Patent Litigation Counsel - Global IP Strategy & Trials
Apple Inc. 4.8
Case manager job in San Diego, CA
A leading technology company in California is seeking an experienced patent litigator to join their IP litigation team. The ideal candidate will have over 5 years of major law firm or in-house patent litigation experience and must possess a JD and admission to a US state bar. This role involves directly formulating strategy and providing counsel on patent litigation matters, offering a competitive salary and comprehensive benefits package.
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$169k-223k yearly est. 5d ago
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Case Manager
Promises2Kids 3.9
Case manager job in San Diego, CA
TITLE: Guardian Scholars Coordinator I
STATUS: Full-time; Non-Exempt
*Caseload concentrated in North County
PAY: $24-$30/hour
REPORTS TO: Guardian Scholars Supervisor
Under the direction of the Guardian Scholar Supervisor, the Coordinator I will be responsible for a caseload of approximately 25-35 high need former foster youth participating in the Guardian Scholar program
(caseload concentrated on North County)
, providing whole-person and comprehensive casemanagement services including but not limited to: monitoring program participation/requirements, providing referrals to community partners, creating budgets, educating on study habits, ensuring basic needs are met, and maintaining regular contact. Additionally, this position will support the Guardian Scholar team in program specific administrative tasks such as check requests, database maintenance, and event planning.
Guardian Scholars aims to equip former foster youth with essential resources, help them graduate high school and enroll in college, training programs, or directly into a career, support them on their journey through school or into a career, and provide tools to successfully embark on a career path. Guardian Scholars provides current and former foster youth with a partial college scholarship, mentoring, and individual support with the goal to increase their chance of academic success, graduation, employment, and ability to become a contributing member of society.
RESPONSIBILITIES:
Under the supervision of the Guardian Scholars Supervisor, support a caseload of approximately 25-35 high need youth requiring daily driving to meet youth where they are in the community.
Implement evaluation and assessment tools to ensure programmatic data and outcomes can be collected and analyzed for outcome management.
Support youth trainings and workshops, as needed.
Ensure Salesforce is up to date with accurate files, notes, and documentation. Salesforce must be updated daily per phone calls, emails, and visits.
Conduct monthly in-person meetings with youth to address challenges, track progress, and provide support, supplemented by additional check-ins via phone, text, or email as needed.
This position requires regular evening and weekend hours to meet participant needs.
Address any youth issues as they arise including career navigation, homelessness, and academic needs.
As part of the team, support youth development program components including but not limited to college and career tours, Women's and Men's Leadership Network, Advocates for Change, care packages, Mentoring Department, internships, Guardian Scholars Resource Fair, and youth training and events.
Assist in grant writing and fundraising activities as it pertains to Guardian Scholars.
Maintain knowledge of current laws, regulations, and resources pertaining to educating foster youth and make referrals.
Assist with youth recruitment to ensure agency participation goals are met.
Provide support to volunteer mentors to ensure their effectiveness with youth and satisfaction with the program.
Plan, coordinate, and attend occasional events to engage and build connections with youth.
Represent Promises2Kids in a professional and friendly manner at all times and develop a full understanding of Promises2Kids' mission and role in the community.
Additional duties as assigned.
QUALIFICATIONS:
Lived experience in the foster care system preferred.
Bachelor's degree in social work, psychology or related field preferred.
2 - 3 years experience in casemanagement and experience working with at-risk populations.
Proficient in public speaking and giving presentations.
Proficiency in computer skills, including entire MS Office Suite.
Demonstrate professional writing skills.
Excellent interpersonal skills, including the ability to work with a variety of people and represent Promises2Kids in a positive and professional manner to all staff, visitors, donors, and the community.
Ability to work independently, demonstrate initiative, and to complete and report on assignments.
Ability to work under pressure, set priorities and meet deadlines.
Ability to work as part of a close-knit team.
Ability to handle sensitive information with confidentiality, diplomacy and tact.
Ability to pay attention to detail and also remain oriented to the “big picture” and established goals.
Excellent organizational, management, and problem-solving skills.
Must possess reliable personal transportation, current driver's license in good standing, car registration, and auto insurance.
Must be able to successfully pass the child abuse clearance, fingerprinting, and background check.
PHYSICAL REQUIREMENTS:
This position primarily operates in a professional office environment and routinely uses standard office equipment such as computers, phones, photocopiers, and filing cabinets.
The role frequently requires sitting or standing for extended periods.
Occasionally required to lift or move office supplies or materials up to 20 pounds.
Must be able to communicate effectively with individuals in person, over the phone, and through email.
Visual and auditory abilities are required to perform essential job functions, including reading printed material and using a computer.
The employee may be required to move about inside the office to access filing cabinets, office machinery, and communicate with others.
Reasonable accommodations may be made to enable individuals with disabilities to perform the essential functions.
Promises2Kids is an Equal Opportunity Employer. All qualified applicants will receive consideration for employment without regard to race, color, religion, sex, age, national origin, protected veteran status, sexual orientation, gender identity or expression, marital status, genetic information, or any other characteristic protected by law.
A leading semiconductor company in San Diego seeks a Patent Counsel to manage and prosecute patents, ensuring alignment with product innovations. The ideal candidate will have a strong legal background with a Juris Doctorate and a Bachelor's in Electrical Engineering. You should have at least 2 years in patent law and be registered with the state bar. This role offers a competitive salary ranging from $161,000 to $241,400, along with a robust benefits package.
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$161k-241.4k yearly 2d ago
Care Manager MSW - Social Work ARU
Providence 3.6
Case manager job in Mission Viejo, CA
Care Manager MSW at Providence Mission Hospital in Mission Viejo, CA. This position is Part time and will work 8-hour, Day shifts. Providence Mission Hospital in Mission Viejo has received Magnet designation in 2012, 2017, 2021 and are in the process of earning our fourth designation in 2025! This is a prestigious designation from the American Nurses Credentialing Center (ANCC), which recognizes organizations that provide the highest-quality care. Only eight percent of hospitals nationwide have achieved Magnet designation. We are also recognized as one of the best regional hospitals in 18 types of care by U.S. News & World Report, including orthopedic and gastroenterological care. Our hospital is also honored with awards for cardiac surgery, gastrointestinal surgery, and excellence in women's services by Healthgrades and Newsweek.
Care Management is a collaborative practice model including the patients, nurses, social workers, physicians, other practitioners, caregivers and the community. The care management process encompasses excellent communication, both verbal and written, and facilitates care along a continuum through effective resource coordination and addressing the psych social needs of the patient.
The goal of the Care Manager, Social Worker is to advocate for and assist the patient in the achievement of optimal health, access to care, and appropriately utilizing resources. The Care Manager Social Worker utilizes the following processes to meet the patient's individual healthcare needs: assessment, planning, implementation, coordination, monitoring and evaluation of the plan of care.
Providence caregivers are not simply valued - they're invaluable. Join our team at Mission Hospital Regional Medical Center and thrive in our culture of patient-focused, whole-person care built on understanding, commitment, and mutual respect. Your voice matters here, because we know that to inspire and retain the best people, we must empower them.
Required qualifications:
Master's degree in Social Work, Psychology, Counseling or Master's Degree with 5 years relevant social work experience.
Driving may be necessary as part of this role. Caregivers are required to comply with all state laws and requirements for driving. Caregivers will be expected to provide proof of driver license and auto insurance upon request. See policy for additional information.
6 months of Clinical experience in an HMO, medical group, affiliated model, hospital or medical/office/clinic setting.
Preferred qualifications:
3 years of experience in utilization management or casemanagement.
Managed care experience.
Why Join Providence?
Our best-in-class benefits are uniquely designed to support you and your family in staying well, growing professionally, and achieving financial security. We take care of you, so you can focus on delivering our Mission of caring for everyone, especially the most vulnerable in our communities.
About Providence
At Providence, our strength lies in Our Promise of “Know me, care for me, ease my way.” Working at our family of organizations means that regardless of your role, we'll walk alongside you in your career, supporting you so you can support others. We provide best-in-class benefits and we foster an inclusive workplace where diversity is valued, and everyone is essential, heard and respected. Together, our 120,000 caregivers (all employees) serve in over 50 hospitals, over 1,000 clinics and a full range of health and social services across Alaska, California, Montana, New Mexico, Oregon, Texas and Washington. As a comprehensive health care organization, we are serving more people, advancing best practices and continuing our more than 100-year tradition of serving the poor and vulnerable.
Posted are the minimum and the maximum wage rates on the wage range for this position. The successful candidate's placement on the wage range for this position will be determined based upon relevant job experience and other applicable factors. These amounts are the base pay range; additional compensation may be available for this role, such as shift differentials, standby/on-call, overtime, premiums, extra shift incentives, or bonus opportunities.
Providence offers a comprehensive benefits package including a retirement 401(k) Savings Plan with employer matching, health care benefits (medical, dental, vision), life insurance, disability insurance, time off benefits (paid parental leave, vacations, holidays, health issues), voluntary benefits, well-being resources and much more. Learn more at providence.jobs/benefits.
Applicants in the Unincorporated County of Los Angeles: Qualified applications with arrest or conviction records will be considered for employment in accordance with the Unincorporated Los Angeles County Fair Chance Ordinance for Employers and the California Fair Chance Act.
About the Team
The Sisters of Providence and Sisters of St. Joseph of Orange have deep roots in California, bringing health care and education to communities from the redwood forests to the beach shores of Orange county - and everywhere in between. In Southern California, Providence provides care throughout Los Angeles County, Orange County, High Desert and beyond.
Our award-winning and comprehensive medical centers are known for outstanding programs in cancer, cardiology, neurosciences, orthopedics, women's services, emergency and trauma care, pediatrics and neonatal intensive care. Our not-for-profit network provides a full spectrum of care with leading-edge diagnostics and treatment, outpatient health centers, physician groups and clinics, numerous outreach programs, and hospice and home care, and even our own Providence High School.
Providence is proud to be an Equal Opportunity Employer. We are committed to the principle that every workforce member has the right to work in surroundings that are free from all forms of unlawful discrimination and harassment on the basis of race, color, gender, disability, veteran, military status, religion, age, creed, national origin, sexual identity or expression, sexual orientation, marital status, genetic information, or any other basis prohibited by local, state, or federal law. We believe diversity makes us stronger, so we are dedicated to shaping an inclusive workforce, learning from each other, and creating equal opportunities for advancement.
Requsition ID:
411057
Company:
Providence Jobs
Job Category:
Care Management
Job Function:
Clinical Care
Job Schedule:
Per-Diem
Job Shift:
Day
Career Track:
Clinical Professional
Department:
7500 MH SOCIAL WORK ARU
Address:
CA Mission Viejo 27700 Medical Ctr Rd
Work Location:
Mission Hospital Mission Viejo
Workplace Type:
On-site
Pay Range:
$36.81 - $57.15
The amounts listed are the base pay range; additional compensation may be available for this role, such as shift differentials, standby/on-call, overtime, premiums, extra shift incentives, or bonus opportunities.
PandoLogic. Category:Social Services, Keywords:Social Work Manager, Location:Mission Viejo, CA-92691
$36.8-57.2 hourly 1d ago
Registered SUD Counselor (Clinical Technician)
Akua Mental Health
Case manager job in San Diego, CA
Registered SUD Counselor (Clinical Technician) Type: Hourly, Full-Time, Non-Exempt Compensation: $21-23 hourly Benefits:
Health Insurance (Medical, Vision, Dental)
PTO (Vacation, Sick)
Equity Shares (ESOP)
Available Shifts:
AM (6:30am - 3:00pm)
PM (2:30pm - 11:00pm)
NOC (10:30pm - 7:00am)
Key Responsibilities:
Direct Client Care: Support patients struggling with addiction and mental health disorders through daily activities and programming, appointments, and crisis intervention.
Safety Checks: Conduct regular physical checks on all patients within care (a.k.a. "rounds").
Intakes & Discharges: Play a leading role in patient intakes and discharges from the treatment facility, ensuring all clients feel comfortable and welcome.
Medication Observation: Monitor and document client self-administration of medications in accordance with the facility's policies and procedures.
Group Facilitation: Participate in and facilitate substance use disorder (SUD) and/or mental health group sessions.
Documentation: Take all required notes in the company's electronic medical record system (KIPU).
Requirements
Qualifications:
License/Credentials: RADT, SUDRC, or RAC (required); candidates who are willing to get their RADT/SUDRC/RAC (9-hour online course) are encouraged to apply
Education: High School Diploma / GED or Bachelor's Degree (preferred); Students at Alcohol and other Drug (AOD) and Substance Use Disorder (SUD) schools are highly encouraged to apply.
Experience: 1+ years of behavioral healthcare experience (preferred)
Additional:
Valid CA Driver's License (required)
Current Health Screen / Physical (required)
TB Test Clearance (required)
Important Qualities:
Compassion for clients and employees in all interactions
Strong professional ethics, boundaries, and integrity
Positive attitude and emotional composure
Values of ownership, accountability, and reliability
Company Description:
Akua Behavioral Health is California's leading mental health and substance abuse treatment center. We provide our clients with individualized, compassionate treatment from Master's and Doctorate level clinicians across various levels of care at fully licensed and accredited facilities throughout Northern and Southern California. To give our clients the best chance at lasting recovery, we pioneered an integrative East-meets-West approach that combines Western evidence-based treatment with holistic Eastern traditions to treat the mind, body, and spirit. Our mission is to create an environment of healing and transformation for each client seeking change.
Salary Description
$21-$23/hr
$21-23 hourly 2d ago
Case Manager II - Bishop Maher Center
Neighbor 4.3
Case manager job in San Diego, CA
This CaseManager II - is specific to Bishop Maher Center Women's Interim Shelter (BMC) focusing on housing and income. The CaseManager II is responsible for assisting the Supervisor in the leadership and functioning of their assigned caseload in this Interim Housing program. Develops professional and empathetic relationships with clients while providing interventions related to housing through CaseManagement. Creates plans with clients toward achieving self-sufficiency. Develops and maintains a strong working relationship with housing providers to educate them about the benefits of making affordable housing available to homeless clients. Is an active participant in the client's search for permanent housing, including searching for units, assisting with application processes, advocating to landlords, and assisting with all steps of the lease-up process.
Essential Functions
Manages a diverse caseload and provides ongoing intensive support and guidance to clients through weekly casemanagement meetings.
Provides interventions related to housing, developing and maintaining a strong working relationship with housing providers to educate them about the benefits of making affordable housing available to homeless clients.
Creates an individualized care plan that includes coordinated services within the organization's health clinic, residential, social services, and other resources within and outside the community to meet clients' basic and extended needs. Updates case plans every 90 days.
Provides ongoing intensive support to clients which can include assessing, evaluating, crisis intervention, applications for benefits, information, education, advocacy, and other supportive services.
Transporting clients to appointments or into new housing
Coordinates and facilitates client orientation, meetings, and community-building events.
Assesses clients for employment, social security, and disability insurance eligibility; gathers records, assists with completing applications for benefits, provides referrals to community resources, schedules services/treatment with providers, and monitors progress.
Completes monthly budgets and savings reviews.
Prepares, presents, and timely documents client interactions and case plans; participates as a member of the multidisciplinary approach to services team that prepares and provides client case presentations to funders.
Utilizes a strength-based / trauma-informed approach to services, uses Motivational Interviewing techniques, and CREED to encourage positive change.
Maintains a database of permanent housing information including vacancies, eligibility requirements, rents, waiting list lengths, locations, sizes, etc. for each property.
Enroll Client into the clarity system and update every 30 days
On-time completion of assigned training and policies.
Performs other duties as assigned.
Qualifications
Bachelor's Degree in Social Services or related field, or equivalent experience, and one (1) year of applicable job experience
At least 12 months of experience working with underserved populations, case planning, and completing assessments in a social service setting.
Bilingual (English and Spanish) a must.
Demonstrated basic understanding of principles of Housing First, Trauma Informed Care, Conflict Resolution, Motivational Interviewing, Low Barrier Operations and Prevention and Diversion practices, Housing First, social services, casemanagement, eviction prevention, and crisis intervention.
Knowledge of the housing market in San Diego and surrounding areas.
Ability to foster working and productive relationships with landlords, funding sources, and internal departments.
Basic user of MS Office.
Must be able to pass a background check and fingerprint upon employment.
Participate in an annual Tuberculosis screening and/or other screenings when necessary.
The Pay Rate for this role is based on several factors including the candidate's experience, qualifications, and internal equity. The initial offer usually falls between the minimum and midpoint of the applicable salary range. Pay Band N4: $23.90 - $31.43 (Midpoint: $26.80)
$23.9-31.4 hourly Auto-Apply 31d ago
Case Manager - Inpatient - Encinitas
Scripps Health 4.3
Case manager job in Encinitas, CA
Scripps Memorial Hospital Encinitas has served North County's coastal communities since 1978. We're located at Santa Fe Drive and I-5, within walking distance of a park, fitness center, grocery store, pharmacy and restaurants. Scripps Memorial Hospital Encinitas' campus includes Scripps Clinic Encinitas and an outpatient imaging center. We're home to notable specialty programs including a 24-hour emergency room, accredited stroke care, physical rehabilitation services (including a brain injury day treatment program), our Baby Friendly birthing pavilion and a Level II neonatal intensive care unit.
This is a Full-Time (60 hours per pay period, every two weeks) position with 10.25-hour shifts on various days of the week. Hours are typically 7:30am to 6:15pm. Position works every other weekend and rotates holidays.
Position is located at Scripps Memorial Hospital Encinitas.
At Scripps Health, your ambition is empowered, and your abilities are appreciated:
* Nearly a quarter of our employees have been with Scripps Health for over 10 years.
* Scripps is a Great Place to Work Certified company for 2025.
* Scripps Health has been consistently ranked as a top employer for women, millennials, diversity, and as an overall workplace by various national publications.
* Becker's Healthcare ranked Scripps Health on its 2024 list of 150 top places to work in health care.
* We have transitional and professional development programs to create a learning environment that enables you to thrive in your specific field as well as in your overall career.
* Our specialties have been nationally recognized for quality in areas such as cardiovascular care, oncology, orthopedics, geriatrics, obstetrics and gynecology, and gastroenterology.
Scripps Memorial Hospital Encinitas serves the communities of San Diego's coastal North County, offering a full range of clinical and surgical services.
We invite you to join our Scripps Memorial Hospital Encinitas CaseManagement team.
As a CaseManager, you will be responsible for the daily management and coordination of care for patients in the hospital with identified immediate skilled post-acute care needs including coordination with providers, navigators and ancillary and community resources across the system and care continuum. In addition...
* Addresses payer issues that impact care, develops a transition plan of care from inpatient to post-acute that includes a safe discharge plan.
* Ensures that the patient/family agrees with the transition plan and that the plan is implemented.
#LI-DP1
Preferred Education/Experience/Specialized Skills/Certification:
* BSN highly desired.
* CaseManagement or recent acute care hospital experience.
* CaseManagement certification highly desired.
* EPIC experience preferred.
Required Education/Experience/Specialized Skills:
* RN 2 plus years clinical experience
* 1-2 years inpatient acute hospital casemanagement experience OR experience in either acute or non-acute casemanagement.
Required Certification/Registration:
* Current California RN License
* Current BLS for Health Care Provider from American Heart Association.
This position is eligible for a $4,000 retention bonus and $3,000 relocation incentive based off eligibility. To be eligible, you must have at least one year of acute inpatient casemanagement experience and all other eligibility requirements.
The following are not eligible for hiring incentives:
* Internal candidates
* Rehires that left Scripps less than 3 years ago.
In order to remain eligible for your retention incentive the following criteria must be met:
* Must remain in original hired FTE Status and Shift (if specified in offer letter)
* Must remain in original department/specialty.
* Must remain in original Job Title
Transfers to other locations will be reviewed on a case-by-case basis and may result in forfeiting remaining incentive bonus unless specifically noted in your offer letter.
#LI-JS1
At Scripps Health, you will experience the pride, support and respect of an organization that has been repeatedly recognized as one of the nation's Top 100 Places to Work.
You'll be surrounded by people committed to making a difference in the lives of their patients and their teammates. So if you're open to change, go ahead and unlock your potential.
Position Pay Range: $62.80-$91.07/hour
$62.8-91.1 hourly 24d ago
Case Manager II
Community Health Group 3.6
Case manager job in Chula Vista, CA
Works with internal and external health care team to provide oversight of care coordination activities and promote effective and appropriate utilization of services and management of members in CaseManagement.
COMPLIANCE WITH REGULATIONS
Works closely with all departments necessary to ensure that the utilization management processes, programs and services are accomplished in a timely and efficient manner, in accordance with CHG policies and procedures and in compliance with applicable state and federal regulations including Centers for Medicare and Medicaid (CMS) and/or Department of Health Care Services (DHCS).
RESPONSIBILITIES
Conducts home visits for identified members.
Oversight of an assigned caseload and care coordinators.
Monitors, reviews and coordinates proposed inpatient, outpatient and specialty service requests for members in CaseManagement and determines covered benefits based upon lines of business benefit structures.
Develop and maintain accurate documentation pertinent to member care coordination.
Document all activities required in CHGNet CaseManagement application and QNXT Call Tracking system.
Monitors inpatient and outpatient care and facilitates transition to the most appropriate levels of care.
Ensures that members in CaseManagement have appropriate access and monitors compliance to treatment plans.
Contribute to the team effort, maintains member confidentiality.
Maintain company and product reputation and contributes to the team effort by conveying professional image and accomplishing related tasks; participating in committees and meetings; performing other duties as required or assigned.
Conducts necessary outreach to members in CaseManagement for education on compliance with prescribed treatment plans.
Assists providers and staff in the identification of chronic care, casemanagement and disease specific management options for identified members.
Participates in Quality Improvement Activities (QIA) activities. Forwards quality of care concerns to the QI Department and provides case-specific follow-up for pre- determined cases.
Researches and assists in the implementation of processes surrounding workflow and internal guideline development designed to enhance member outcomes and increase customer satisfaction.
Attends department meetings; provides feedback for existing processes; maintains patient confidentiality; represents department in interdepartmental and external meetings and forums on request.
Works closely with internal and external customers at assigned hospitals, clinics, and providers in order to facilitate and improve coordination of care. Provides education to members and providers on available resources. Offers assistance to peers when needed.
This position requires occasional travel within the San Diego County area.
Qualifications
EDUCATION
Graduate from an accredited school of nursing or other health-related field.
BA degree in health-related field preferred.
Active California RN license required or comparable credential.
Certified CaseManager certification.
EXPERIENCE/ SKILLS
3 years of experience working in an acute care facility (ICU, emergency department, and/or medical/surgical unit) or outpatient health care setting and 1-year experience in a managed care environment, hospital discharge planning or outpatient clinic. Inpatient discharge planning or outpatient casemanagement experience preferred.
Bilingual preferred; English/Spanish, English/Tagalog, English/Arabic, English/Vietnamese.
Knowledge of managed care principles preferred.
Experience with understanding and interpreting clinical guidelines.
Ability to communicate effectively verbally and in writing; exceptional telephone and customer service skills; ability to establish effective working relationships with physicians and medical professionals; ability to organize work effectively, determine priorities, and work well independently.
PHYSICAL REQUIREMENTS
Will be required to conduct home and on-site visits.
Valid driver's license, working/reliable vehicle, and automobile insurance.
Intermittent standing, walking, bending, stooping.
Lifting 10 lb. or less.
Driving within San Diego County to conduct home visits required (80% field, 20% office).
May be necessary to work and attend meetings outside of facility or normal business hours.
The above statements describe the general nature and level of work being performed. They are not intended to be construed as an exhaustive list of all responsibilities, duties, and skills required of personnel so classified.
All qualified applicants will receive consideration for employment based on merit, without regard to race, color, religion, sex, national origin, disability, protected Veteran Status, or any other characteristic protected by applicable federal, state, or local law.
$54k-80k yearly est. 11d ago
NCSH Residential - Case Manager
Healthright 360 4.5
Case manager job in Escondido, CA
CaseManagers are responsible for assessing participant needs and strengths in support of health and recovery in a structured, safe and culturally sensitive setting. In conjunction with participant and the treatment team, the CaseManager assists participants in navigating systems of care while providing a supportive treatment environment. CaseManagers assists with linking participants with resources for housing, benefits, employment, education, transportation, child care, medical and other needed services.This is a union position.
KEY RESPONSIBILITIES
Treatment Responsibilities:
Facilitates CaseManagement sessions with each caseload participant.
Provides learning experience opportunities and offers clinical support to assist participants in meeting their treatment goals.
Provides assistance with behavior modification through teaching and encouraging participants to utilize program tools.
Evaluates participant progress. Proactively links participants to both internal and external resources based on their treatment needs and follows up on the progress/status.
Clinical Responsibilities:
Maintains a safe and gender responsive program environment.
Facilitates individual counseling sessions and maintains appropriate and ethical boundaries with participants.
Performs crisis intervention and communicates with treatment team as unforeseen situations arise.
Assist participant in developing independent living skills to promote independence and self-sufficiency.
Advocate for participants with medical professionals, social services agencies, legal systems, participants' families and other involved parties.
Documentation Responsibilities:
Collaborates with each caseload participant, treatment team and other available internal and external resources to determine the participants' needs.
Maintain documentation in compliance with agency, HIPAA, 42CFR, and funder standards.
Properly documents all services provided and any other documentation needed in the participant record and ensures that the golden thread is documented throughout the chart. Work with treatment team to develop and assess effectiveness of individualized treatment plans and participant progress.
Assist in ongoing maintenance of participants' charts and other related documentation. Ensure that all clinical documentation is completed in a timely and accurate manner, and entered into the various electronic systems.
Confirms that there is a progress note for every scheduled appointment whether kept, missed, or canceled.
General Responsibilities:
Comply with agency's policies and procedures. Attend and actively participate in internal and outside meetings as assigned.
Ensure providing quality treatment through compliance with training requirements. Arrange work schedule in accordance with agency's needs which may include weekends, overnights, and holidays.
Meet expected performance standards as assigned by supervisor.
And perform other duties as assigned.
QUALIFICATIONS
Education, Certification, and Experience
Required:
Drug and Alcohol registration recognized by DHCS.
Minimum of 1 year CaseManagement or related experience.
High School diploma or equivalent.
First Aid Certified within 30 days of employment .
CPR Certified within 30 days of employment.
A valid California driver's license and automobile insurance.
Desired:
Drug and Alcohol Certification recognized by DHCS.
Bachelor's Degree in Psychology, Counseling or Social Services.
Bilingual English & Spanish.
Background Clearance
Ability to obtain and maintain satisfactory background check.
Ability to obtain and maintain live scan clearance.
Knowledge
Required:
Strong connection with community resources and ability to link participants to the appropriate services.
Experience working with community partners.
Culturally competent and able to work with a diverse population
Strong proficiency with Microsoft Office applications, specifically Word Outlook and internet applications.
Experience working successfully with issues of substance abuse, mental health, criminal background, and other potential barriers to economic self sufficiency.
Desired:
Knowledge of gender-responsive, trauma informed and co-occurring treatment.
Knowledge of Clinical documentation (treatment plans, progress notes etc.).
Experience working with criminal justice population.
$48k-57k yearly est. 60d+ ago
Telephonic Case Manager
Healthcare Support Staffing
Case manager job in San Diego, CA
HealthCare Support Staffing, Inc. (HSS), is a proven industry-leading national healthcare recruiting and staffing firm. HSS has a proven history of placing talented healthcare professionals in clinical and non-clinical positions with some of the largest and most prestigious healthcare facilities including: Fortune 100 Health Plans, Mail Order Pharmacies, Medical Billing Centers, Hospitals, Laboratories, Surgery Centers, Private Practices, and many other healthcare facilities throughout the United States. HealthCare Support Staffing maintains strong relationships with top providers in healthcare and can assure healthcare professionals they will receive fast access to great career opportunities that best fit their expertise. Connect with one of our Professional Recruiting Consultants today to see how a conversation can turn into a long-lasting and rewarding career!
Job Description
Review treatment plans for medical necessity and effectiveness (concurrent review)
Monitor and review specialized requests and treatment records
Qualifications
Must be LCSW (Licensed Clinical Social Worker), LPC (Licensed Professional Counselor), or LMFT (Licensed Marriage and Family Therapist)
Strong Typing skills (proveit required)
Additional Information
Hours:
M-F 8:15am to 5:30pm
Advantages:
Competitive Salary ($33/hr to $38/hr.)
Excellent benefits package
Fun and positive work environment
$33-38 hourly 60d+ ago
Case Manager II - Bishop Maher Center
St. Vincent de Paul Village 4.2
Case manager job in San Diego, CA
This CaseManager II - is specific to Bishop Maher Center Women's Interim Shelter (BMC) focusing on housing and income. The CaseManager II is responsible for assisting the Supervisor in the leadership and functioning of their assigned caseload in this Interim Housing program. Develops professional and empathetic relationships with clients while providing interventions related to housing through CaseManagement. Creates plans with clients toward achieving self-sufficiency. Develops and maintains a strong working relationship with housing providers to educate them about the benefits of making affordable housing available to homeless clients. Is an active participant in the client's search for permanent housing, including searching for units, assisting with application processes, advocating to landlords, and assisting with all steps of the lease-up process.
Essential Functions
Manages a diverse caseload and provides ongoing intensive support and guidance to clients through weekly casemanagement meetings.
Provides interventions related to housing, developing and maintaining a strong working relationship with housing providers to educate them about the benefits of making affordable housing available to homeless clients.
Creates an individualized care plan that includes coordinated services within the organization's health clinic, residential, social services, and other resources within and outside the community to meet clients' basic and extended needs. Updates case plans every 90 days.
Provides ongoing intensive support to clients which can include assessing, evaluating, crisis intervention, applications for benefits, information, education, advocacy, and other supportive services.
Transporting clients to appointments or into new housing
Coordinates and facilitates client orientation, meetings, and community-building events.
Assesses clients for employment, social security, and disability insurance eligibility; gathers records, assists with completing applications for benefits, provides referrals to community resources, schedules services/treatment with providers, and monitors progress.
Completes monthly budgets and savings reviews.
Prepares, presents, and timely documents client interactions and case plans; participates as a member of the multidisciplinary approach to services team that prepares and provides client case presentations to funders.
Utilizes a strength-based / trauma-informed approach to services, uses Motivational Interviewing techniques, and CREED to encourage positive change.
Maintains a database of permanent housing information including vacancies, eligibility requirements, rents, waiting list lengths, locations, sizes, etc. for each property.
Enroll Client into the clarity system and update every 30 days
On-time completion of assigned training and policies.
Performs other duties as assigned.
Qualifications
Bachelor's Degree in Social Services or related field, or equivalent experience, and one (1) year of applicable job experience
At least 12 months of experience working with underserved populations, case planning, and completing assessments in a social service setting.
Bilingual (English and Spanish) a must.
Demonstrated basic understanding of principles of Housing First, Trauma Informed Care, Conflict Resolution, Motivational Interviewing, Low Barrier Operations and Prevention and Diversion practices, Housing First, social services, casemanagement, eviction prevention, and crisis intervention.
Knowledge of the housing market in San Diego and surrounding areas.
Ability to foster working and productive relationships with landlords, funding sources, and internal departments.
Basic user of MS Office.
Must be able to pass a background check and fingerprint upon employment.
Participate in an annual Tuberculosis screening and/or other screenings when necessary.
The Pay Rate for this role is based on several factors including the candidate's experience, qualifications, and internal equity. The initial offer usually falls between the minimum and midpoint of the applicable salary range. Pay Band N4: $23.90 - $31.43 (Midpoint: $26.80)
$23.9-31.4 hourly Auto-Apply 31d ago
Double R Ranch Case Manager
Hurtt Family Health Clinic
Case manager job in Tustin, CA
The Double R Ranch CaseManager assists students towards self-sufficiency through accountability, mentoring, instruction, and coordination of services. The ideal candidate for this role will be able to provide both practical and biblical assignments that will lead our students towards growth.
This position has a schedule of Sunday through Thursday (time to be determined).
Job Requirements
Education: Bachelor's degree (BA)
Experience: 1 year of job related work experience.
Communication Skills: Ability to read and interpret documents such as safety rules, operating and maintenance instructions, and procedure manuals. Ability to write routine reports and correspondence. Ability to speak effectively before groups.
Math Skills: Minimum Skills: Ability to add and subtract and to multiply and divide.
Reasoning: Intermediate Skills: Ability to apply common sense understanding to carry out instructions furnished in written, oral or diagram form. Ability to deal with problems involving several variables in standarized situations.
Job Related Certifications / Licensing / Professional Registry or Memberships Requirements:
(List below any required licensing/certifications to perform any essential job duties). Driver's License
Driving Requirements: Required to drive a DOT Company Vehicle.
Bachelor's Degree or equivalent education and experience in a related field such as in a social work/counseling environment or within a ministry setting. Knowledge and experience working with men, women and children in crisis. Strong working knowledge of the Bible. Strong verbal and written communication, organizational and administrative skills. Christian Association of Drug and Alcohol Counselor (CADAC) or Registered Addictions Specialist (RAS) certification desired.
$41k-66k yearly est. 15d ago
Case Manager
Marquee Staffing
Case manager job in San Clemente, CA
Job Title: CaseManager Under the supervision of the Population Health Manager, the CaseManager coordinates non-clinical aspects of patient care, emphasizing effective transitions of care, post-hospital follow-ups, and ensuring timely completion of referrals. This role exemplifies the organization's core values-Service, Dignity, Justice, and Excellence-by fostering respectful, equitable, and high-quality support for patients. The CaseManager collaborates with healthcare providers, referral specialists, and community resources to develop personalized care plans that address both medical and social determinants of health. Utilizing electronic health records (EHR), they monitor patient progress, document activities accurately, and ensure adherence to established care protocols. They also play a vital role in meeting quality metrics such as HEDIS and FQHC clinical standards through follow-ups, preventive screenings, patient education, and care gap closures, thereby improving overall health outcomes.
Key Benefits & Opportunities:
Opportunity to make a meaningful impact on patient health and community well-being
Growth potential within a collaborative and supportive team environment
Access to ongoing training and professional development in casemanagement and population health
Work in a mission-driven organization committed to health equity and patient-centered care
Essential Values-Based Competencies:
Dignity: Demonstrates compassionate communication and respectful interaction with patients, families, and colleagues, upholding confidentiality and HIPAA compliance.
Excellence: Commits to continuous improvement, learning, and teamwork to enhance service delivery.
Service: Maintains a patient-centered approach, demonstrating adaptability and proactive support to meet individual needs.
Justice: Promotes community engagement, resource stewardship, and strategic planning to address health disparities.
Essential Responsibilities:
Patient Relations
Engage cooperatively and empathetically with patients, healthcare staff, and community partners.
Provide supportive communication, ensuring patient confidentiality and adherence to HIPAA regulations.
Outreach and Engagement
Proactively connect with patients to educate on the benefits of care management and supportive services.
Follow up after hospital stays to facilitate care plan adherence and appointment attendance.
Link patients to community resources addressing social determinants such as transportation, food security, and housing.
Coordinate transportation and schedule in-clinic appointments to meet health and screening needs.
Communicate health information clearly and accessibly, including referrals and socioeconomic resources.
CaseManagement
Conduct holistic initial assessments covering medical, mental health, substance use, and social needs, including SDOH and cultural factors.
Develop and regularly update patient-centered care plans collaboratively with patients, families, and providers.
Monitor progress, evaluate efficacy, and adjust plans to overcome barriers and improve health outcomes.
Facilitate team communication to ensure seamless care coordination and minimize duplication.
Apply evidence-based engagement techniques, such as Motivational Interviewing, to promote positive behavior change.
Address emergent issues promptly and leverage critical problem-solving skills to resolve challenges.
Document all interactions accurately in the EMR, ensuring compliance with legal and accreditation standards.
Participate in team meetings and quality improvement initiatives to identify and address care gaps and optimize practices.
Demonstrate strong ethical standards in all professional relationships.
Additional Responsibilities
Support clinical and community outreach activities as needed.
Perform other duties assigned by supervisors.
Knowledge, Skills, and Abilities:
Strong interpersonal skills and cultural competence across diverse populations.
Ability to work both independently and collaboratively in a fast-paced environment.
Excellent time management, organization, and multitasking skills.
Effective verbal and written communication, including health literacy and community engagement.
Familiarity with community resources and non-clinical support services.
Decision-making and judgment skills, including knowing when to escalate issues.
Basic understanding of behavioral health and substance use disorders.
Commitment to patient confidentiality and ethical practice.
Age and Population-Specific Competencies:
Demonstrates ability to provide sensitive, appropriate care tailored to the unique needs of the served population, ensuring equitable and respectful interactions across all age groups.
Education & Experience Requirements:
High school diploma or GED required.
At least two years of experience in healthcare or casemanagement, preferably involving chronic illness, mental health, or substance use populations.
Valid driver's license and proof of auto insurance.
Basic Life Support (BLS) certification required.
Preferred Qualifications:
Bilingual (English/Spanish) skills.
Bachelor's degree in health, human services, or related field preferred.
Certified CaseManager (CCM) or related certifications.
Experience with Enhanced Care Management (ECM) programs.
Licensed Vocational Nurse (LVN) with casemanagement experience considered.
Work Environment & Physical Requirements:
Office-based position utilizing standard equipment such as computers, phones, and office supplies.
May involve extended sitting, occasionally lifting up to 20 lbs., and walking or standing as needed.
Reliable transportation required for community outreach and site visits.
Environment free from major hazards, with adherence to safety policies.
$41k-66k yearly est. 25d ago
Temporary Bilingual Case Manager
Community Resource Center 4.1
Case manager job in Encinitas, CA
About CRC: Our mission is to help our neighbors create paths to healthy food, stable homes and safe relationships. We do this through a variety of programs including emergency assistance, domestic violence emergency shelter, counseling, housing stability and access to food. Community Resource Center is widely recognized as the primary provider of social services and domestic violence programs in coastal North County San Diego, serving more than 7,200 people each year.
Position profile: Under the supervision of the Social Services Program Manager, the Bilingual CaseManager is responsible for providing direct services to CRC program participants and those requesting services and resources. This includes both formal and informal casemanagement and crisis intervention, provision of emergency assistance, facilitation of multiple homelessness prevention and intervention programs (including rental assistance, seasonal shelter, and motel voucher programs) and other services focused on supporting participants on their path to self-sufficiency, including employment readiness support, financial education, budgeting, benefits enrollment assistance, and goal setting.
*Please note: This position is temporary with an anticipated end date of December 31, 2026.
Essential Functions and Responsibilities:
Provide appropriate information, resource guidance, emergency services, basic crisis intervention and eligibility screening for participants, callers and visitors requesting assistance via CRC's Social Services, Food and Nutrition, Domestic Violence and Counseling Programs and maintain an ongoing and accurate understanding of the basic eligibility requirements for each.
Manage assigned case load and provide formal and informal casemanagement services; complete intake processes, collect eligibility documentation, perform psychosocial assessments, determine program eligibility, formulate case plans, evaluate, and submit participant requests for financial support.
Participate in activities directly related to contract outcomes including administration of CRC's housing and shelter programs, leading groups/workshops and administrating benefits application assistance and ensure that all assigned goals related to contract compliance and outcomes are met.
Perform service advocacy on behalf of participants and research, network and attend meetings with other community agencies/resources and make appropriate referrals to link participants with programs and services for more responsive service policies and provision of needed services.
Maintain accurate and complete physical and electronic records as required by grants and contracts, document all participant interactions and progress in standard agency format and complete required agency forms and data entry in a timely manner.
Attend and participate in group and/or individual supervision sessions with Manager and/or Director.
Other duties as assigned.
Requirements:
Bilingual (English/Spanish) required.
Associates degree in Social Work/Psychology/Sociology/related field required, Bachelor's preferred; if no degree, 3+ additional years' work experience may suffice in lieu of AA degree.
1+ years of social service experience, including casemanagement, crisis intervention and/or counseling required; knowledge of homelessness prevention and interventions, familiarity with low-income individual/family resources and/or Domestic Violence services and Trauma Informed Care interventions is highly desirable.
Ability to maintain a solution-focused, professional, compassionate attitude during difficult situations.
Ability to collect, analyze, prioritize, and communicate information effectively with an attention to detail; excellent written and verbal communication skills required.
Ability to create and maintain professional relationships with participants, community partners and colleagues.
Experience using a Homeless Management Information System such as Efforts to Outcomes and Clarity preferred.
MS Office expertise: Word, Excel, PowerPoint, Outlook, SharePoint, etc.
Must have completed a 40-hour domestic violence & other required training at the time it is offered by CRC and other partnering agencies.
To support clear boundaries and uphold ethical service delivery standards, applicants must be at least one year removed from receiving casemanagement or supportive services through Community Resource Center.
Physical requirements:
Primarily sedentary with intermittent standing, walking, bending, and stair climbing.
Occasional light lifting and carrying of objects weighing up to 25 lbs.
Ability to work in a standard office environment at a computer, including repetitive use of a keyboard and mouse.
This position is temporary full-time, non-exempt and is paid according to federal and state laws. Candidates selected for hire are required to undergo a TB screening and a LiveScan background screening.
Benefits:
Dental insurance
Employee assistance program
Flexible spending account
Health insurance
Life insurance
Paid time off
Retirement plan
Vision insurance
Community Resource Center is an Equal Opportunity Employer (EOE). All employees must have the legal right to work in the United States without support; sponsorship is not available, nor is relocation assistance.
$46k-57k yearly est. 28d ago
Production Case Manager
Biotec Dental Laboratory 4.7
Case manager job in Irvine, CA
Are you an experienced dental lab professional with deep knowledge in Crown & Bridge and Implant case evaluation? Are you passionate about working directly with doctors to provide real-time, technical support that improves lives one smile at a time?
Join the BioTec Dental Laboratory team-where innovation meets precision, and people come first.
Why You'll Love Working at BioTec:
Be on the Cutting Edge
At BioTec, we're not just keeping up-we're leading. Join a lab that integrates state-of-the-art digital workflows, advanced restorative materials, and a commitment to clinical excellence.
Make an Impact
You'll play a critical role in case consultations, offering expert guidance on complex Crown & Bridge and Implant restorations, ensuring each case is crafted with precision and care.
People-First Culture
We invest in YOU so you can invest in our clients. Enjoy:
Competitive pay
Medical, dental, vision
Paid holidays
Paid Time Off
PTO for your Birthday
Simple IRA with employer match
Employee lunches
Ongoing training & growth opportunities
A collaborative, energetic environment
? What You'll Be Doing:
As a CaseManager, you will:
Serve as the clinical liaison between our lab and dental offices
Evaluate and consult on Crown & Bridge and Implant cases to ensure accuracy and efficiency
Offer case-specific product recommendations tailored to each doctor's needs
Manage communication with dental professionals via phone and CRM
Document notes, updates, and status changes for each case in our system
Proactively follow up with clients and internal teams to ensure smooth execution
Support case troubleshooting and ensure exceptional customer satisfaction
Collaborate cross-functionally with lab techs, managers, and admin teams
? What We're Looking For:
Previous dental lab or clinical experience specializing in Crown & Bridge and Implant cases
Strong technical knowledge of dental restorations and materials
Experience working directly with dental providers in a customer-facing role
Excellent communication, organization, and follow-up skills
Proficiency in case documentation and CRM use
A team-first mindset with a passion for patient outcomes
$60k-76k yearly est. 60d+ ago
Workers Compensation Paralegals/Case Managers
Viper Staffing Services
Case manager job in Irvine, CA
(Hiring) Workers Compensation Paralegals/CaseManagers (Onsite) Pay: $20-$35 (Pay can vary depending on experience) (1-10+ years of experience) We are seeking Workers Compensation Paralegals/CaseManagers to become a part of our team! You will provide overall support to attorneys' business needs.
Responsibilities:
Conduct research to support legal proceedings
Assist with the drafting and reviewing of legal documents
Investigate facts to help in the negotiation of legal disputes
Monitor and ensure compliance with state and federal regulations
Record and store client information
Qualifications:
Previous experience as a paralegal or other legal field
Familiarity with legal research
Ability to prioritize and multitask
Excellent written and verbal communication skills
Deadline and detail-oriented
Email Resumes To: Admin@viperstaffing.com
$20-35 hourly 60d+ ago
Case Manager (Non- Licensed) - FT - S
PACS
Case manager job in San Diego, CA
Pay Range: $65,000 - $70,000 annually depending on experience Benefits include Medical, Dental, Vision, 401k matching Communicate regularly with residents and their family about Plans of Care, PT, OT and other treatment protocols. Attends and participates in morning meetings/stand up to facilitate communications with the team. Answer residents' questions about their care, treatment plans, illness progression and all other issues so they feel safe and secure in our care. Monitor and adjust resident's statuses based on changing needs and conditions. Organize and prioritize daily work by assessing new, current and discharging residents needs in area(s) of responsibility. Complete documentation as required. Performs utilization review activities to provide resident appropriate, timely and cost effective care. Coordinate care with resident, care providers, facilities financial services, and third party payers. Oversee all admissions and discharge activities. Coordinate referrals both to and from our facility. Ability to relate positively, effectively, and appropriately with residents, families, staff and professional colleagues. Accurate charting and ability to complete necessary paperwork in a timely manner. Ability to work independently and exercise sound judgement in interactions with physicians, providers, payers and residents and their families. Must be able to effectively communicate with, and promote cooperation and collaboration between individuals including residents/families/caretakers, physicians, nurse and other ancillary partners. Must have excellent time management skills to develop organized work processes in a high volume environment with rapidly changing priorities. Intermediate computer skills. Competence maintaining professional, respectful, honest interactions with residents/families and staff and partners. Supervisory Requirements This position has no supervisory responsibilities. Qualification Education and/or Experience Bachelor's Degree in Nursing or Social Work. Registered Nurse (RN) license preferred. Licensed (LVN or LPN) nurse acceptable. Two (2) year clinical nursing experience preferred. Knowledge of Medicare, Medi cal and Medicaid programs and benefits. PCC Knowledge Language Skills Ability to read technical procedures. Ability to read and comprehend policy and procedure manuals. Ability to effectively present information and respond to questions from managers and employees. Mathematical Skills Ability to apply concepts such as fractions, percentages, ratios and proportions to practical situations. Reasoning Ability Ability to solve practical problems. Ability to interpret a variety of instructions furnished in written, oral, diagram, or schedule form. Certificates, Licenses, Registrations LVN/LPN Valid License or RN Valid Licensee in the state you are working. Certificate as a certified CaseManager (CCM) a plus. Must maintain all required continuing education/licensing. Must remain in good standing with the Department of Public Health; License and Certification Division at all times. Physical Demands The essential functions of this position require the following physical abilities: Standing and /or walking very frequently. Sitting occasionally. Reaching with hands and arms frequently, pushing/pulling very frequently. Talking and /or hearing very frequently. Tasting and /or smelling very frequently. Lifting up to 50 pounds frequently. Climbing, balancing, stooping, kneeling, crouching or crawling occasionally. Close, distance, color, peripheral, and depth perception in vision: ability to adjust focus. Work Environment The work environment characteristics described here are representative of those an employee encounters while performing the essential functions of this job. Reasonable accommodations may be made to enable individuals with disabilities to perform the essential functions. The noise level in the work environment is usually low to moderate. Additional Information Note: Nothing in this job specification restricts management's right to assign or reassign duties and responsibilities to this job at any time. Critical features of this job are described under various headings above. They may be subject to change at any time due to reasonable accommodation or other reasons. The above statements are strictly intended to describe the general nature and level of the work being performed. They are not intended to be construed as a complete list of all responsibilities, duties, and skills required of employees in this position.
We are an equal opportunity employer and value diversity in our workforce.
$65k-70k yearly Auto-Apply 60d+ ago
Case Manager I - Transition Planner - Sharp Memorial Hospital - FT - Day Shift
Sharp Healthplan
Case manager job in San Diego, CA
Hours: Shift Start Time: Shift End Time: AWS Hours Requirement: Additional Shift Information: Weekend Requirements: On-Call Required: No Hourly Pay Range (Minimum - Midpoint - Maximum): $56.580 - $70.170 - $83.760 The stated pay scale reflects the range as defined by the collective bargaining agreement between Sharp HealthCare and Sharp Professional Nurses Network, United Nurses Associations of California/Union of Health Care Professionals, NUHHCE, AFSME, AFL-CIO. Placement within the range is based on years of RN experience.
What You Will Do
The RN CM I assesses, develops, implements, coordinates and monitors a comprehensive plan of care for each patient/family in collaboration with the physician, social worker and all members of the interdisciplinary team in the inpatient and emergency department patient care areas. This position requires the ability to combine clinical/quality considerations with regulatory/financial/utilization review demands to assure patients are receiving care in the appropriate setting and level of care. The position creates a balance between individual clinical needs with the efficient and cost-effective utilization of resources while promoting quality outcomes. This position requires critical thinking and advanced problem-solving and time management skills.
Required Qualifications
* 2 Years Recent acute care nursing experience, casemanagement experience or equivalent experience in the healthcare setting.
* California Registered Nurse (RN) - CA Board of Registered Nursing
Preferred Qualifications
* Bachelor's Degree in Nursing or equivalent degree.
* Master's Degree
* Certified CaseManager (CCM) - Commission for CaseManager Certification
* Accredited CaseManager (ACM) - American CaseManagement Association (ACMA)
Essential Functions
* Professional development
The RN CM I will:
Actively participates in the performance-planning, competency and individual development planning process.
Maintain current knowledge of casemanagement, utilization management, and discharge planning, as specified by Sharp, federal, state, and private insurance guidelines.
* Core principles
The RN CM I will make timely referrals to ensure that the patient is receiving the appropriate care, in the appropriate setting and using the appropriate utilization standards as set by community and professional standard as adopted by the medical staff.
The RN CM I will assure that the patients from all age groups proceed efficiently through the course of hospitalization and beyond through the continuum of care.
The RN CM I will relate and communicate positively, effectively, and professionally with others; be assertive and consistent in following and/or enforcing policies; work calmly and respond courteously when under pressure; lead, supervise, teach, collaborate and accept direction.
The RN CM I performs other duties as needed.
* Organizational relationships
The RN CM I will work closely with the healthcare team in reaching unit, facility, and system/network organization goals including reductions in length of stay, decreasing denials, improvement of care transitions, and reduction in avoidable readmissions, improved patient experience, and other quality initiatives.
In the emergency departments, the RN CM I will work collaboratively with other members of the interdisciplinary team to develop relationships and provide preadmission status recommendations for admissions as well as implement a comprehensive, integrated discharge plan from the emergency department(ED) for patients who are being discharged to a lower level of care.
The RN CM I will recommend and document patient classification (status and level of care) for all admissions utilizing established criterion sets.
The RN CM I has accountability for maintaining compliance contractual and regulatory compliance with medical groups as applicable and the hospital.
The RN CM I will have excellent interpersonal skills demonstrated by the ability to work effectively with individuals and or teams across disciplines.
* Care coordination and discharge planning
Within 24 hours of admission the RN CM I will interview/assess each patient/family for anticipated needs post hospitalization.
The RN CM I will ensure patient choice is obtained and documented in accordance with all state and federal regulatory requirements.
The plan and interventions will be documented in the electronic medical record (EMR), and casemanagement software.
The RN CM I will develop and document a plan for the day and plan for the stay with patient, family, providers, and nursing staff.
The RN CM I will be responsible for leading the daily care coordination (multidisciplinary) rounds, update the plan, and facilitate necessary coordination of services.
The RN CM I will document and initiate discharge plan including early referrals and authorization for LTAC, SNF, Rehab, homecare, DME and infusion services.
The RN CM I will prepare patient/family for discharge. Document expected discharge date per protocol and arrange discharge pick up appointment with family or significant other.
In collaboration with SW partner, the RN CM I will follow standards for routine patient/family conference.
The RN CM I will ensure effective and safe patient handovers to next level of care; work closely with ambulatory care manager (ACM) at the system level, in clinics, with SCMG and other complex care CaseManagers as appropriate, and homecare and sub-acute liaisons.
The RN CM I will support the nursing Model of Care by working closely with nursing managers and staff to achieve Patient and Family Centered Care goals: respect and dignity, information sharing, participation and collaboration.
The RN CM I will facilitate increased volume of cases discharged early in the day to improve capacity management.
The RN CM I will collect and document avoidable day's information in appropriate care management software.
The RN CM I will participate in venues to reduce barriers to discharge.
The RN CM I Collaborates with Clinical Resource Coordinators (CRC's/clinical assistants) to assure appropriate referrals for care and services are directed to appropriate network providers, and obtains prior authorization for in network and out of network services as appropriate.
The RN CM I provides timely delivery of regulatory and mandated patient communications and correspondence.
The RN CM I oversees preparation, delivery and documentation of non-coverage letters.
The RN CM I identifies and escalates potential quality variances to management and document per guidelines.
The RN CM I interviews all patients with an admission within 30 days to determine what went wrong in the discharge.
He/she documents as appropriate in the electronic medical record and provides information to the department head as indicated.
* Utilization review and utilization management
The RN CM I will:
Conduct initial review at POE or within 24 hours of admission utilizing appropriate evidenced based care guidelines software. Document findings in ICM software (EMR).
Identify anticipated LOS and document as per departmental process.
Conduct daily concurrent reviews per protocol/policy and payer request.
Utilize appropriate care guideline software to identify the correct patient status and level of care.
Work with attending provider to assure correct status, if status and order does not match; works with provider to resolve conflict and document interventions in the EMR.
Assure correct documentation is present for 2MN benchmark and presumption.
Assure Medicare Inpatient to observation status changes follow Condition Code 44 requirements.
Actively works observation patient list assuring transitions to next level of Care.
Communicates as indicated with third party payers to obtain necessary authorization for reimbursement of services. Obtain approved days/LOS from provider and communicates this to the care team.
Refer defined cases for medical secondary review and share findings with providers.
Provide advice to Revenue Cycle/HIM regarding RAC decision to appeal, denials, input into appeals, share findings with providers.
Review all cases with readmission within 30 days; report findings in the EMR and in accordance with the departmental policy.
Identify opportunities for cost reduction and participate in appropriate utilization management venues.
Escalate and refers cases for consultation with Physician Advisor or Medical Director as appropriate.
Oversee preparation, delivery and documentation of non-coverage letters.
Knowledge, Skills, and Abilities
* PC, data management and analysis skills required (experience with MCG an asset).
* Excellent interpersonal skills, as demonstrated by the ability to work effectively with individuals and or teams, and across disciplines.
* Excellent communication and negotiation skills as demonstrated in oral and written forms.
* Ability to work in a collaborative partnership model with Social Workers and other members of the interdisciplinary team, both internal and external. Organizational and time management skills, as evidence by capacity to prioritize multiple tasks.
Sharp HealthCare is an equal opportunity/affirmative action employer. All qualified applicants will receive consideration for employment without regard to race, religion, color, national origin, gender, gender identity, sexual orientation, age, status as a protected veteran, among other things, or status as a qualified individual with disability or any other protected class
$40k-65k yearly est. Auto-Apply 60d+ ago
Case Manager for Personal Injury
Torklaw
Case manager job in Irvine, CA
Please note: This is NOT a remote ad, this is a role in Office.
Are you highly organized, a strong communicator, and fluent in Spanish and English? TORKLAW, a leading personal injury law firm, is seeking a Bilingual CaseManager to support our attorneys and clients. In this role, you'll work closely with clients, insurance adjusters, medical providers, and our legal team to ensure cases move smoothly and efficiently. We're looking for someone who can manage multiple tasks with ease, build strong client relationships, and bring compassion and professionalism to every interaction.
Key Responsibilities
As a Bilingual CaseManager, you will be involved in all aspects of pre-litigation personal injury cases - from inception to settlement. Your duties will include, but are by no means limited to:
Strategic Management of Client Cases: Uphold the integrity of our organization by ensuring a rigorous and methodical management of client cases.
File Organization & Maintenance: Develop, curate, and sustain an organized repository of case files, ensuring easy access and retrieval.
Streamlined Communication: Serve as the nexus between attorneys, clients, and associated entities, ensuring that communications are prompt, precise, and comprehensively documented.
Legal Document Preparation: Assist in drafting, revising, and finalizing a range of legal documents and correspondences, leveraging your keen eye for detail.
Evidence and Record Compilation: Lead initiatives to accumulate records and evidentiary materials, reinforcing the foundational aspects of the case.
Property Damage Claim Resolution: Navigate the complexities of property damage claims, ensuring just and timely resolutions.
Lien Negotiation: Engage in strategic negotiations pertaining to liens, ensuring optimal outcomes.
Deadline Tracking: Implement and maintain a robust tracking system, ensuring no milestones or deadlines are missed.
Medical Treatment Coordination: Facilitate and oversee the coordination of medical treatments, ensuring client welfare.
Case Progress Oversight: Monitor and guide the progression of all case aspects, guaranteeing smooth transitions and milestones.
About TORKLAW:
TORKLAW is an incredibly fast-moving, innovative law firm that is all about delivering an exceptional client experience and high-quality legal representation to each and every one of our clients.
We've been entrusted with an awesome responsibility, and we respond with hard work, discipline, and laser focus. Along the way, we've earned recognition for our growth and the work we do including features in CNN, Forbes, The Wall Street Journal, Daily Journal & The Advocate.
If you would like to be a part of a downright badass team like this, then we can't wait to hear from you!
As a values-based firm. We believe in:
Radical Authenticity - being transparently who we are: with ourselves, with each other, and with our clients & partners.
Relentless Pursuit of the Win - achieving stellar results keeping a laser focus on performance and goals.
Growth Mindset - continuously learning, growing and developing as individuals, as a business, and as advocates for our clients.
Ownership - we take responsibility for our work and actions.
Results Driven - we focus on the outcome and disregard the level of effort required to achieve those results.
Respect for Each Other - supporting each other with kindness and respect, and enjoying the journey together.
Unwavering Integrity - standing up for what's right with consistently sound ethics and courageous honesty.
Requirements
Bilingual (English/Spanish) is required
Ideally 3+ years if experience in a similar role (or combined with equivalent education)
Computer literate and proficient with standard off productivity software
Effective team player
Excellent interpersonal and communication skills
Strong organizational and multitasking abilities
A problem-solver the ability to handle challenging situations
Friendly and approachable demeanor
Some litigation experience is a plus
Benefits
In addition to a competitive salary, this position will receive the following benefits:
12 paid holidays annually
10 days of paid vacation annually
6 days of sick leave annually
Medical insurance
Optional Dental, Vision, Life
401(k) with 4% fully vested safe-harbor company match
Regular firm events (happy hours, team building, holiday party, etc)
Laptops are replaced every 3 years. After 3 years, your work laptop will become your personal laptop.
TORKLAW is a multi-state employer, as such, any salary range provided may not be applicable in all states. Any offer made to a successful candidate will be dependent on several factors that may include years of experience, education, location, etc.
$41k-66k yearly est. Auto-Apply 16d ago
Case Manager
Health In Balance Chiropractic & Natural Medicine
Case manager job in Laguna Beach, CA
*For questions regarding your application status, please email our clinic director, Karin, at *************************
We are looking for a Patient Care Coordinator who is upbeat, hard-working, and a team player who aligns with our purpose to see many people healed and living their best lives! This position requires a people-person with strong organizational and computer skills and a high level of self-motivation.
A Care Coordinator
MUST
possess excellent interpersonal and customer service skills with the ability to project concern, empathy, and compassion in both in-person and non-verbal communication settings. This is a busy work environment which requires an individual who can perform a variety of tasks interspersed with face-to-face patient encounters.
POSITION SUMMARY
The purpose of the Care Coordinator position is to help every patient acknowledge and address their health challenges and to collaborate with them in setting both short and long-term health goals. They will consistently encourage the patient to keep the commitments that are necessary to reach their goals. Finally, it is the Care Coordinator's responsibility to help the patient overcome the two main obstacles to most patients' health care, which are time and money. The Care Coordinator works hand-in-hand with the doctors to manage each patient's case.
The Care Coordinator develops a very close relationship with patients and must have incredible communication skills. They will follow a patient along their journey to wellness by checking in with them on a regular basis, such as during re-exams and any other time the patient may have questions about their plan of care and their journey through the 4 Phases of Spinal Rehabilitation.
WHO IS HEALTH IN BALANCE?
Our vision at Health in Balance is to see as many people restored to a vibrant, flourishing life as possible. We want to continue to thrive as a practice as we help thousands of people reclaim their health. As a team that loves what we do and honors one another in our various roles, we get to see people's lives change for the better and we have fun doing it! We all know we are making a difference and believe it is an honor and a calling to be part of this team.
Health in Balance's mission is to help individuals who suffer from various ailments regain their health and, ultimately, live active, pain-free lives. Using our unique 4-System Approach, we address these ailments holistically looking at structural, biochemical, emotional, and electromagnetic barriers to health. Since 1987, Health in Balance has achieved phenomenal success with some of the most difficult cases. We are a leader in chiropractic and natural medicine.
GENERAL TASKS INCLUDE (BUT ARE NOT LIMITED TO):
Giving patients an office tour
Obtaining a thorough medical history and taking vitals
Providing education to the patient on our approach and chiropractic care
Scribing and entering notes during the doctor's exam
Presenting an X-ray report to a patient
Preparing each patient's plan of care with financial options
Presenting a plan of care and closing the patient on finances
Reviewing office policies with a patient
Maintaining rapport with a patient throughout their plan of care through routine check-ins and consultations at re-exams
Walking patients through the process of completing a plan of care and beginning the next phase of care
Helping with scheduling and reactivation
Regularly sending personal communication (mail, e-mail, phone calls, texts) to patients to ensure their satisfaction with previous services and products
Routinely following-up via phone, email, and text with patients for various reasons
Promoting services and products appropriate for each patient
EDUCATION & EXPERIENCE
High School diploma required
2-3 years' work experience in reception, sales, customer service or related field is preferred
REQUIRED TECHNICAL SKILLS
Microsoft Office (Excel, Word, etc)
Google Workspace Applications (Docs, Sheets, etc)
Familiar with EMR software (or able to learn new software easily)
Proficient in computer skills and typing
Knowledge of chiropractic and basic human anatomy is highly recommended
POSITION TYPE Full-Time (40 hours per week), In-Office
HOURS (Hours subject to change based on clinic needs)
Mon/Wed/Fri 6:40am - 3:10pm Tues/Thurs 11:00am - 7:30pm Sat/Sun Off
POSITION PAY $18-$25 per hour base pay (depending on level of experience) plus commission and bonus structure
BENEFITS
Chiropractic/Naturopathic Employee Care and Family Discount
PTO for Vacation and Sick Pay
Professional Development Training
Retirement Plan (2% Investment from Health in Balance)
PHYSICAL REQUIREMENTS
The physical demands described here are representative of those that should be met by an employee to successfully perform the essential functions of this job. Reasonable accommodations may be made to enable individuals with disabilities to perform the essential functions. This position requires prolonged periods of both standing and sitting at a desk and working on a computer. While performing the duties of this job, the employee is required to sit, stand, walk, run, speak, see, read, hear, and use hands and arms. The employee is frequently required to stand, move about, climb stairs, balance, stoop, kneel, crouch, or crawl. The employee may occasionally lift and/or move up to 10-15 pounds. Occasional travel to local meetings and trainings may be required.
WE ARE AN EQUAL OPPORTUNITY EMPLOYER
We are an equal opportunity employer and all qualified applicants will receive consideration for employment without regard to race, color, religion, gender, gender identity, sexual orientation, national origin, disability status, protected veteran status, or any other characteristic protected by law. All qualified applicants with arrest and conviction records will be considered pursuant to the California Fair Chance Act and any applicable local ordinances.
The average case manager in Vista, CA earns between $33,000 and $82,000 annually. This compares to the national average case manager range of $30,000 to $61,000.
Average case manager salary in Vista, CA
$52,000
What are the biggest employers of Case Managers in Vista, CA?
The biggest employers of Case Managers in Vista, CA are: