Top 324 Case management supervisor Jobs in Lemon Grove Ca

Supervisor - Case Management I Supervisor
COMMUNITY HEALTH GROUP —Chula Vista, CA
- $85,112.22 - $100,006.86 a year
- Weekends as needed
- Spanish
- Nursing
- Urgent Care
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Clinician Team Lead
Clarvida —San Diego, CA
- $40 - $42 an hour
- Full-time
- LMFT
- Urgent Care
- Licensed Clinical Social Worker
- Mileage reimbursement
- 401(k)
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4d
Clinical Program Supervisor
Olive Crest —San Diego, CA
- $90,000 - $93,000 a year
- Full-time
- LMFT
- Management
- Doctoral degree
- Paid jury duty
- Health savings account
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Clinical Supervisor - Licensed Clinical Social Worker
Escondido Education COMPACT —Escondido, CA
- $40 - $46 an hour
- Full-time
- Hybrid work
- Background check
- School experience
- Spanish
- Health insurance
- 401(k)
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Counselor
Pacific Beach Health —San Diego, CA
- $25 - $30 an hour
- Part-time
- Current TB test
- Addiction Medicine
- Writing skills
- Health insurance
- 401(k)
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Mental Health Clinician
Olive Crest —San Diego, CA
- $75,000 - $80,000 a year
- Full-time
- Spanish
- Microsoft Outlook
- Mid-level
- Paid jury duty
- Health savings account
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Bilingual Licensed Clinical Social Worker (LCSW) California, Remote
Ascend Healthcare —California
- $100,000 - $110,000 a year
- Extended hours
- Remote
- Bilingual
- Licensed Clinical Social Worker
- Mid-level
- Continuing education credits
- Disability insurance
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12d
Workers' Compensation Claims Examiner
JT2 Integrated Resources —California
- From $90,000 a year
- Full-time
- Mid-level
- 3 years
- Analysis skills
- Health insurance
- Dental insurance
Quick Apply
Hospice RN Case Manager
Topkare Hospice INC —San Diego, CA
- $100,000 - $115,000 a year
- 8 hour shift
- Nursing
- RN License
- Writing skills
- Health insurance
- Dental insurance
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Residential Specialist Santee (S) (Thursday–Saturday, 2PM–10PM)
The Arc of San Diego —Santee, CA
- $20.00 - $20.65 an hour
- Spanish
- Clean driving record
- Experience working with individuals with disabilities
- Paid training
- Health insurance
Quick Apply
Clinical Supervisor & Therapist - Remote
Mood Health —San Diego, CA
- $70 an hour
- 8 hour shift
- Remote
- LMFT
- Licensed Clinical Social Worker
- Mid-level
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BCBA Clinical Supervisor - Offering $5000 Sign On Bonus!
Easter Seals Southern California, Inc. —Chula Vista, CA
- From $87,000 a year
- Full-time
- Experience working with individuals with developmental disabilities
- CPR Certification
- Microsoft Excel
10d
Pre-Licensed Therapist
Clarvida —San Diego, CA
- $37 - $39 an hour
- Full-time
- School experience
- Management
- Computer literacy
- Mileage reimbursement
- Paid holidays
Quick Apply
Clinical Therapist
Boardwalk Recovery Center —San Diego, CA
- $32 - $45 an hour
- Full-time
- Background check
- LMFT
- Current TB test
- Health insurance
- Paid time off
Quick Apply
Pre-Licensed Therapist
Clarvida —San Diego, CA
- $37 - $39 an hour
- Full-time
- School experience
- Management
- Computer literacy
- Mileage reimbursement
- Paid holidays
Quick Apply
Operations Supervisor RN - Casual - La Jolla - Varied Shift
Scripps Health —La Jolla, CA
- $64.66 - $93.61 an hour
- 12 hour shift
- Nursing
- Surgery
- RN License
3d
RN- Home Care
Cross Country Local —San Diego, CA
- $53 - $62 an hour
- Contract
- Nursing
- RN License
- BLS Certification
- Disability insurance
- Health insurance
Quick Apply
Hospice RN Case Manager
Comfort and Peace Hospice —San Diego, CA
- $53 - $58 an hour
- Full-time
- Spanish
- CPR Certification
- Nursing
- Mileage reimbursement
- Paid holidays
Quick Apply
3d
Residential Specialist- Lakeside Fri-Sun 3p-11p
The Arc of San Diego —San Diego, CA
- $20.00 - $20.65 an hour
- Spanish
- Clean driving record
- Experience working with individuals with disabilities
- Paid training
- Health insurance
Quick Apply
Linguist - (Mandarin)
KACE —San Diego, CA
- $40 an hour
- Overtime
- Microsoft Excel
- Microsoft Outlook
- Writing skills
Quick Apply

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Supervisor - Case Management I Supervisor

COMMUNITY HEALTH GROUP -
Chula Vista, CA

Quick Apply

Job Details

Full-time
$85,112.22 - $100,006.86 a year

Qualifications

Bachelor's degree

Full Job Description

POSITION SUMMARY

Drives customer loyalty and provides excellent customer service to our customers (Medicare members and providers). This position will work with other departments in order to respond to Medicare member concerns in a timely manner.

COMPLIANCE WITH REGULATIONS

Works closely with all departments necessary to ensure that the 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 CMS and/or Medicare Part D, DHCS and DMHC.

RESPONSIBILITIES

Use effective information gathering strategies that will help to improve the health of our Medicare members and obtain desired results.
Conducts home visits for assigned case load.
Assists members so they obtain needed STARS/HEDIS related health care services.
Collects current phone numbers, email addresses, etc. to help ensure communication with the members.
Resolves Medicare member concerns in a timely manner by recommending and facilitating available options.
Coordinates urgent care appointments, interpreter services for non-English speaking Medicare members, transportation and prior authorization requests.
Gathers information on our Medicare member from a number of different sources (medical, non-medical, home environment, caregiver, family etc).
Work closely with other professionals to coordinate care for our Medicare members (includes medical, behavioral health, social, community-based and other services).
Is in constant contact with Medicare members and their families/caregivers to ensure their needs are addressed in the most effective manner.
Coordinates and facilitates emergency transfers of site and enrollment verification.
Assists in primary care site transfers by reviewing Medicare member requests and providing available options before initiating the transfer process
Documents all communications by entering a summary of the Medicare member’s concern, options offered to resolve the issue, and any other relevant information.
Meets or exceeds all phone call benchmarks (time to answer call, first call resolution, abandonment rate, etc.).
Identifies operational issues preventing the delivery of good customer service by documenting and referring these to management for follow-up and resolution.
Refers cases meeting the criteria for grievance classification or plan-initiated disenrollment to management for further follow-up and resolution.
Provides assistance with bills received from providers by documenting and referring to Claims department provider bills received by Medicare members for services authorized and/or covered by Community Health Group.
Participate in the department’s on-call schedule, which includes after business hours, weekend and holiday coverage.
Complete “Welcome Calls” within the first two weeks of every month (will require about 10 hours of overtime per month).
Works closely with community based ethnic service and advocacy programs by identifying the Medicare member’s/family’s non-medical and social needs and referring these to the appropriate organizations for assistance.
Maintains product and company reputation and contributes to the team effort by conveying professional image and accomplishing related tasks; participating on committees and in meetings; performing other duties as assigned or requested.

EDUCATION

Bachelor's Degree in a Health or Human Services Field required (Health Education, Psychology, Sociology, Health Sciences, Public Health, Social Work, Nursing)

EXPERIENCE/SKILLS

Two years of experience in Customer Service (preferably in the health care industry).
Strong customer service background.
Familiarity with case documentation practices.
Experience with and sensitivity to cultural background and linguistic needs of membership.
Familiarity and respect for special social needs of Medicare populations.
Knowledge of Medicare program eligibility requirements and familiarity with services available through community based ethnic service and advocacy organizations throughout San Diego preferred.
Bilingual English/Spanish, English/Vietnamese, or English/Arabic
Excellent communication and interpersonal skills.
Ability to exercise mature and independent judgment.
Ability to secure reliable transportation and possess a valid driver’s license as well as proof of vehicle insurance

PHYSICAL REQUIREMENTS

Prolonged periods of sitting.
Extensive use of telephone.
Will be required to work evenings and/or weekends.

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.

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Refine Your Search

case management supervisor jobs in lemon grove ca

Supervisor - Case Management I Supervisor

Clinician Team Lead

Clinical Program Supervisor

Clinical Supervisor - Licensed Clinical Social Worker

Counselor

Mental Health Clinician

Bilingual Licensed Clinical Social Worker (LCSW) California, Remote

Workers' Compensation Claims Examiner

Hospice RN Case Manager

Residential Specialist Santee (S) (Thursday–Saturday, 2PM–10PM)

Clinical Supervisor & Therapist - Remote

BCBA Clinical Supervisor - Offering $5000 Sign On Bonus!

Pre-Licensed Therapist

Clinical Therapist

Pre-Licensed Therapist

Operations Supervisor RN - Casual - La Jolla - Varied Shift

RN- Home Care

Hospice RN Case Manager

Residential Specialist- Lakeside Fri-Sun 3p-11p

Linguist - (Mandarin)

I want to receive the latest job alert for case management supervisor in lemon grove ca

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