Top 4518 Care manager Jobs in Concord, Ca

Compliance Investigator II
Partnership HealthPlan of California —Fairfield, CA
- $96,970.04 - $121,212.56 a year
- Full-time
- Microsoft Excel
- HIPAA
- Office
Home Health Account Manager
Mission Healthcare —Concord, CA
- $80,000 - $100,000 a year
- Hybrid work
- Marketing
- Mid-level
- Driver's License
- Mileage reimbursement
- Health savings account
Quick Apply
1d
Home Care Scheduler/Staffing Manager
Senior Alternatives, Inc. —Berkeley, CA
- $65,000 - $80,000 a year
- Full-time
- Background check
- Computer literacy
- Mid-level
- Health insurance
- 401(k)
Quick Apply
Care Manager I
Institute on Aging —Contra Costa County, CA
- $71,797 - $85,808 a year
- 8 hour shift
- Remote
- Background check
- Spanish
- Skilled nursing facility
- Health savings account
- Disability insurance
Quick Apply
Senior Assistant Manager
Hobby Lobby —Antioch, CA
- $80,261 - $85,813 a year
- Merchandising
- Mid-level
- Mentoring
- Paid holidays
- Disability insurance
HR Coordinator
Hillendale Home Care —Walnut Creek, CA
- $31 - $36 an hour
- Full-time
- Google Workspace
- Office
- Administrative experience
- Paid holidays
- Health insurance
Operations Manager
24 Hour Home Care - Corporate Division —Concord, CA
- $105,000 - $115,000 a year
- Hybrid work
- Mid-level
- Office
- 3 years
Quick Apply
Client Relationship Specialist - Walnut Creek, CA
Charles Schwab —Walnut Creek, CA
- $29.33 - $48.41 an hour
- Office
- 1 year
- Communication skills
- Paid parental leave
- Employee stock purchase plan
5d
Claims Representative IAP - Workers Comp Training Program (On-Site Concord, CA)
Sedgwick —Concord, CA
- Full-time
- Customer service
- Office
- High school diploma or GED
- Health savings account
- Disability insurance
7d
Case Manager (Specialized)
Counseling Options & Parent Education Support Ct —Walnut Creek, CA
- $72,800 - $83,200 a year
- Full-time
- Adults
- Mid-level
- Experience working with children
- Paid holidays
- Health insurance
Quick Apply
(USA) Team Manager Developmental
Sam's Club —Concord, CA
- $70,500 - $95,000 a year
- High school
- Military
- Mid-level
- Paid jury duty
- Disability insurance
City Clerk
City of Concord, CA —Concord, CA
- $140,025.60 - $192,545.60 a year
- Full-time
- Microsoft Excel
- Writing skills
- Mid-level
- Wellness program
- Paid holidays
4d
Materials Project Coordinator
Terracon —Concord, CA
- $35.43 - $49.73 an hour
- Mid-level
- High school diploma or GED
- Driver's License
- Paid holidays
- Health insurance
Community Manager
l'Oréal —Concord, CA
- Weekends as needed
- Customer service
- Computer literacy
- Mid-level
- Paid holidays
- Health insurance
Quick Apply
1d
HR Coordinator - Part Time
Center for Social Dynamics —Concord, CA
- $25 - $27 an hour
- Part-time
- Microsoft Excel
- Microsoft Outlook
- Current TB test
- 401(k)
- Tuition reimbursement
Quick Apply
HEALTH PROGRAM SPECIALIST I
Department of Public Health —Contra Costa County, CA
- $6,623 - $8,290 a month
- Online Application
- Hybrid work
- Office
- Travel
- Communication skills
12d
Senior Manager, Travel Initiatives (Meetings & Events)
Ross Stores —Dublin, CA
- $113,200 - $172,600 a year
- Hybrid work
- Microsoft Excel
- Research
- Office
Staffing Manager
Hillendale Home Care —Walnut Creek, CA
- $72,000 - $80,000 a year
- Full-time
- Mid-level
- Driver's License
- Team management
- Paid holidays
- Health insurance
Activities Manager
Memory Care of Contra Costa —Pleasant Hill, CA
- $70,304 - $72,304 a year
- Full-time
- CPR Certification
- Clean driving record
- Mid-level
- Health insurance
- Dental insurance
Quick Apply
3d
Office Manager / Center Manager
American Family Care Concord —Concord, CA
- $25 - $35 an hour
- Part-time
- Management
- BLS Certification
- Urgent Care
Quick Apply

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care manager jobs near concord, ca

Compliance Investigator II

Partnership HealthPlan of California -
Fairfield, CA

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Job Details

Full-time
$96,970.04 - $121,212.56 a year

Qualifications

Computer operation
Healthcare fraud investigations
Driver's License
Desktop applications
Typing
Productivity software
Microsoft Project

Full Job Description

Overview:

The Regulatory Affairs Specialist II has demonstrated competencies in supporting the plan-wide regulatory affairs and compliance program, including activities related to HIPAA and Fraud, Waste, and Abuse (FWA). Under supervision and direction of the Regulatory Affairs Manager, monitors daily Regulatory Affair unit’s operations to ensure the timeliness of deliverables and all case management performance metrics are met, performs internal auditing of all privacy and FWA cases to ensure they meet DHCS requirements and Partnership professional standards. Also provides support to the Regulatory Affairs Specialist (RAS), directs complex regulatory inquiries and responses to regulatory agencies.

Responsibilities:

Proficiently performs all duties of the Regulatory Specialist, independently.
Operates independently, exercising judgement, and providing support and guidance to Regulatory Affairs and Compliance (RAC) staff
Encourages continuous awareness and education of unit staff, which may include development and maintenance of training materials
Creates and monitors daily operational reports to ensure the timely submission of privacy and FWA cases to DHCS
Manages the intake and ongoing maintenance of referral/inquiry platform
Ability to assess, facilitate, and see to completion, referrals and inquiries, of varying complexity and scope, submitted to RAC
Monitors unit trackers to ensure the timeliness of deliverablesare met, making recommendation for improvements in tracking and/or work flows as necessary
Ability to direct unit work, which may include leading unit meetings/discussions and assessment of work outcomes
Competent in assessing and analyzing unit work consistent with established criteria and providing education/training to unit staff as needed
Maintains awareness and understanding of regulatory requirements that govern unit responsibilities
Makes strategic recommendation(s) to improve the accuracy, quality, and/or reporting of case investigations based on audit observations in order to enhance HIPAA and FWA case management performance
Leads or participates in Regulatory Affairs unit projects and has the capacity to represent unit in cross-departmental projects
Assists Regulatory Affairs Manager with developing and maintaining compliance training program including but not limited to:
- Updating new hire compliance trainings and annual training materials
- Conducting targeted department trainings
- Acts as a trainer for the Regulatory Affairs unit
- Backup trainer for new hire trainings or other department trainings
Works with departments on resolving complex regulatory required submissions
Assists Regulatory Affairs Manager with duties related to chairing the PTAS and FWA Subcommittees

Secondary Duties and Responsibilities

Supports regulatory submission process including awareness of deliverables, ad hoc and routine, and completeness and timeliness of submissions
Assists Regulatory Affairs and Compliance unit with the administrative functions to support unit meetings, workgroups, projects and external audits
Other duties as assigned

Qualifications:

Education and Experience

Bachelor’s degree in relevant field preferred or equivalent combination of education and experience; minimum of two (2) years’ experience as a Regulatory Affairs Specialist or relevant experience in managed care with knowledge of the Medi-Cal, and NCQA requirements, and preferably Medicare and Knox Keene. Experience with the investigation and reporting of HIPAA and FWA related incidents.

Special Skills, Licenses and Certifications

Highly proficient in applicable business software applications including PC usage, Microsoft Word, PowerPoint, Excel, Project, typing speed of 30 wpm. Valid California driver’s license and proof of current automobile insurance compliant with Partnership policy are required to operate a vehicle and travel for company business

Performance Based Competencies

Excellent oral and written communication skills. Excellent organizational skills with ability to prioritize assignments, maintain effective filing systems, and meet deadlines. Ability to work under minimal supervision and exercise independent judgment. Diplomacy and tact in handling sensitive information regarding personnel affairs as required. Ability to interact with executives and vendors effectively, handling all assignments with efficiency. Must be able to handle multiple tasks and meet deadlines. Excellent judgment.

Work Environment And Physical Demands

Ability to use a computer keyboard and other business machines. More than 50% of work time is spent in front of a computer monitor. When required, ability to move, carry, or lift objects of varying sizes, weighing up to 35 pounds.

All HealthPlan employees are expected to:

Provide the highest possible level of service to clients;
Promote teamwork and cooperative effort among employees;
Maintain safe practices; and
Abide by the HealthPlan’s policies and procedures, as they may from time to time be updated.

HIRING RANGE:

$96,970.04 - $121,212.56

IMPORTANT DISCLAIMER NOTICE

The job duties, elements, responsibilities, skills, functions, experience, educational factors and the requirements and conditions listed in this job description are representative only and not exhaustive of the tasks that an employee may be required to perform. The employer reserves the right to revise this job description at any time and to require employees to perform other tasks as circumstances or conditions of its business, competitive considerations, or work environment change.

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Refine Your Search

care manager jobs in concord, ca

Compliance Investigator II

Home Health Account Manager

Home Care Scheduler/Staffing Manager

Care Manager I

Senior Assistant Manager

HR Coordinator

Operations Manager

Client Relationship Specialist - Walnut Creek, CA

Claims Representative IAP - Workers Comp Training Program (On-Site Concord, CA)

Case Manager (Specialized)

(USA) Team Manager Developmental

City Clerk

Materials Project Coordinator

Community Manager

HR Coordinator - Part Time

HEALTH PROGRAM SPECIALIST I

Senior Manager, Travel Initiatives (Meetings & Events)

Staffing Manager

Activities Manager

Office Manager / Center Manager

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