Care Management Director
4 weeks ago
Alameda Health System is seeking a highly skilled and experienced Manager, Care Management to lead our care management team. The successful candidate will be responsible for the day-to-day operations of facility-wide utilization, discharge planning, and care coordination.
Key Responsibilities:- Assist in the development and implementation of care management policies, practices, and procedures in accordance with regulatory agencies and hospital policies.
- Conduct regular staff meetings to inform staff of changes in policies and procedures.
- Collaborate with interdepartmental teams to identify aberrant utilization and develop strategies to address it.
- Develop and provide statistical utilization management information and reports to appropriate committees.
- Direct and coordinate data gathering and record keeping required by regulatory agencies and hospital policies.
- Manage the day-to-day operations of utilization management, care coordination, and discharge planning activities.
- Oversee the submission of audits and appeals for denied cases.
- Perform daily clinical rounds and monthly audits of charts on care management activities.
- Prepare cost analysis reports and other data needed for the preparation of the departmental budget.
- Provide in-house educational programs for staff and physicians.
- Recruit, orient, evaluate, counsel, and discipline care management clinical and administrative staff.
- Responsible for purchasing, educating, and recording education on new equipment and techniques.
- Review cases regularly with staff and act as a clinical consultant on care management issues.
- Serve as a content expert to staff and internal departments and external partners.
- Five years of clinical nursing or social work experience in a directly related setting.
- Three years of case management experience.
- Two years of experience in a supervisory or lead role.
- Active licensure as a Registered Nurse in the State of California or licensed in Clinical Social Work in California.
- Active BLS - Basic Life Support Certification issued by the American Heart Association.
Alameda Health System is an equal opportunity employer and does not discriminate against any employee or applicant for employment based on race, color, religion, national origin, age, gender, sex, ancestry, citizenship status, mental or physical disability, genetic information, sexual orientation, veteran status, or military background.
-
Director of Inpatient Care Management
4 weeks ago
Oakland, California, United States Alameda Health System Full timeJob Title: Director of Inpatient Care ManagementAlameda Health System is seeking a highly skilled and experienced Director of Inpatient Care Management to lead our care management operations across all facilities. As a key member of our leadership team, you will be responsible for ensuring efficient patient flow, from admission to discharge, and promoting...
-
Director of Inpatient Care Management
3 weeks ago
Oakland, California, United States Alameda Health System Full timeJob Title: Director of Inpatient Care ManagementJob Summary:Alameda Health System is seeking a highly skilled Director of Inpatient Care Management to oversee the day-to-day operations of inpatient care management across all AHS facilities. The successful candidate will be responsible for ensuring efficient patient flow, from admission to discharge, and will...
-
Associate Medical Director
3 weeks ago
Oakland, California, United States LifeLong Medical Care Full timeJob Title: Associate Medical DirectorWe are seeking a highly skilled and experienced Associate Medical Director to join our team at LifeLong Medical Care. As a key member of our leadership team, you will be responsible for providing clinical oversight and leadership for one or more of our health centers.Responsibilities:Supervise physicians and advanced...
-
Director, Care at Home Program Manager
3 weeks ago
Oakland, California, United States Kaiser Permanente Full timeAbout the RoleWe are seeking a highly skilled and experienced Director, Care at Home to join our team at Kaiser Permanente. The successful candidate will be responsible for leading the development and implementation of our Care at Home program, ensuring it aligns with our organization's strategic objectives.Key ResponsibilitiesDevelop and implement the Care...
-
Executive Director
3 weeks ago
Oakland, California, United States Synergy Senior Management Full timeA Senior Assisted Living Community in Oakland County is seeking a Full-Time Executive Director. The ideal candidate will have previous management experience working within senior living facilities and a passion for working with seniors and within assisted living and senior living communities.Responsibilities:Oversee the general health and performance of the...
-
Care Management Director
4 weeks ago
Oakland, California, United States Alameda Health System Full timeJob Title: Manager, Care ManagementJob Summary:Alameda Health System is seeking a highly skilled and experienced Manager, Care Management to lead our care coordination efforts. As a key member of our team, you will be responsible for overseeing the day-to-day operations of utilization management, care coordination, and discharge planning activities.Key...
-
Care Management Director
3 weeks ago
Oakland, California, United States Alameda Health System Full timeJob Summary:Alameda Health System is seeking a highly skilled and experienced professional to fill the role of Manager of Care Management. This position is responsible for overseeing the day-to-day operations of facility-wide utilization, discharge planning, and care coordination.Key Responsibilities:Assist in establishing, implementing, and ensuring that...
-
Director, Care at Home Leadership Position
3 weeks ago
Oakland, California, United States Kaiser Permanente Full timeCare at Home Director Job DescriptionJob Summary:The Director, Care at Home will play a critical role in supporting the Permanente Medical Groups (PMGs) with their Care at Home (CAH) programs. This position will collaborate with national PMG medical directors and physician sponsors to drive the implementation of strategic business initiatives and...
-
Enterprise Risk Management Director
4 weeks ago
Oakland, California, United States The Clorox Company Full timeRole SummaryThe Associate Director, ERM will report to the VP, Enterprise Transformation Projects. As the Associate Director, you will be responsible for leading the organization's risk management initiatives. You will conduct project-based risk assessments and manage the enterprise risk assessment process to identify, evaluate, and mitigate risks across the...
-
Contract Management Director
4 weeks ago
Oakland, California, United States University of California , Riverside Full timeJob SummaryThe Director of Contract Administration will lead and manage the day-to-day functions of the UCR School of Medicine's Contracts Department. This role is responsible for negotiating clinical professional services agreements, Graduate Medical Education (GME) and Undergraduate Medical Education (UME) academic affiliations, and payer agreements on...
-
Inpatient Care Manager RN
3 weeks ago
Oakland, California, United States Altais, Inc. Full timeAbout Altais, Inc.We're a mission-driven organization that's revolutionizing the healthcare system for physicians, advanced care providers, patients, and the clinical community.Our team is passionate about enabling better healthcare experiences and building breakthrough clinical support tools, technology, and services to let doctors do what they do best:...
-
Program Management Director
4 weeks ago
Oakland, California, United States Sunrise Systems, Inc. Full timeJob Title: Program Management DirectorJob ID: 24-04683Location: Oakland, CADuration: FTEJob Responsibilities:Develop and implement clear, measurable objectives that align with business and organizational goals.Lead a team responsible for program management, governance, performance reporting, compliance, resource planning, and IT planning functions.Support...
-
Operations Director
3 weeks ago
Oakland, California, United States UpTogether Full timeWe are seeking a highly skilled and experienced Director of People Operations and Strategy to join our team at UpTogether. The successful candidate will play a key role in driving our efforts to foster a diverse, inclusive, and high-performing work environment.The Director of People Operations and Strategy will oversee and manage all hiring and recruitment...
-
Nurse Care Specialist
3 weeks ago
Oakland, California, United States BrightStar Care Full timeWe are seeking a dedicated and compassionate Registered Nurse to join our team at BrightStar Care. As a Nurse Care Specialist, you will have the opportunity to make a meaningful difference in the lives of our clients and patients.Responsibilities:Provide personalized care to clients and patients based on their unique needs and plans of care.Monitor and track...
-
Assistant Director of Nursing
3 weeks ago
Oakland, California, United States Telecare Corporation Full timeTelecare Corporation is committed to delivering exceptional behavioral health services that empower individuals to recover their health, hopes, and dreams. Our mission is to advance cultural diversity, humility, equity, and inclusion at all levels of our organization by hiring mental health peers, BIPOC, LGBTQIA+, veterans, and all belief systems.Gladman is...
-
Assistant Director, Case Management Services
4 weeks ago
Oakland, California, United States UC San Diego Full timeJob SummaryWe are seeking a highly skilled and experienced Assistant Director to join our Case Management Services team at UC San Diego. The successful candidate will be responsible for overseeing the unit's operations management, professional staff training, supervision, and management, as well as collaborating with the Director on annual budget development...
-
Inpatient Care Manager RN
4 weeks ago
Oakland, California, United States Altais, Inc. Full timeAbout Our CompanyAt Altais, Inc., we're a mission-driven organization that's revolutionizing the healthcare system. We're looking for bold and curious clinicians and innovators who share our passion for enabling better healthcare experiences.We're building breakthrough clinical support tools, technology, and services to empower healthcare professionals to...
-
Nurse Practitioner
3 weeks ago
Oakland, California, United States LifeLong Medical Care Full timeLifeLong Medical Care is seeking a highly motivated and dedicated Registered Nurse to join our multidisciplinary team providing exceptional primary care services at our Downtown Oakland Center (DOC).About the Role:The ideal candidate will be committed to providing high-quality primary care to patients with complex medical conditions and passionate about...
-
Program Director
4 weeks ago
Oakland, California, United States Sunrise Systems Full timeJob Title: Program DirectorAt Sunrise Systems, we are seeking a highly experienced Program Director to lead our program management teams. The ideal candidate will have 5+ years of project management experience, with a proven track record of leading successful direct reports and matrix program management teams. Key responsibilities include:Developing and...
-
Financial Director
3 weeks ago
Oakland, California, United States California Environmental Voters Full timeJob SummaryCalifornia Environmental Voters is seeking a highly skilled Financial Director to join our team. As a key member of our senior leadership team, the Financial Director will play a critical role in partnering with our senior leadership team in strategic decision making and operations as we plan and implement a strategy for growth, while enhancing...
