Current jobs related to SLH Care Management Specialist - San Leandro CA - Alameda Health System
-
SLH House Supervisor
4 months ago
San Leandro, CA, United States Alameda Health System Full timeSummary SUMMARY: The SLH House Supervisor is responsible for providing clinical oversight and direction to the nursing staff during non-business hours. The SLH House Supervisor is skilled in problem solving and crisis intervention and serves as the first level contact for Administrative issues during non-business hours. The SLH House Supervisor has...
-
SLH House Supervisor
5 months ago
San Leandro, United States Alameda Health System Full timeSummary SUMMARY: The SLH House Supervisor is responsible for providing clinical oversight and direction to the nursing staff during non-business hours. The SLH House Supervisor is skilled in problem solving and crisis intervention and serves as the first level contact for Administrative issues during non-business hours. The SLH House Supervisor has strong...
-
SLH Tech Specialist
2 weeks ago
San Leandro, California, United States Alameda Health System Full timeJob SummaryAlameda Health System seeks a skilled SLH Tech Specialist to perform complex diagnostic ultrasound procedures of the cardiovascular system. The ideal candidate will have a strong background in cardiovascular technology and be well-versed in industry, Federal, State, and The Joint Commission, ICAEL requirements.Key Responsibilities Perform...
-
SLH Assistant Nurse Manager
1 week ago
San Leandro, California, United States Alameda Health System Full timeJob SummaryThe SLH Assistant Nurse Manager plays a crucial role in the delivery of high-quality patient care at Alameda Health System's San Leandro Hospital. Reporting to the Nurse Manager, this position is responsible for directing the professional and support nursing personnel on the SLH Med Surg Second Floor.Key ResponsibilitiesAddress and evaluate...
-
SLH House Supervisor
3 months ago
SAN LEANDRO, United States Alameda Health System Full timeSummary SUMMARY: The SLH House Supervisor is responsible for providing clinical oversight and direction to the nursing staff during non-business hours. The SLH House Supervisor is skilled in problem solving and crisis intervention and serves as the first level contact for Administrative issues during non-business hours. The SLH House Supervisor has strong...
-
SLH House Supervisor
1 week ago
San Leandro, United States Alameda Health System Full timeSummary SUMMARY: The SLH House Supervisor is responsible for providing clinical oversight and direction to the nursing staff during non-business hours. The SLH House Supervisor is skilled in problem solving and crisis intervention and serves as the first level contact for Administrative issues during non-business hours. The SLH House Supervisor has strong...
-
SLH Tech Specialist
7 days ago
San Leandro, California, United States Alameda Health System Full timeJob SummaryUnder the direction of a physician and department leader, the SLH Echo Tech performs complex diagnostic ultrasound procedures of the cardiovascular system for diagnosis, treatment, and prevention of cardiovascular disease in accordance with industry, Federal, State, and The Joint Commission, ICAEL requirements.The SLH Echo Tech participates in the...
-
SLH Assistant Nurse Manager
4 weeks ago
San Leandro, United States Alameda Health System Full timeSummary SUMMARY: Under general supervision of the Nurse Manager, the SLH Assistant Nurse Manager directs the professional and support nursing personnel. Provides individualized, goal-directed nursing care through use of nursing process and the principles of primary nursing in accordance with departmental and hospital policies and procedures. Performs...
-
SLH Assistant Nurse Manager
1 month ago
San Leandro, United States Alameda Health System Full timeSummary SUMMARY: Under general supervision of the Nurse Manager, the SLH Assistant Nurse Manager directs the professional and support nursing personnel. Provides individualized, goal-directed nursing care through use of nursing process and the principles of primary nursing in accordance with departmental and hospital policies and procedures. Performs...
-
SLH Assistant Nurse Manager
1 month ago
SAN LEANDRO, United States Alameda Health System Full timeSummary SUMMARY: Under general supervision of the Nurse Manager, the SLH Assistant Nurse Manager directs the professional and support nursing personnel. Provides individualized, goal-directed nursing care through use of nursing process and the principles of primary nursing in accordance with departmental and hospital policies and procedures. Performs...
-
SLH Assistant Nurse Manager
4 weeks ago
san leandro, United States Alameda Health System Full timeSummary SUMMARY: Under general supervision of the Nurse Manager, the SLH Assistant Nurse Manager directs the professional and support nursing personnel. Provides individualized, goal-directed nursing care through use of nursing process and the principles of primary nursing in accordance with departmental and hospital policies and procedures. Performs...
-
SLH Supervisor, EVS
2 months ago
San Leandro, CA, United States Alameda Health System Full timeSummary SUMMARY: The SLH Supervisor, EVS provides direct supervision and training to the EVS staff. Activities include providing direction, on-the-job training and continuing guidance to the EVS staff, as well as ordering of supplies for the department. The Supervisor is responsible for workflow distribution, scheduling, leads, operational budgets and...
-
SLH Assistant Nurse Manager
18 hours ago
San Leandro, United States Alameda Health System Full timeSummary If you are considering sending an application, make sure to hit the apply button below after reading through the entire description. SUMMARY: Under general supervision of the Nurse Manager, the SLH Assistant Nurse Manager directs the professional and support nursing personnel. Provides individualized, goal-directed nursing care through use of nursing...
-
SLH House Supervisor
1 week ago
San Leandro, CA, United States Alameda Health System Full timeSummary SUMMARY: The SLH House Supervisor is responsible for providing clinical oversight and direction to the nursing staff during non-business hours. The SLH House Supervisor is skilled in problem solving and crisis intervention and serves as the first level contact for Administrative issues during non-business hours. The SLH House Supervisor has strong...
-
SLH House Supervisor
5 months ago
San Leandro, CA, United States Alameda Health System Full timeSummary SUMMARY: The SLH House Supervisor is responsible for providing clinical oversight and direction to the nursing staff during non-business hours. The SLH House Supervisor is skilled in problem solving and crisis intervention and serves as the first level contact for Administrative issues during non-business hours. The SLH House Supervisor has strong...
-
SLH Care Management Social Worker
2 months ago
San Leandro, CA, United States Alameda Health System Full timeSummary SUMMARY : Restores patients to optimum health and social adjustment, while facilitating a positive impact on the hospital transition of care; informs the health care team of the patient’s social, emotional, environmental, and financial needs and resources that may influence their treatment options and discharge plan; assists case manager nurses...
-
SLH Care Management Social Worker
2 months ago
San Leandro, CA, United States Alameda Health System Full timeSummary Role Overview: Restores patients to optimum health and social adjustment, while facilitating a positive impact on the hospital transition of care; informs the health care team of the patient's social, emotional, environmental, and financial needs and resources that may influence their treatment options and discharge plan; assists case manager...
-
SLH Manager, Nursing Services
2 weeks ago
San Leandro, California, United States Alameda Health System Full timeJob Summary:This is a challenging and rewarding leadership role that requires a strong background in nursing and management. As the SLH Manager, Nursing Services, you will be responsible for overseeing the delivery of high-quality patient care in the perioperative services department.Key Responsibilities:Lead a team of nursing professionals to ensure...
-
SLH Care Management Social Worker
2 months ago
San Leandro, CA, United States Alameda Health System Full timeSummary SUMMARY : Restores patients to optimum health and social adjustment, while facilitating a positive impact on the hospital transition of care; informs the health care team of the patient’s social, emotional, environmental, and financial needs and resources that may influence their treatment options and discharge plan; assists case manager...
-
SLH Charge Nurse
5 months ago
San Leandro, CA, United States Alameda Health System Full timeSummary SUMMARY: Under general supervision, the SLH Charge Nurse will act as lead person for nursing or nursing support personnel and to be responsible for the operation of an assigned area for each shift and ensure optimal patient care; plans, implements, and evaluates patient care. Performs related duties as required. DUTIES & ESSENTIAL JOB FUNCTIONS: NOTE...
SLH Care Management Specialist
2 months ago
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 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.
1. 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.2. 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.
3. 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.
4. 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.
5. 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.
6. Manages multiple inquiries and presents referral based on location and services provided; appropriate follow up on active or pending inquires.
7. Coordinates with referral sources on bed availability, new product and services; maintains current database of existing and potential referral sources.
8. 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.
9. Coordinate and track any communication, e.g. Important Message (IM) letters, Denial Letters, patient choice forms; regularly updates Care Management team.
10. 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.
11. Perform all other duties as assigned.
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.San Leandro Hospital
SLH Social Services
Services As Needed / Per Diem
Day
Care Management
FTE: 0.01
