Director Case Management in California

The Director of Case Management is responsible for overseeing and managing all aspects of case management services within the organization. This includes providing clinical leadership, developing and implementing policies and procedures, and ensuring the delivery of high-quality, patient-centered care.

Essential Duties and Responsibilities:

• Provide clinical leadership and oversight to the case management team
• Develop and implement policies and procedures for case management services
• Ensure that all case managers are trained and competent in their roles
• Monitor the quality of case management services and identify opportunities for improvement
• Collaborate with other clinical departments to ensure the coordination of care
• Advocate for the needs of patients and families
• Stay up-to-date on current trends and best practices in case management
• Participate in research and quality improvement...

Director Case Management

San Ramon, CA

185K-240K + Signing Bonus + Performance Bonus + Paid Relocation

Job Description

We offer competitive salaries and benefits including a matching 401(k), several health & dental plans to choose from, generous tuition assistance plans, and relocation assistance for select positions.

Comprehensive benefits for medical, prescription drug, dental, vision, behavioral health and telemedicine services

Wellbeing support, including employee assistance program (EAP)

Time away from work programs for paid time off, long- and short-term plan coverage

Savings and retirement including a 401(k) Plan with a 50% match up to 6% of pay, employee stock purchase plan, flexible spending accounts, retirement readiness tools, rollover support, and financial well-being counseling

Education support through tuition assistance, student loan assistance, certification support, and online educational...

Manage department operations to assure effective throughput and reimbursement for services provided, 

lead the implementation and oversight of the hospital Utilization Management Plan using data to drive hospital utilization performance improvement, ensure medical necessity and revenue cycle processes are completed accurately and in compliance with CMS regulations and hospital policy, ensure timely and effective patient transition and planning to support efficient patient throughput, implement and monitor processes to prevent payer disputes, develop and provide physician education and feedback on hospital utilization, participate in management of post-acute provider network, ensure compliance with state and federal regulations and TJC accreditation standards.

Requirements

Bachelor’s degree in business, Nursing or Health Care for RN or master’s in social work for MSW.   

Preferred: MSN, MBA, MSW or...

Group Director Case Management

Location: Modesto, CA

Salary: $150-200K + Signing Bonus + Performance Bonus + Paid Relocation

Overview:

Lead and execute the strategic case management plan across multiple hospitals. Serve as a leader, mentor, and subject matter expert on case management regulations and standards, overseeing hospital utilization, transition management, and operational management.

Key Responsibilities:

• Lead hospital case management and utilization review
• Set goals aligning with strategic plans
• Manage internal and external audits
• Drive process improvements and compliance with CMS, ISO 9001, IATF 16949, ISO 14001, EPA, and OSHA standards
• Ensure accurate revenue cycle processes and patient throughput
• Train and mentor case management staff
...

Location: Los Angeles, California

Compensation: $105,000 to $115,000

ORGANIZATION OVERVIEW

Founded in 2004, Brilliant Corners provides innovative housing and housing-related services to those transitioning from or at risk of homelessness or institutionalization. We develop, own and manage multi-family supportive housing and licensed residential care homes. Additionally, we implement a broad array of scattered-site, one-on-one supportive housing, and clinical case management programs through partnerships with developmental services, homeless services, veterans’ services and health care sectors.

In short, we do good work.

We have offices statewide with a staff of passionate people. While we are...