Top 42 Referral coordinator Jobs in Gilroy, Ca

Supervisor, Case Management (clinical)
Santa Clara Family Health Plan —San Jose, CA
- $113,836 - $176,446 a year
- Full-time
- Spanish
- Clean driving record
- Management
- Health insurance
- Dental insurance
Quick Apply
Speech Language Pathologist (SLP) | Relocation $10,000 | Ventura County
Amigo Baby. Inc —California
- From $130,000 a year
- Part-time
- Spanish
- CPR Certification
- Current TB test
- Mileage reimbursement
- Health savings account
Quick Apply
Board Certified Behavior Analyst (BCBA)
Scoot Education —San Jose, CA
- From $60 an hour
- Temporary
- Background check
- School experience
- Mid-level
- Paid training
- Professional development assistance
Pediatric Occupational Therapist (OTR/L) | Relocation $10,000 | Ventura County
Amigo Baby. Inc —California
- From $130,000 a year
- Part-time
- Spanish
- CPR Certification
- Current TB test
- Paid training
- Mileage reimbursement
Quick Apply
Clinical Coordinator
Community Solutions for Children, Families and Individuals —Morgan Hill, CA
- From $93,134.86 a year
- Weekends as needed
- Hybrid work
- Bilingual
- Clean driving record
- Management
- 403(b) matching
- Paid holidays
Quick Apply
8d
Community Support Coordinator - PD
Salinas Valley Health —Salinas, CA
- $38.17 - $47.71 an hour
- Weekends as needed
- Spanish
- BLS Certification
- English
Community Based Program Coordinator
Santa Clara Family Health Plan —San Jose, CA
- $61,554 - $89,253 a year
- Full-time
- Spanish
- Clean driving record
- Writing skills
Referral Coordinator: Temporary Position
Cypress Healthcare Partners —Salinas, CA
- $23 - $26 an hour
- Temporary
- Bilingual
- Office
- High school diploma or GED
Quick Apply
6d
Utilization Review Coordinator
The County of Santa Clara —Santa Clara County, CA
- $195,318.24 - $249,352.48 a year
- Acute care
- Psychiatry
- RN License
- Wellness program
- AD&D insurance
6d
Referral Coordinator: SVH Hematology & Oncology
Cypress Healthcare Partners —Salinas, CA
- $23 - $26 an hour
- Full-time
- Bilingual
- Mid-level
- Office
Quick Apply
Intake Coordinator
Health Advocacy Team Support —Salinas, CA
- $25 - $33 an hour
- Full-time
- Background check
- Spanish
- Microsoft Outlook
- Health insurance
- Dental insurance
Quick Apply
6d
Temp Medical Management Personal Care Coordinator
Santa Clara Family Health Plan —San Jose, CA
- $67,863 - $101,795 a year
- Temporary
- Spanish
- Clean driving record
- Microsoft Outlook
New Patient Coordinator
Cypress Healthcare Partners —Salinas, CA
- $23 - $26 an hour
- Full-time
- Bilingual
- High school diploma or GED
- US work authorization
Quick Apply
6d
Patient Coordinator
California Skin Institute Management LLC —Salinas, CA
- $21 - $25 an hour
- Full-time
- Private practice
- Spanish
- Microsoft Excel
- Health insurance
- 401(k)
Quick Apply
Medical Management Personal Care Coordinator
Santa Clara Family Health Plan —San Jose, CA
- $67,863 - $101,795 a year
- Full-time
- Spanish
- Clean driving record
- Microsoft Outlook
Quick Apply
Client Support Specialist
STARS BAY AREA INC —San Jose, CA
- $20 - $26 an hour
- Day shift
- Spanish
- Children
- Organizational skills
- Paid time off
Quick Apply
Patient Care Navigator | Part-time (Salinas)
Harvest Healthcare —Salinas, CA
- From $24 an hour
- Part-time
- Hybrid work
- Office
- Driver's License
- Bachelor's degree
- Professional development assistance
- Flexible schedule
Quick Apply
14h
Supervisor, Case Management
Santa Clara Family Health Plan —San Jose, CA
- $113,836 - $176,446 a year
- Full-time
- Spanish
- Clean driving record
- Microsoft Outlook
Quick Apply
Enhanced Care Management Lead Care Coordinator
Pacific Health Group —Hollister, CA
- $60,320 - $66,560 a year
- Full-time
- Hybrid work
- Background check
- Mid-level
- Driver's License
- Mileage reimbursement
- AD&D insurance
Quick Apply
Patient Care Coordinator
Balance Physical Therapy & Human Performance Center, Inc. —Salinas, CA
- $18 - $22 an hour
- Full-time
- Spanish
- Computer literacy
- HIPAA
Quick Apply

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Supervisor, Case Management (clinical)

Santa Clara Family Health Plan -
San Jose, CA

Quick Apply

Job Details

Full-time
$113,836 - $176,446 a year

Benefits

Health insurance
Dental insurance
401(k)
Flexible spending account
Tuition reimbursement
Paid time off
Employee assistance program
Vision insurance
401(k) matching
Employee discount
Life insurance
Retirement plan

Qualifications

Supervisory support in social service case management
Management
Medicare
Utilization review
RN License
Managed care organization experience
Regulatory compliance
Licensed Clinical Social Worker
Employee relationship building
Clinical case management
Managing patients as a nurse case manager
Driver's License
Supervising experience
Health insurance knowledge
Case management
Utilization management
Driving
NCQA standards
Centers for Medicare and Medicaid Services (CMS)
Resource utilization in healthcare
Discharge planning
Care plans
Delegation

Full Job Description

About Us:

Santa Clara Family Health Plan (SCFHP) is a local, community-based health plan dedicated to improving the health and well-being of the residents of Santa Clara County. Working in partnership with providers and community organizations, we serve our neighbors through our Medi-Cal and SCFHP DualConnect (HMO D-SNP) health care plans.

About the role:

The Supervisor of Case Management is responsible for the oversight of daily operations of case management activities, providing assistance with the development and implementation of new programs and related workflows, coordinating case management referrals for all lines of business, and serving as a resource for internal departments, members, providers, delegates and community partners. In addition, the Supervisor of Case Management is responsible for supervising Case Managers and Personal Care Coordinators to ensure that all case management functions are performed accurately and efficiently and in compliance with all applicable state and federal regulatory requirements, SCFHP policies and procedures, and business requirements.

Day to Day:

Develop, implement and supervise case management workflows in compliance with all applicable state and federal regulatory requirements, SCFHP policies and procedures and business requirements for all lines of business.
Monitor and provide continuous quality improvement to the processes of basic, specialty and complex case management, including timely completion of Health Risk Assessments (HRA), documented development of member care teams, development and monitoring of Individual Care Plans (ICP) and changes to members’ risk stratification after time of enrollment.
Collaborate with the Manager of Case Management with routine and ad hoc audits and the development, implementation and monitoring of corrective action plans.
Ensure the integration of Case Management operations into other internal and external teams/departments including Long Term Services and Supports and Behavioral Health.
Collaborate with the Manager of Case Management with the oversight and assignment of RN Case Manager, Medical Management Coordinator and Personal Care Coordinator caseloads across various case management programs.
Resolve or facilitate resolution of problematic and/or complex issues by escalating to appropriate management/leadership person.
Establish and maintain effective interpersonal relationships with staff at all levels, members and/or their authorized representatives, providers, other program or agency representatives.
Carries out supervisory/management responsibilities in accordance with the organization’s policies, procedures, applicable regulations and laws.

About You:

Unrestricted professional clinical licensure in state of California.
Minimum two years of progressively responsible experience in a supervisory or lead capacity in case management, utilization management, discharge planning and/or quality improvement in a managed care setting.
Current working knowledge of Medicare and/or MediCal regulations and NCQA Population Health standards.
CMSA Certification in Case Management (Desired)
Maintenance of a valid California driver's license and acceptable driving record, in order to drive to and from offsite meetings or events; or ability to use other means of transportation to attend offsite meetings or events.
Spanish, Vietnamese, Chines, or Tagalog language bi-lingual skills is desired.

Please review the full job description on our Career’s page: : https://phf.tbe.taleo.net/phf04/ats/careers/v2/viewRequisition?org=SANTCLAR2&cws=38&rid=3166

Job Type: Full-time

Pay: $113,836.00 - $176,446.00 per year

Benefits:

401(k)
401(k) matching
Dental insurance
Employee assistance program
Employee discount
Flexible spending account
Health insurance
Life insurance
Paid time off
Retirement plan
Tuition reimbursement
Vision insurance

Application Question(s):

Do you have current working knowledge of Medicare and/or MediCal regulations and NCQA Population Health standards?
Do you have a minimum two years of progressively responsible experience in a supervisory or lead capacity in case management, utilization management, discharge planning and/or quality improvement in a managed care setting.

Experience:

Supervising: 2 years (Required)

License/Certification:

clinical licensure in state of California (Required)

Ability to Commute:

San Jose, CA 95119 (Required)

Work Location: In person

Quick Apply

Refine Your Search

referral coordinator jobs in gilroy, ca

Supervisor, Case Management (clinical)

Speech Language Pathologist (SLP) | Relocation $10,000 | Ventura County

Board Certified Behavior Analyst (BCBA)

Pediatric Occupational Therapist (OTR/L) | Relocation $10,000 | Ventura County

Clinical Coordinator

Community Support Coordinator - PD

Community Based Program Coordinator

Referral Coordinator: Temporary Position

Utilization Review Coordinator

Referral Coordinator: SVH Hematology & Oncology

Intake Coordinator

Temp Medical Management Personal Care Coordinator

New Patient Coordinator

Patient Coordinator

Medical Management Personal Care Coordinator

Client Support Specialist

Patient Care Navigator | Part-time (Salinas)

Supervisor, Case Management

Enhanced Care Management Lead Care Coordinator

Patient Care Coordinator

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