage the clinical resources and transition planning for patient within assigned caseload from admission through discharge, actively working to identify/eliminate barriers to delivery of clinical services required to advance care and promote timely discharge once medically ready.
The CSW III has advanced clinical knowledge and skills and is distinguished from the CSW II by leadership activities including participation in advanced program planning, provision of educational programs, clinical supervision, consultation to the clinical team, other departments, and the community.
p>The Kaiser Intensive Community Treatment (ICT) program will be an Assertive Community Treatment (ACT) program serving 50 Clients with Serious Mental Illness (SMI). Under direct supervision, serves as a primary support and case manager for individuals with mental illness and other co-occurring disorders by assisting them to live as independently as possible in their chosen community.
li>Provides clinical guidance and consultation to interdisciplinary primary teams, including social workers and case managers, prompting continuity of care and primary palliative care, as well as safe and comprehensive care coordination and discharge planning as indicated. 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.
Under direct supervision, the Case Manager II serves as a primary support and case manager for individuals with mental illness and other co-occurring disorders by assisting them to live as independently as possible in their chosen community. equivalent and two (2) years of direct services in Mental Health or community services; or Associates degree and one (1) year of experience; or Bachelor's degree in Social Services.
Oakland, California30+ days ago
p/>Center for Elders’ Independence is a PACE (Program of All- Inclusive Care for the Elderly) organization that uses an interdisciplinary team approach to care planning and care implementation for the purpose of providing high quality, affordable, integrated health care services to the elderly, including an Adult Day Health Center, and promoting autonomy, quality of life and the ability of individuals to live in their communities.
The Position: Under the supervision of the Center Director, the Social Worker Supervisor is a mental health professional, helping frail and elderly PACE participants find solutions to a wide range of social problems, serves as an integral member of an Interdisciplinary Team (IDT) and responsible for performing psychosocial assessments, developing and implementing plans of care, and facilitating communication between the participant, family and CEI staff.
San Carlos, CA30+ days ago
p>All opportunities at Telecare are contingent upon successful completion and receipt of acceptable results of the applicable post-offer physical examination, 2-step PPD test for tuberculosis, acceptable criminal background clearances, excluded party sanctions, and degree or license verification. Must possess at least 1 year of direct service experience with Dual Diagnosis community creating and executing behavioral plans and working with individuals who have impaired or limited cognitive functioning.
The Case Manager is responsible for case management in order to ensure that residents are given ample and regular opportunities to learn and practice skills for improving the level of functioning, independence, awareness, self-care, and self-esteem. The facility provides long-term treatment services to people with a primary medical diagnosis and specialized behavioral management needs - for example, Alzheimer's or dementia.
p>The Kaiser Intensive Community Treatment (ICT) program will be an Assertive Community Treatment (ACT) program serving 50 Clients with Serious Mental Illness (SMI). The program is designed to meet the needs of Kaiser members who are high users of inpatient psychiatric services or who are at high risk of acute psychiatric hospitalizations.
Other - Participates in department program planning, goal setting, systems development and process improvement; participates in department and hospital committees and task forces; develops and maintains documentation of findings, discharge arrangements, and actions taken according to departmental guidelines; prepares and maintains records as required; collects, analyzes and reports on data for utilization, quality improvement, compliance, and other areas as assigned. Monitors patients' length of stay and collaborates with physicians to ensure resource utilization remains within covered benefits and are appropriate in relationship to the patient's clinical and psychosocial needs; plans and implements (through multi-disciplinary meetings or rounds) strategies to reduce length of stay, reduce resource consumption, and achieve positive patient outcomes, analyzes and addresses aggregate variances as well as variances for individual patients and shares this information with staff, physicians, and administration.
Other - Participates in department program planning, goal setting, systems development and process improvement; participates in department and hospital committees and task forces; develops and maintains documentation of findings, discharge arrangements, and actions taken according to departmental guidelines; prepares and maintains records as required; collects, analyzes and reports on data for utilization, quality improvement, compliance, and other areas as assigned. Monitors patients' length of stay and collaborates with physicians to ensure resource utilization remains within covered benefits and are appropriate in relationship to the patient's clinical and psychosocial needs; plans and implements (through multi-disciplinary meetings or rounds) strategies to reduce length of stay, reduce resource consumption, and achieve positive patient outcomes, analyzes and addresses aggregate variances as well as variances for individual patients and shares this information with staff, physicians, and administration.
Other - Participates in department program planning, goal setting, systems development and process improvement; participates in department and hospital committees and task forces; develops and maintains documentation of findings, discharge arrangements, and actions taken according to departmental guidelines; prepares and maintains records as required; collects, analyzes and reports on data for utilization, quality improvement, compliance, and other areas as assigned. Monitors patients'' length of stay and collaborates with physicians to ensure resource utilization remains within covered benefits and are appropriate in relationship to the patient''s clinical and psychosocial needs; plans and implements (through multi-disciplinary meetings or rounds) strategies to reduce length of stay, reduce resource consumption, and achieve positive patient outcomes, analyzes and addresses aggregate variances as well as variances for individual patients and shares this information with staff, physicians, and administration.
3. Provides clinical guidance and consultation to interdisciplinary primary teams, including social workers and case managers, prompting continuity of care and primary palliative care, as well as safe and comprehensive care coordination and discharge planning as indicated. 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 Leandro, CA24 days ago
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.
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.
p>Pursuant to the Jeanne Clery Disclosure of Campus Security Policy and Campus Crime Statistics Act, the Annual Security Report (ASR) is also now available for viewing at https://www.sjsu.edu/clery/docs/SJSU-Annual-Security-Report.pdf. - Applicants should demonstrate an awareness of and sensitivity to the educational goals of a multicultural population as might have been gained in cross-cultural study, training, teaching and other comparable experience;
- Possess at least 2 years of clinical therapy and/or case management experience;
- Demonstrate experience in clinical assessment, crisis interventions, diagnosis, and treatment planning within a brief therapy model; and.
Walnut Creek, CA30+ days ago
The inpatient case manager applies the process of assessment, planning, implementation, monitoring, evaluation and coordination of care to meet the patient's health care needs through hospitalization and transition back to the community and does this in coordination with the interdisciplinary health team. Strong know ledge of geriatrics and the impact to health and function in the aged as w ell as a working know ledge of chronic/progressive disease states such as CHF, COPD, Diabetes and End Stage Renal Disease, etc.
Santa Clara, CA12 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.
Burlingame, California30+ days ago
He/She collaborates with patients, families, physicians, the interdisciplinary team, nursing management, quality, ancillary services, third party payers and review agencies, claims and finance departments, Medical Directors, and contracted providers and community resources. When assigned to the Emergency Department, the Care Management process is to address complex clinical and social situations efficiently in order to avoid unnecessary admissions.Job Description:
EDUCATION:.
We are seeking teachers experienced in developing safe, supportive environments where students can strive and succeed; build self confidence and strengthen coping strategies; create positive and healthy relationships; and express emotions. If you are a collaborative educator, familiar with developing and monitoring IEPs, committed to the role of teacher and case manager for a dynamic group of students with a wide range of strengths and areas of need in special education, and invested in the growth of each student, this could be the job for you.
Oakland, California30+ days ago
Supervises and oversees day-to-day activities, ensuring services address the psychosocial, emotional and medical needs of patients and/or a targeted population group to support optimal health and best clinical outcomes. Provides clinical supervision and intervention, and serves as a conduit between case management and social services to achieve safe, appropriate and timely discharges and/or patient movements to the next level of care along the continuum.
San Francisco, CA30+ days ago
li>Responsible for ensuring a safe and orderly treatment environment for clients, staff, and visitors which includes crisis management and de-escalation, emergency response, overdose prevention and response, safety checks to account for the well-being of all clients at least hourly, property searches, substance use testing, nexus/front desk duties, monitoring meal periods, incident reporting and other required documentation. - Assist clients in scheduling and attending medical, MAT, dental, and psychiatry appointments as well as follow-up and specialty care appointments and supports clients in picking up medications to teach clients skills to independently manage their healthcare while navigating triggers in the community.
San Francisco, CA30+ days ago
li>Responsible for ensuring a safe and orderly treatment environment for clients, staff, and visitors which includes crisis management and de-escalation, emergency response, overdose prevention and response, safety checks to account for the well-being of all clients at least hourly, property searches, substance use testing, nexus/front desk duties, monitoring meal periods, incident reporting and other required documentation. - Assist clients in scheduling and attending medical, MAT, dental, and psychiatry appointments as well as follow-up and specialty care appointments and supports clients in picking up medications to teach clients skills to independently manage their healthcare while navigating triggers in the community.
San Mateo, California30+ days ago
p style="min-height:1.5em">Remote care management duties as described below: Assess member needs in the areas of physical health, mental health, SUD, oral health, palliative care, memory care, trauma-informed care, social supports, housing, and referral and linkage to community-based services and supports. Under the direction of the ECM Clinical Manager, the CLCM serves as the client’s primary point of contact and works with all their providers such as doctors, specialists, pharmacists, social services providers, and others to make sure everyone is in agreement about the client’s needs and care.
San Francisco, California30+ days ago
p style="margin:0px">Under supervision of the Program Director, the clinical case manager participates in a multidisciplinary team serving older adults, aged 60 and over, with severe psychiatric disorders and co-occurring disorders, providing comprehensive and integrated treatment services, including mental health and substances abuse treatment, case management, and other service connections. Commits to ongoing training in the geriatric specialization of mental health services, as provided by the Senior Division and Felton Institute.including developing specializations in evidence-based treatments and practices and the geriatric specialization of mental health services, as provided by the Senior Division and Felton Institute.
p>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.
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.
Alameda, California25 days ago
p style="margin:0px">The Adult Protective Case Management Program, under contract with Alameda County Adult Protective Services, provides time-limited case management services with the goal of assisting functionally impaired seniors and adults with disabilities obtain services that promote and maintain optimal functioning, as identified by APS. The Case Manager also participates in a supervisory collaborative and meets regularly with the supervisors and other case managers in Alameda County for case review and consultation, as well as participating in relevant training and collaborative efforts within the agency.
San Francisco, California12 days ago
This position involves direct in-person client contact with diverse, high-risk individuals, many of whom are active substance users, substantial community outreach, and group facilitation.
Essential Duties & Responsibilities: - Provides health education to CM clients for enrollment, including completing initial intake and assessment documentation for enrollment, facilitating program orientation and guide clients on the benefits, expectations, and requirements of the CM program including communicating program rules, expectations and incentive structures. 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 Contingency Management (CM) Case Manager provides comprehensive coverage to clients participating in GLIDE’s Contingency Management program, which is an evidence-based treatment that uses incentives to encourage positive behavioral changes related to substance use.