- Alameda Health System (San Leandro, CA)
- Care Management Clinical Appeals Specialist + San Leandro, CA + Finance + Patient Financial Svcs - Facil + Full Time - Day + Business Professional & IT + ... and executes the appeal process for all AHS facilities clinical appeals and third party audits. **DUTIES...documented on all patient medical records. 6. Coordinates with Care Management team when cases do not… more
- City and County of San Francisco (San Francisco, CA)
- …The San Francisco Health Network is the City's only complete system of care and has locations throughout the City, including Zuckerberg San Francisco General ... Center, Laguna Honda Hospital and Rehabilitation Center, and over 15 primary care health centers. The Population Health Division (PHD) provides core public health… more
- Alameda Health System (Oakland, CA)
- …Responsible for the recruitment, orientation, evaluation, counseling and disciplinary action of care management clinical and administrative staff. + ... Performs daily clinical rounds and monthly audit of charts on care management activities (utilization review, discharge planning and Interrater Reliability).… more
- City and County of San Francisco (San Francisco, CA)
- …to Epic, CalAIM (eg, clinical documentation, LOE, PURQC), managed care plans, utilization management , BHS regulatory compliance, and contracted programs ... are met. The Assistant Director oversees key functions, including clinical operations, quality assurance, utilization management , the...as part of ongoing development of TAY System of Care clinical infrastructure + Serves as Epic… more
- City and County of San Francisco (San Francisco, CA)
- …in home supportive services, case management , Community Living Fund, Enhanced Care Management and Information, referral and assistance. This position also ... Adult Protective Services, In-Home Supportive Services, Community Living Fund/Enhanced Care Management , Public Conservatorship, Home Delivered Meals, Case… more
- Alameda Health System (Oakland, CA)
- …to ad hoc duties as needed. In essence, they orchestrate efficient utilization management to deliver high-quality patient care . **DUTIES & ESSENTIAL JOB ... Director, Utilization Management + Oakland, CA + Highland General Hospital...trends, and optimizing resource utilization. This role supports patient care coordination, fosters physician collaboration, and aligns with organizational… more
- City and County of San Francisco (San Francisco, CA)
- …nutritional and employment support to child and adult protective services, health care coverage, affordable childcare, and in-home services for older adults and ... FCS Program at a level which will frame contract development, contract management , policy development, and program implementation. 4. Oversee and manage all… more
- City and County of San Francisco (San Francisco, CA)
- …over Comprehensive Crisis Services, in collaboration with Crisis Director and Crisis Management Team, and administrative and clinical supervision of direct ... following four units in the Crisis Section: (1) Quality Assurance; (2) Crisis Services Management ; (3) Crisis System of Care Training (4) Crisis Team Regulatory… more
- City and County of San Francisco (San Francisco, CA)
- …The San Francisco Health Network is the City's only complete system of care and has locations throughout the City, including Zuckerberg San Francisco General ... Honda Hospital and Rehabilitation Center, and over 15 primary care health centers. Under the direction of Laguna Honda...the Chief Quality Officer to oversee executive managerial and clinical operations. The role will ensure the delivery of… more
- City and County of San Francisco (San Francisco, CA)
- …nutritional and employment support to child and adult protective services, health care coverage, affordable childcare, and in-home services for older adults and ... of Aging and Adult Services provide a broad range of clinical /advocacy services to temporary/permanent conservatees and collateral contact with a multidisciplinary… more
- City and County of San Francisco (San Francisco, CA)
- …nutritional and employment support to child and adult protective services, health care coverage, affordable childcare, and in-home services for older adults and ... self-neglect, and financial abuse. The PSW performs professional investigations and case management services to victims of abuse. This includes activities related to… more
- City and County of San Francisco (San Francisco, CA)
- …the profession, familiarity with psychopharmacology, co-occurring disorders, principles of clinical case management , effective assessment, advocacy, community ... relationships by collaborating with other service providers (eg nurses, primary care providers with probation and child welfare, psychologists, teachers, lawyers,… more
- City and County of San Francisco (San Francisco, CA)
- …process; and prepares written care summaries for the purpose of coordinating care ; + Performs clinical evaluations in the more difficult individual cases by ... standards of the profession, familiarity with psychopharmacology, principles of clinical case management , effective assessment, advocacy, community organization,… more
- City and County of San Francisco (San Francisco, CA)
- …From financial, nutritional and employment support to protective services, health care coverage, affordable childcare, and in-home services for older adults and ... Under general supervision, Protective Service Workers perform professional investigation, case management , and casework services at the, Family & Children's Services… more
- Alameda Health System (San Leandro, CA)
- …CA + San Leandro Hospital + SLH Social Services + Full Time - Day + Care Management + Req #:40181-29621 + FTE:1 + Posted:December 10, 2024 **Summary** **Job ... health deterioration and reduce the need for more costly services such as acute care hospitalization and to develop self- management skills that improve his or… more
- City and County of San Francisco (San Francisco, CA)
- …The San Francisco Health Network is the City's only complete system of care and has locations throughout the City, including Zuckerberg San Francisco General ... Center, Laguna Honda Hospital and Rehabilitation Center, and over 15 primary care health centers. The Department of Public Health prioritizes equitable and inclusive… more
- Alameda Health System (Alameda, CA)
- …+ Alameda Hospital + AH Care Coordination + Full Time - Day + Care Management + Req #:40760-30098 + FTE:1 + Posted:November 7, 2024 **Summary** **SUMMARY:** ... health deterioration and reduce the need for more costly services such as acute care hospitalization and to develop self- management skills that improve his or… more
- City and County of San Francisco (San Francisco, CA)
- …dictates. Under general supervision, the 2314 supervises employees performing a variety of patient care duties involving management and care of mentally ill ... a first line supervisor responsible for providing leadership on clinical standards for Mental Health Rehabilitation Workers, Licensed Vocational...not limited to: + Supervises a variety of patient care duties involving management and care… more
- Sutter Health (San Mateo, CA)
- …managed care and coding departments to maintain accuracy in clinical and billing information. **Job Description** : **JOB ACCOUNTABILITIES:** PATIENT ADVOCATE ... afford meds, treatment or co-pays to access patient assistance programs. RELATIONSHIP MANAGEMENT : * Assists physicians and patients with appeals process when… more
- City and County of San Francisco (San Francisco, CA)
- …in all settings and CHHAs in home environment + Providing clinical case management and supervision over the home health care team when appropriate + ... Health Network is the City's only complete system of care and has locations throughout the City, including Zuckerberg...may be appealed under Civil Service Rule 110.4. Such appeals must be submitted in writing to the Department… more