Case Manager

4 days ago

Pleasanton, United States Rose International Full time

Experience:

3 year of customer service background required. This is not a call center or data entry. Will need to write summaries, conduct investigations, and write 20-30 letters a week to members. Excellent grammar and writing experience is required. Must be able to both communicate and handle difficult members while showing empathy and matching the right tone. Will also need to discuss concerns and requests with physicians and hospital staff regarding patient concerns.

Qualifications: Ability to use sound judgment and to handle sensitive correspondence independently but with the knowledge and ability to escalate to the appropriate person / ask for help when needed. Ability to multitask and manage time in order to perform well on high volume case load while being flexible enough to assimilate on small projects on an ongoing basis., Demonstrated ability to work in a time-sensitive, high production environment., Excellent interpersonal, verbal and written communication skills. Ability to work with peers in self-managed teams to meet deadlines.

Preferred Qualifications: Knowledge of member grievance and appeals process preferred., Knowledge of federal and state laws and regulations and accreditation standards related to health care and managed care organizations.

Healthcare background preferred

  • **Only those lawfully authorized to work in the designated country associated with the position will be considered.**

  • **Please note that all Position start dates and duration are estimates and may be reduced or lengthened based upon a client’s business needs and requirements.**

Benefits:

For information and details on employment benefits offered with this position, please visit here. Should you have any questions/concerns, please contact our HR Department via our secure website.

California Pay Equity:

For information and details on pay equity laws in California, please visit the State of California Department of Industrial Relations' website here.

Rose International is an Equal Opportunity Employer. All qualified applicants will receive consideration for employment without regard to race, color, religion, age, sex, sexual orientation, gender (expression or identity), national origin, arrest and conviction records, disability, veteran status or any other characteristic protected by law. Positions located in San Francisco and Los Angeles, California will be administered in accordance with their respective Fair Chance Ordinances.

If you need assistance in completing this application, or during any phase of the application, interview, hiring, or employment process, whether due to a disability or otherwise, please contact our HR Department.

Rose International has an official agreement (ID #132522), effective June 30, 2008, with the U.S. Department of Homeland Security, U.S. Citizenship and Immigration Services, Employment Verification Program (E-Verify). (Posting required by OCGA 13/10-91.).

  • Psychologist - Adult Generalist Case Manager

    4 months ago

    Pleasanton, United States Kaiser Permanente Full time

    Description: Job Summary:Provides mental health assessment, diagnosis, treatment and crisis intervention services for adult and/or child members who present themselves from psychiatric evaluation with a broad range of mental health needs. Collaborates with treating physician, psychiatric and allied health professional team to plan and direct each individual...

  • Hospice Registered Nurse

    1 week ago

    Pleasanton, California, United States Grace and Glory Hospice Full time

    Job DescriptionAt Grace and Glory Hospice, we are seeking a compassionate and skilled Registered Nurse to join our team as a Case Manager. As a key member of our interdisciplinary team, you will play a vital role in providing high-quality, patient-centered care to individuals and their families in their homes.Responsibilities:Plan and Coordinate Care:...

  • Clinical Psychologist

    6 days ago

    Pleasanton, California, United States Kaiser Permanente Full time

    Job Summary:Kaiser Permanente is seeking a highly skilled Clinical Psychologist to join our team as an Adult Generalist Case Manager. As a key member of our multidisciplinary team, you will provide mental health assessment, diagnosis, treatment, and crisis intervention services to adult members. Your expertise will be instrumental in developing and...

  • Youth Support Case Coordinator

    2 weeks ago

    Pleasanton, Kansas, United States Southeast Kansas Mental Health Center Full time

    Job OverviewPosition Summary: The Youth Support Case Coordinator plays a vital role in providing comprehensive assistance to children and families facing mental health challenges. This position requires a strong educational background and relevant experience in the human services sector.Qualifications: A Bachelor’s degree or equivalent experience in the...

  • Manager, Transformation Office

    6 days ago

    Pleasanton, California, United States Clorox Full time

    **About Clorox**Clorox is a leading consumer goods company committed to growth and innovation. Our purpose is to make a positive impact on consumers, communities, and teammates. We strive to create a workplace where every person can feel respected, valued, and fully able to participate in our Clorox community.**Job Summary**We are seeking a highly skilled...

  • Margin Transformation Manager

    2 weeks ago

    Pleasanton, California, United States Clorox Full time

    About CloroxClorox is a leading consumer goods company committed to driving growth and innovation. Our purpose is to make a positive impact on consumers, communities, and teammates.Our Margin Transformation JourneyWe are undergoing a comprehensive margin transformation program to address inflation and margin pressures. The Margin Transformation Office is...

  • Pharmacy Program Manager

    2 months ago

    Pleasanton, United States Red Oak Technologies Full time

    The Services Program Manager must have an extensive background in clinical services, solid understanding of healthcare and retail operations, familiarity with healthcare innovation and program rollout. The role must engage cross-functionally with partners, vendors, and internal stakeholders to deliver pilot programs and new comprehensive services to...

  • SACM Configuration Management Specialist

    2 weeks ago

    Pleasanton, California, United States Momento USA Full time

    Job OverviewMomento USA is a leading global technology consulting and talent acquisition firm, dedicated to addressing the critical needs of our clients. We are seeking a ServiceNow SACM Analyst to enhance our Configuration Management processes.Position: ServiceNow SACM AnalystLocation: OnsiteKey Responsibilities:Oversee the daily operations of SACM...

  • Customer Care Manager III

    3 days ago

    Pleasanton, California, United States PulteGroup Full time

    Job SummaryWe are seeking a highly skilled Customer Care Manager III to join our team at PulteGroup. As a key member of our customer service team, you will be responsible for managing escalated and large warranty issues for closed homes, including insurance and litigation. Your primary focus will be on providing exceptional customer service, ensuring...

  • Project Manager

    1 week ago

    Pleasanton, California, United States Narvee Technologies Pvt Ltd Full time

    About the Role:Narvee Technologies Pvt Ltd is seeking a highly skilled Senior Mobile Project Manager/Scrum Master to lead our mobile application development projects. As a key member of our project management team, you will be responsible for ensuring the successful delivery of our mobile applications.Key Responsibilities:Lead cross-functional teams to...

  • SACM Configuration Management Specialist

    3 weeks ago

    Pleasanton, California, United States Momento USA Full time

    Job OverviewMomento USA is a leading global technology consulting and talent acquisition firm, dedicated to addressing the critical needs of our clients. We are seeking a ServiceNow SACM Analyst to contribute to our ongoing success.Position: ServiceNow SACM AnalystLocation: Onsite role requiring local candidates.Duration: Long-term engagement.Visa...

  • Mental Health Specialist

    2 weeks ago

    Pleasanton, California, United States Kaiser Permanente Full time

    Job Overview:As a Mental Health Specialist at Kaiser Permanente, you will play a critical role in providing comprehensive mental health services to our adult and child members. You will collaborate with a multidisciplinary team to plan and direct individual treatment programs, ensuring that our members receive the highest quality care.Key...

  • SACM Configuration Management Specialist

    3 weeks ago

    Pleasanton, California, United States Momento USA Full time

    Job OverviewGreetings of the day..Momento USA is a global technology consulting, talent acquisition, and creative development firm that addresses clients' most pressing needs and challenges. We are currently seeking a ServiceNow SACM Analyst - Onsite. Please review the job details below.Position: ServiceNow SACM AnalystLocation: Pleasanton, CA/ Plano, TX...

  • Litigation Associate

    2 weeks ago

    Pleasanton, United States Robert Half Full time

    We are partnering with an AV-rated law firm in the East Bay, specializing in employment, business, and real estate litigation, to source an Employment Litigation Attorney to join their team on a temporary basis. In this role, you will support the firm’s employment and business litigation caseload, managing various aspects of litigation including discovery,...

  • Litigation Associate

    2 weeks ago

    Pleasanton, United States Robert Half Full time

    We are partnering with an AV-rated law firm in the East Bay, specializing in employment, business, and real estate litigation, to source an Employment Litigation Attorney to join their team on a temporary basis. In this role, you will support the firm’s employment and business litigation caseload, managing various aspects of litigation including discovery,...

  • Customer Service Representative

    3 days ago

    Pleasanton, California, United States Avispa Technology Full time

    **Job Summary**Avispa Technology is seeking a highly skilled Customer Care Analyst to join our team. As a Customer Care Analyst, you will be responsible for providing exceptional customer service and support to our clients.**Key Responsibilities:**Manage case queue via case management system to help resolve customer requests quickly and effectively.Own...

  • QA Engineer with SQL Skills

    1 month ago

    Pleasanton, California, United States Matrix Precise Full time

    Solid understanding of software development lifecycle, testing methodologies, and testing tools.Experience in developing test plan, assessing risk, filing appropriate defects.Management and execution of test scenarios and test cases and, where possible, develop and execute automated test scripts to verify software functionality and adherence to business...

  • QA Engineer with SQL Skills

    2 weeks ago

    Pleasanton, United States Matrix Precise, Inc. Full time

    Job DescriptionJob DescriptionSolid understanding of software development lifecycle, testing methodologies, and testing tools.Experience in developing test plan, assessing risk, filing appropriate defects.Management and execution of test scenarios and test cases and, where possible, develop and execute automated test scripts to verify software functionality...

  • QA Engineer with SQL Skills

    1 month ago

    Pleasanton, United States Matrix Precise, Inc. Full time

    Job DescriptionJob DescriptionSolid understanding of software development lifecycle, testing methodologies, and testing tools.Experience in developing test plan, assessing risk, filing appropriate defects.Management and execution of test scenarios and test cases and, where possible, develop and execute automated test scripts to verify software functionality...

  • Clinical Training Manager

    2 months ago

    Pleasanton, California, United States PHILIPS Full time

    Clinical Training Manager You will play a crucial role in developing and maintaining a robust and comprehensive training program for the ECG Solutions Clinical Operations staff, supporting our commitment to upholding the Patient Safety & Quality goals within the organization. Your role: Oversee the development and implementation of standard operating...