-
Logistics Management Specialist
3 weeks ago
Federal Emergency Management Agency Oakland, United StatesSummary · The ideal candidate should possess the ability to lead, communicate, manage and build partnerships within FEMA and across multiple federal, state, territorial, tribal, and non-governmental agencies while operating in a high-stress environment and austere conditions. ...
-
Specialist Expat-Management
2 weeks ago
Liebherr Group Mountain View, United StatesAufbau eines CoE im Bereich Expat-Management inkl. der Schaffung der notwendigen Prozesse · Beratung der Liebherr Gesellschaften zu Kerngebieten und Randfeldern des Expat-Managements sowie grenzüberschreitender Tätigkeiten, unter Einbeziehung externer Dienstleister · Operative Be ...
-
Care Management Specialist
1 day ago
Alameda Health System Oakland, United StatesCare Management Specialist · Oakland, CA · Highland General Hospital · HGH Care Coordination · Services As Needed / Per Diem - Day · Care Management · Req #: · FTE:0.01 · Posted:March 27, 2024 · Summary · SUMMARY: Assists in Care Management Team of social workers and nurses with ...
-
Grants Management Specialist
1 week ago
FEMA Oakland, United StatesJobSummary · The ideal candidate for this position will have strong analytical, communication, and consensus-building skills, knowledge of grants management laws, regulations and policies, and experience interpreting and translating complex requirements to provide technical assi ...
-
Case Manager Vocational Specialist
4 days ago
Telecare Corporation Oakland, United States· Case Manager Vocational Specialist - Mental Health 121 · "They made it easier for me to live, breathe, eat, and stay clean. Without them, I'd be waiting somewhere, waiting for someone to give me a chance to live..." - Client from Telecare · Sign on bonus: $ 2000 · What You W ...
-
SLH Care Management Specialist
4 days ago
Alameda Health System OAKLAND, United StatesSummary · SUMMARY: Assists in Care Management Team of social workers and nurses with functions such as but not limited to provide census reconciliation, administrative support for care coordination and discharge planning activities, working with the payors, accurate and critical ...
-
Specialist Expat-Management
2 weeks ago
Liebherr Group Mountain View, United StatesAufbau eines CoE im Bereich Expat-Management inkl. der Schaffung der notwendigen ProzesseBeratung der Liebherr Gesellschaften zu Kerngebieten und Randfeldern des Expat-Managements sowie grenzuberschreitender Tatigkeiten, unter Einbeziehung externer DienstleisterOperative Bearbeit ...
-
Emergency Management Specialist
6 days ago
Department Of Homeland Security Oakland, United States Full timeSummary · This announcement is being used to develop an applicant pool of Recovery Emergency Management Specialists. This Open Continuous Announcement will accept of applications through July 31st, 2024. Applications submitted prior to 11:59 p.m. EST on the cutoff date will recei ...
-
Emergency Management Specialist
3 weeks ago
Federal Emergency Management Agency Oakland, United States Full timeWhat will I do in this position if hired? · In this Emergency Management Specialist (Recovery) position, typical assignments include: · Coordinating with applicants throughout all phases of the disaster recovery process to provide advice, guidance and technical assistance on laws ...
-
University of California Agriculture and Natural Resources Oakland, United States· Research Specialist in Agricultural Water and Nutrient Management with the California Institute for Water Resources Research Specialist Series-Represented (non-CE Specialist, Assistant/Associate · University of California Agriculture and Natural Resources · Location: Office o ...
-
University of California Agriculture and Natural Resources Careers Oakland, United States Permanent, Full time*Research Specialist in Agricultural Water and Nutrient Management with the California Institute for Water Resources Research Specialist Series-Represented (non-CE Specialist, Assistant/Associate · University of California Agriculture and Natural Resources* · *Location*: Office ...
-
University of California Agriculture and Natural Resources Oakland, CA, United StatesResearch Specialist in Agricultural Water and Nutrient Management with the California Institute for Water Resources Research Specialist Series-Represented (non-CE Specialist, Assistant/Associate University of California Agriculture and Natural Resources Location : Office of th ...
-
Care Management Specialist
3 weeks ago
Alameda Health System Oakland, United States**Summary** · **SUMMARY**:Assists in Care Management Team of social workers and nurses with functions such as but not limited to provide census reconciliation, administrative support for care coordination and discharge planning activities, working with the payors, accurate and cr ...
-
University of California Agriculture and Natural Resources Oakland, United StatesJob Description · Research Specialist in Agricultural Water and Nutrient Management with the California Institute for Water Resources Research Specialist Series-Represented (non-CE Specialist, Assistant/Associate · University of California Agriculture and Natural Resources · Loc ...
-
IT Asset Management Specialist
2 weeks ago
Motion Recruitment San Francisco, United StatesTitle: · IT Support Engineer, Hardware Lifecycle Specialist (Asset/Inventory Management)Location: · Onsite M-F in San Francisco, CA (Office is in SOMA near Salesforce Tower)Type: · 9 Month Contract to Start, Great Chance to Extend Longer TermCompensation: · Please See Posting ...
-
Area Management Specialist
2 weeks ago
Mercy Housing San Francisco, United States Full timeAt Mercy Housing, we are on a mission to redefine affordable, low-income housing and create a more humane world where communities thrive, and all individuals can realize their full potential. As the largest nonprofit affordable housing provider in the nation, we build, preserve, ...
-
Crimson Solutions Oakland, United States"Real financial professionals are rare, highly sought after, and therefore have a high market value in Oakland. Whether in the fields of accounting, controlling, corporate banking, interim management, treasury, or risk management, Hays can open doors for you and provide free advi ...
-
BlueHorizon Solutions Oakland, United StatesAbout Oakland City Works GmbH: · We are a municipal multiservice specialist for supply and disposal as well as services in the public sector. This makes us the most important and economically successful subsidiary of the city of Oakland. Horizontal cooperation and economic interc ...
-
Supervisory Emergency Management Specialist
1 week ago
Federal Emergency Management Agency Oakland, United States Paid WorkSummary In this position you will serve as a Supervisory Emergency Management Specialist, within Federal Emergency Management Agency, Regional Offices, Region 9, Response Division. The ideal candidate for this position will assist in directing and managing the development of acti ...
-
Supervisory Emergency Management Specialist
1 week ago
Federal Emergency Management Agency Oakland, United States Full timeWhat will I do in this position if hired? · In this position, you will serve as a Supervisory Emergency Management Specialist (Response). Typical assignments include: · Ensuring that guidance is focused on emergency response and complying with emergency management related directi ...
Care Management Specialist - Oakland, United States - Highland General Hospital
Description
SUMMARY:
Assists in Care Management Team of social workers and nurses with functions such as but not limited to provide census reconciliation, administrative support for care coordination and discharge planning activities, working with the payors, accurate and critical information data entry and tracking, and report creation.
DUTIES &ESSENTIAL JOB FUNCTIONS:
NOTE :
The following are the duties performed by employees in this classification. However, employees may perform other related duties at an equivalent level. Not all duties listed are necessarily performed by each individual in the classification.
Functions as a key point of contact between clinical case management staff, admissions and payors. Documents all interactions with payors and communicates status with Care Management staff.
Coordinates and obtains authorizations for admissions; documents all information in the AHS financial system; works closely with Revenue Cycle to ensure each inpatient encounter is accurate; coordinates all reviews and inquires with the payors.
Reconciles census; works with Patient Access and the Care management team to ensure census is correct in the financial and care management systems; prepares paperwork and updates encounter information for admissions, discharges and transfers of patients; prepares census for the Care Management staff.
Collaborates with Case Management staff to provide specific clinical information for the purpose of completing initial and concurrent utilization review to ensure certification/approval of in-patient and post discharge services.
Per the direction of the Care Management social worker and/or nurse, facilitates, identifies and documents all referrals made to contracted facilities, providers or agencies, makes post discharge appointments for patients and coordinates transportation; expedites discharges by transmitting appropriate documentation to providers for acceptance of patient; documents all interactions with payers and communicates status with appropriate staff.
Manages multiple inquiries and presents referral based on location and services provided; appropriate follow up on active or pending inquires.
Coordinates with referral sources on bed availability, new product and services; maintains current database of existing and potential referral sources.
Communicates status with Care Management staff and arranges for patient transfer; functions as a key point of contact between Care Management staff, admissions and payers.
Supports any audits with coordinating medical records with HIM; prepares statements of diagnosis and treatments, and extracts other information required for the completion of forms received from patients' insurance carriers.
MINIMUM QUALIFICATIONS:
Required Education:
High School Diploma or G.E.D.
Preferred Education:
Bachelor's degree in related field.
Required Experience:
Three years in a health care field or one year in Utilization Management at a Medical Group or Health plan experience; electronic Health Record (EHR) and Case Management applications, e.g.
Midas or 3M.Preferred Experience:
Medical Assistant.
