Top 19 Hospital social worker Jobs in Fremont, Ca

Manager, Case Management
San Ramon Regional Medical Center —San Ramon, CA
- $62.20 - $99.52 an hour
- Full-time
- Master of Social Work
- Nursing
- RN License
- 401(k)
- Flexible spending account
Quick Apply
8d
Outpatient Therapist - Per Diem
Fremont Hospital —Fremont, CA
- $40 - $61 an hour
- Per diem
- LMFT
- Licensed Clinical Social Worker
- Adults
- Continuing education credits
Licensed Clinical Social Worker, Ambulatory
Alameda Health System —Hayward, CA
- $73.43 an hour
- Per diem
- Master of Social Work
- Licensed Clinical Social Worker
- Mid-level
Quick Apply
CLIN SOCIAL WORKER 3
University of California San Francisco —Oakland, CA
- Spanish
- Computer literacy
- Licensed Clinical Social Worker
6d
Program Manager of Outpatient Services (LMFT, LCSW, LPCC, PsyD) - Full Time
Fremont Hospital —Fremont, CA
- $100,000 - $145,000 a year
- Full-time
- LMFT
- CPR Certification
- Psychiatry
- Continuing education credits
- Health insurance
Clinical Case Manager - Per Diem
Fremont Hospital —Fremont, CA
- $32 - $35 an hour
- Per diem
- Nursing
- Adults
- Mid-level
- Continuing education credits
- Health insurance
7d
Milieu Therapist - Per Diem
Fremont Hospital —Fremont, CA
- $40 - $61 an hour
- Overtime
- LMFT
- CPR Certification
- Psychiatry
- Continuing education credits
- Health insurance
7d
Milieu Therapist - Full Time
Fremont Hospital —Fremont, CA
- $40 - $61 an hour
- Overtime
- LMFT
- CPR Certification
- Psychiatry
- Continuing education credits
- Health insurance
7d
Mental Health Clinician (LCSW or LMFT), Immune Behavioral Health Clinic (PANS)
Lucile Packard Children's Hospital Stanford —Menlo Park, CA
- $57.69 - $64.68 an hour
- Full-time
- LMFT
- Spanish
- Psychiatry
Case Manager II - PT Days
Kindred Hospital San Francisco Bay Area —San Leandro, CA
- $64.55 - $81.87 an hour
- Part-time
- Master of Social Work
- Nursing
- RN License
- Health savings account
- Health insurance
Outpatient Behavioral Health Therapist PRN
Good Samaritan Hospital —San Jose, CA
- $48.23 - $72.34 an hour
- PRN
- Mid-level
- 1 year
- Employee stock purchase plan
- Disability insurance
Quick Apply
Case Manager II - FT Days
Kindred Hospital San Francisco Bay Area —San Leandro, CA
- $64.55 - $81.87 an hour
- Full-time
- Master of Social Work
- Nursing
- RN License
- Health savings account
- Health insurance
8d
Relief Mental Health Clinician (LCSW or LMFT), Specialty Clinic Base
Lucile Packard Children's Hospital Stanford —Sunnyvale, CA
- $58.69 - $65.68 an hour
- Part-time
- LMFT
- Spanish
- Psychiatry
14d
MANAGER, CASE MANAGEMENT/SOCIAL SERVICES -11
St. Rose Hospital —Hayward, CA
- Full-time
- Nursing
- Management
- RN License
Outpatient Services Program Manager (LMFT, LCSW, LPCC, PsyD)
Fremont Hospital —Fremont, CA
- $100,000 - $145,000 a year
- Full-time
- LMFT
- Psychiatry
- Licensed Clinical Social Worker
- Continuing education credits
- Health savings account
Quick Apply
Serious Illness Hub Social Work Educator
Alameda Health System —Oakland, CA
- $51.83 - $86.39 an hour
- Full-time
- Master of Social Work
- Licensed Clinical Social Worker
- Mid-level
- Health insurance
Quick Apply
Licensed Mental Health Therapist
Onestop Medical Center —Pleasanton, CA
- $55 - $75 an hour
- Part-time
- LMFT
- Spanish
- Doctoral degree
Quick Apply
4d
ECH District Population Health Program Manager - FT - Days - Community Partnership @ MV
El Camino Hospital —Mountain View, CA
- $66.85 - $100.27 an hour
- 8 hour shift
- 5 years
- Bachelor of Science
- Master's degree
Quick Apply

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hospital social worker jobs near fremont, ca

Manager, Case Management

San Ramon Regional Medical Center -
San Ramon, CA

Quick Apply

Job Details

Full-time
$62.20 - $99.52 an hour
8 days ago

Benefits

401(k)
Flexible spending account
Paid time off
Employee assistance program
401(k) matching
Employee discount

Qualifications

Computer operation
RN License
Team leadership
Computer literacy
Bachelor's degree
Clinical documentation
Organizational skills
Computer skills
Acute care experience
Master of Business Administration
General management

Full Job Description

Shift: Days

Job Type: Full Time

The individual in this position has overall responsibility for hospital utilization management, transition management and operational management of the Case Management Department in order to promote effective utilization of hospital resources, timely and accurate revenue cycle processes, denial prevention, safe and timely patient throughput, and compliance with all state and federal regulations related to case management services.

This position integrates national standards for case management scope of services including:

Utilization Management supporting medical necessity and denial prevention
Transition Management promoting appropriate length of stay, readmission prevention and patient satisfaction
Care Coordination by demonstrating throughput efficiency while assuring care is the right sequence and at appropriate level of care
Compliance with state and federal regulatory requirements, TJC accreditation standards and Tenet policy
Education provided to physicians, patients, families and caregivers

The individual’s responsibilities include the following activities: a) manage department operations to assure effective throughput and reimbursement for services provided, b) lead the implementation and oversight of the hospital Utilization Management Plan using data to drive hospital utilization performance improvement, c) ensure medical necessity and revenue cycle processes are completed accurately and in compliance with CMS regulations and Tenet policy, d) ensure timely and effective patient transition and planning to support efficient patient throughput, e) implement and monitor processes to prevent payer disputes, f) develop and provide physician education and feedback on hospital utilization, g) participate in management of post acute provider network, h) ensure compliance with state and federal regulations and TJC accreditation standards, and i) other duties as assigned.

Responsibilities for Candidates

Department Operations

Maintains an adequate number and skill mix over seven days a week to serve the patient population and meet the goals of the department
Implements and supports with business case staffing requests utilizing the Tenet Case Management staffing recommendations and hospital budgetary guidelines
Holds regular departmental meetings with staff to provide updates and provides for ongoing education
Completes initial and annual competency and evaluation review on all case management staff
Follows the InterQual Inter-rater Reliability (IRR) Policy to determine initial and yearly competency for all employees performing InterQual reviews
Develops action plan for case managers that fail to meet the IRR acceptable “match” rate to ensure improvement in the accurate application of InterQual criteria
Ensures new case management staff complete department orientation including review of Tenet Case Management and Compliance policies and Allscripts training
Provides management of the department, but not limited to, hiring, training, and managing staff
Monitors case management processes and staff productivity to ensure medical necessity reviews are completed timely and accurately, payer communications are sent and authorizations or denials documented and followed up, and that transition planning assessments are completed timely.(20% daily, essential)

Utilization Management
▪ Implements and monitors processes to ensure medical necessity review processes are in place for patients to be in the appropriate status and level of care per Tenet policy.
▪ Oversees submission of cases to Physician Advisor review to ensure timely referral, follow up and documentation.
▪ Implements and monitors utilization review process in place to communicate appropriate clinical data to payers to support admission, level of care, length of stay and authorization for post-acute services.

Advocates for the patient and hospital with payers to secure appropriate payment for services rendered
Participates in Revenue Cycle meeting, researching disputes, uncovering patterns/trends and educating hospital and medical staff on actionable items
Implements and monitors physician “peer to peer” review process with payers to resolve denials or downgrades concurrently.
Promotes prudent utilization of all resources (fiscal, human, environmental, equipment and services) by evaluating resources available to the patient and balancing cost and quality to assure optimal clinical and financial outcomes
Monitors, analyzes and reports Avoidable Days using the data to address opportunities for improvement
Participates and/or serves as lead for hospital Medicare Performance Improvement (MPI) initiatives.
Utilizes Crimson data to provide timely and meaningful information to the Utilization Management Committee and physician staff for performance improvement.
Monitors to ensure that CMS Follow-up Important Message (IM) and HINN letters are delivered and documented per federal regulations and Tenet policy.
(20% daily, essential)

Transition Management

Implements and monitors process to ensure that a transition plan assessment is completed within 24 hours of patient admission to identify and document the anticipated transition plan for patients
Ensures case management staff use electronic referral request process for patient placements
Monitors to ensure that patient preference & choice is documented per CMS regulations and Tenet policy
Identifies and reports variances in appropriateness of medical care provided, over/under utilization of resources compared to evidence-based practice and external requirements.
Monitors to ensure case management staff document in the Tenet Case Management documentation system to communicating information through clear, complete and concise documentation (20% daily, essential)

Care Coordination

Works with Nursing and hospital leadership to ensure Patient Care Conferences and Complex Case Review processes are in place to promote timely and appropriate throughput
Participates in daily bed management meeting to support timely and effective patient placement and transfer within the hospital
Monitors to ensures that patients have a plan of care that is clinically appropriate, consistent with patient preference & choice and available resources
Monitors to ensures consults, testing and procedures are sequenced to support clinical needs with timely and efficient care delivery
Ensures patient needs are communicated and that the healthcare team is mutually accountable to achieve the patient plan of care
Effectively collaborates with physicians, nurses, ancillary staff, payors, patients and families to achieve optimum clinical outcomes (20% daily, essential)

Education

Provides education to physicians regarding medical necessity, complete and accurate documentation, and compliance with related regulatory requirements
Prepares and provides data to physicians and the hospital on utilization of resources
Provides education to case management staff, physicians and the healthcare team relevant to the
o Effective progression of care,o Appropriate level of care, ando Safe and timely patient transition (10% daily, essential)
Compliance
Ensures compliance with federal, state, and local regulations and accreditation requirements impacting case management scope of services
Ensures that the department structure and staffing, policies and procedures to comply with the CMS Conditions of Participation and Tenet policies
Operates within the RN scope of practice as defined by state licensing regulations
Implements and monitors compliance with Tenet Case Management practices (10% daily, essential)

Qualifications for Internal Candidates

Required: Bachelor degree in Business, Nursing or Health Care Administration for RN or Master's in Social Work for MSW.
Preferred: MSN, MBA, MSW or MHA.
Required: 3 years of acute hospital case management or healthcare leadership experience.
Preferred: 5 years of acute hospital case management leadership multi-site experience
Required: Registered Nurse or LCSW/LMSW license. Must be currently licensed, certified or registered to practice profession as required by law or regulation in state of practice or policy. Active RN or LCSW/LMSW license for state(s) covered.
Preferred: Accredited Case Manager (ACM)

Required skills include demonstrated organizational skills, excellent verbal and written communication skills, ability to lead and coordinate activities of a diverse group of people in a fast paced environment, critical thinking and problem solving skills and computer literacy. Business planning experience preferred.

#LI-AJ1

Pay: $62.20 - $99.52 per hour

Benefits:

401(k)
401(k) matching
Employee assistance program
Employee discount
Flexible spending account
Paid time off

Work Location: In person

Quick Apply

Refine Your Search

hospital social worker jobs in fremont, ca

Manager, Case Management

Outpatient Therapist - Per Diem

Licensed Clinical Social Worker, Ambulatory

CLIN SOCIAL WORKER 3

Program Manager of Outpatient Services (LMFT, LCSW, LPCC, PsyD) - Full Time

Clinical Case Manager - Per Diem

Milieu Therapist - Per Diem

Milieu Therapist - Full Time

Mental Health Clinician (LCSW or LMFT), Immune Behavioral Health Clinic (PANS)

Case Manager II - PT Days

Outpatient Behavioral Health Therapist PRN

Case Manager II - FT Days

Relief Mental Health Clinician (LCSW or LMFT), Specialty Clinic Base

MANAGER, CASE MANAGEMENT/SOCIAL SERVICES -11

Outpatient Services Program Manager (LMFT, LCSW, LPCC, PsyD)

Serious Illness Hub Social Work Educator

Licensed Mental Health Therapist

ECH District Population Health Program Manager - FT - Days - Community Partnership @ MV

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