- 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
- Elevance Health (Walnut Creek, CA)
- …+ **Costa Mesa** + **Palo Alto** + **Walnut Creek** The **Manager II Grievance/ Appeals ** is responsible for management oversight of grievances and appeals ... clinical decisions, pharmacy on pre-service and post service appeals and grievances related to non- clinical and...clinical services, quality of service and quality of care issues including executive and regulatory grievances. + Oversees… more
- Elevance Health (Walnut Creek, CA)
- … and non clinical services, quality of service, and quality of care issues to include executive and regulatory grievances. **How you will make an impact:** ... management review activities which require the interpretation of clinical information. + The analyst may serve as a...analyst may serve as a liaison between grievances & appeals and /or medical management , legal, and/or… more
- Stanford Health Care (Palo Alto, CA)
- …guidelines to optimize patient outcomes and manage healthcare costs. 4. Denials and Appeals Management : Address and manage denials by reviewing cases, gathering ... Stay current with regulatory policies and guidelines related to clinical appeals . + Apply regulatory knowledge to...to multidisciplinary teams, shedding light on special assignments, patient care management , and utilization management … more
- Stanford Health Care (Palo Alto, CA)
- … Care , Health Care Resource Management / Clinical Cost Efficiency, Financial Assistance/Referrals, Appeals Management , Entitlement ... Education & Training, Risk Management Identification & Referral + Clinical Care Coordination/Facilitation: Plan of Care & Outcomes Management ,… 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
- Alameda Health System (Oakland, CA)
- …for the recruitment, orientation, evaluation, counseling and disciplinary action of care management clinical and administrative staff. -Responsible ... 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)
- …HSH's Homelessness Response System (HRS) oversees and implements a system of care that serves 14,000 people daily. Major programs include: street outreach and ... Public Health, Public Works, Police, Fire 311, and Emergency Management . + Partners with the Department of Public Health...and implement integration of enhanced behavioral health services and care coordination into shelter settings. + Acts as a… more
- Stanford Health Care (Palo Alto, CA)
- …in the School of Medicine and 1500 trainees who are employed by Stanford Health Care , yet reside in the clinical department ecosystem for their education and ... discovered. Day - 08 Hour (United States of America) **This is a Stanford Health Care job.** **A Brief Overview** The Executive Director for GME plays a crucial role… 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:October 31, 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
- City and County of San Francisco (San Francisco, CA)
- …tests. + Identifies and manages patients with unstable chronic diseases within the clinical specialty. + Delivers urgent care to acutely ill patients, addressing ... general surgery needs in both inpatient and outpatient settings. + Develops acute care plans for inpatient management . + Assesses, diagnoses, develops treatment… more
- City and County of San Francisco (San Francisco, CA)
- …* Manages nursing care in an assigned area, which may either be a clinical , administrative or community setting; Provide direct care or the supervision of ... Health Network is the City's only complete system of care and has locations throughout the City, including Zuckerberg...setting; OR a Master's Degree in Community Health, Case Management , or Public Health. Applicants must meet the minimum… more