Care Management Specialist

3 weeks ago

Oakland, United States John George Psychiatric Pavilion Full time

SUMMARY: Assists in Care Management Team of social workers and nurses with functions such as but not limited to provide census reconciliation, administrative support for care coordination and discharge planning activities, working with the payors, accurate and critical information data entry and tracking, and report creation. DUTIES & ESSENTIAL JOB FUNCTIONS: NOTE : The following are the duties performed by employees in this classification. However, employees may perform other related duties at an equivalent level. Not all duties listed are necessarily performed by each individual in the classification. Functions as a key point of contact between clinical case management staff, admissions and payors. Documents all interactions with payors and communicates status with Care Management staff. Coordinates and obtains authorizations for admissions; documents all information in the AHS financial system; works closely with Revenue Cycle to ensure each inpatient encounter is accurate; coordinates all reviews and inquires with the payors. Reconciles census; works with Patient Access and the Care management team to ensure census is correct in the financial and care management systems; prepares paperwork and updates encounter information for admissions, discharges and transfers of patients; prepares census for the Care Management staff. Collaborates with Case Management staff to provide specific clinical information for the purpose of completing initial and concurrent utilization review to ensure certification/approval of in-patient and post discharge services. Per the direction of the Care Management social worker and/or nurse, facilitates, identifies and documents all referrals made to contracted facilities, providers or agencies, makes post discharge appointments for patients and coordinates transportation; expedites discharges by transmitting appropriate documentation to providers for acceptance of patient; documents all interactions with payers and communicates status with appropriate staff. Manages multiple inquiries and presents referral based on location and services provided; appropriate follow up on active or pending inquires. Coordinates with referral sources on bed availability, new product and services; maintains current database of existing and potential referral sources. Communicates status with Care Management staff and arranges for patient transfer; functions as a key point of contact between Care Management staff, admissions and payers. Coordinate and track any communication, e.g. Important Message (IM) letters, Denial Letters, patient choice forms; regularly updates Care Management team. 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. 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.

  • Logistics Management Specialist

    2 months ago

    Oakland, United States Federal Emergency Management Agency Full time

    Summary In this position you will serve as a Logistics Management Specialist, the Department of Homeland Security, Federal Emergency Management Agency, Regional Offices, Regional 9, Response Division. The ideal candidate for this position will be familiar with writing and executing Logistics plans with an emphasis on contingency planning, a working...

  • Logistics Management Specialist

    3 weeks ago

    Oakland, United States Federal Emergency Management Agency Full time

    Summary In this position you will serve as a Logistics Management Specialist, the Department of Homeland Security, Federal Emergency Management Agency, Regional Offices, Regional 9, Response Division. The ideal candidate for this position will be familiar with writing and executing Logistics plans with an emphasis on contingency planning, a working...

  • Emergency Management Specialist

    1 month ago

    Oakland, California, United States Federal Emergency Management Agency Full time

    What will I do in this position if hired?In this Emergency Management Specialist (Recovery) position, typical assignments include:Coordinating with applicants throughout all phases of the disaster recovery process to provide advice, guidance and technical assistance on laws, policies and regulations. Researching details of large Public Assistance grant...

  • Emergency Management Specialist

    3 weeks ago

    Oakland, California, United States Federal Emergency Management Agency Full time

    What will I do in this position if hired?In this Emergency Management Specialist (Recovery) position, typical assignments include:Coordinating with applicants throughout all phases of the disaster recovery process to provide advice, guidance and technical assistance on laws, policies and regulations. Researching details of large Public Assistance grant...

  • Logistics Management Specialist

    2 months ago

    Oakland, United States Federal Emergency Management Agency Full time

    Summary The ideal candidate should possess the ability to lead, communicate, manage and build partnerships within FEMA and across multiple federal, state, territorial, tribal, and non-governmental agencies while operating in a high-stress environment and austere conditions. Duties What will I do in this position if hired? In this Logistics...

  • Supervisory Emergency Management Specialist

    4 weeks ago

    Oakland, California, United States Federal Emergency Management Agency Full time

    What will I do in this position if hired?In this position, you will serve as a Supervisory Emergency Management Specialist (Response)Typical assignments include:Ensuring that guidance is focused on emergency response and complying with emergency management related directives, regulations, policies, laws, standards and guidance in order to provide response...

  • Wound Care Specialist Needed-East Bay/Oakland, CA

    4 weeks ago

    Oakland, United States Advantage Surgical and Wound Care Full time

    If the idea of working 24/7 with high stress no longer excites you and you're looking for more freedom while still utilizing your skills, this may be the job for you. Our growing mobile wound care company is currently in need of MD/DO for the East Bay/Oakland, CA area. Joining our team means a great staff and company culture to work with, where you ll be...

  • Supervisory Emergency Management Specialist

    4 weeks ago

    Oakland, United States Federal Emergency Management Agency Full time

    What will I do in this position if hired? In this position, you will serve as a Supervisory Emergency Management Specialist (Response). Typical assignments include: Ensuring that guidance is focused on emergency response and complying with emergency management related directives, regulations, policies, laws, standards and guidance in order to provide...

  • Supervisory Emergency Management Specialist

    3 weeks ago

    Oakland, California, United States Federal Emergency Management Agency Full time

    What will I do in this position if hired?In this Supervisory Emergency Management Specialist (Recovery) position, you will serve as the Closeout Branch Chief within FEMA Region 9 Recovery Division.Typical assignments include:Provides technical and administrative supervision to a regional staff that engages in assisting individuals and/or communities in...

  • Supervisory Emergency Management Specialist

    3 weeks ago

    Oakland, California, United States Federal Emergency Management Agency Full time

    What will I do in this position if hired?In this Supervisory Emergency Management Specialist (Recovery) position, you will serve as the Closeout Branch Chief within FEMA Region 9 Recovery Division.Typical assignments include:Provides technical and administrative supervision to a regional staff that engages in assisting individuals and/or communities in...

  • Cat Care Specialist

    4 weeks ago

    Oakland, United States The Comforted Kitty Full time

    **Cat Care Specialist** **The Comforted Kitty **is currently looking for **self-employed Cat Care Specialists immediately **for our service area of the **East Bay/Alameda County area**. (**You decide your service area** and most clients will be within 10 mile radius of your home). **Are you a customer service rockstar? Are you looking for a **rewarding...

  • Cat Care Specialist

    3 weeks ago

    Oakland, United States The Comforted Kitty Full time

    **Cat Care Specialist** **The Comforted Kitty **is currently looking for **self-employed Cat Care Specialists immediately **for our service area of the **East Bay/Alameda County area**. (**You decide your service area** and most clients will be within 10 mile radius of your home). **Are you a customer service rockstar? Are you looking for a **rewarding...

  • Cat Care Specialist

    7 days ago

    Oakland, United States The Comforted Kitty Full time

    **Cat Care Specialist** **The Comforted Kitty **is currently looking for **self-employed Cat Care Specialists immediately **for our service area of the **East Bay/Alameda County area**. (**You decide your service area** and most clients will be within 10 mile radius of your home). **Are you a customer service rockstar? Are you looking for a **rewarding...

  • Cat Care Specialist

    2 hours ago

    Oakland, United States The Comforted Kitty Full time

    **Cat Care Specialist** **The Comforted Kitty **is currently looking for **self-employed Cat Care Specialists immediately **for our service area of the **East Bay/Alameda County area**. (**You decide your service area** and most clients will be within 10 mile radius of your home). **Are you a customer service rockstar? Are you looking for a **rewarding...

  • Supervisory Emergency Management Specialist

    4 weeks ago

    Oakland, California, United States Federal Emergency Management Agency Full time

    Summary In this position you will serve as a Supervisory Emergency Management Specialist, within Federal Emergency Management Agency, Regional Offices, Region 9, Response Division. The ideal candidate for this position will assist in directing and managing the development of action plans in support of FEMA's mission; direct and manage the collection,...

  • Supervisory Emergency Management Specialist

    3 weeks ago

    Oakland, California, United States Federal Emergency Management Agency Full time

    Summary In this position you will serve as a Supervisory Emergency Management Specialist, within Federal Emergency Management Agency, Regional Offices, Region 9, Response Division. The ideal candidate for this position will assist in directing and managing the development of action plans in support of FEMA's mission; direct and manage the collection,...

  • Cat Care Specialist

    4 weeks ago

    Oakland, United States The Comforted Kitty Full time

    Job DescriptionJob DescriptionCat Care SpecialistThe Comforted Kitty is currently looking for self-employed Cat Care Specialists immediately for our service area of the East Bay/Alameda County area. (You decide your service area and most clients will be within 10 mile radius of your home). Are you a customer service rockstar? Are you looking for a...

  • Cat Care Specialist

    3 weeks ago

    Oakland, United States The Comforted Kitty Full time

    Job DescriptionJob DescriptionCat Care SpecialistThe Comforted Kitty is currently looking for self-employed Cat Care Specialists immediately for our service area of the East Bay/Alameda County area. (You decide your service area and most clients will be within 10 mile radius of your home). Are you a customer service rockstar? Are you looking for a...

  • Cat Care Specialist

    2 weeks ago

    Oakland, United States The Comforted Kitty Full time

    Job DescriptionJob DescriptionCat Care SpecialistThe Comforted Kitty is currently looking for self-employed Cat Care Specialists immediately for our service area of the East Bay/Alameda County area. (You decide your service area and most clients will be within 10 mile radius of your home). Are you a customer service rockstar? Are you looking for a...

  • Cat Care Specialist

    5 days ago

    Oakland, United States The Comforted Kitty Full time

    Job DescriptionJob DescriptionCat Care SpecialistThe Comforted Kitty is currently looking for self-employed Cat Care Specialists immediately for our service area of the East Bay/Alameda County area. (You decide your service area and most clients will be within 10 mile radius of your home). Are you a customer service rockstar? Are you looking for a...