Top 6042 Care manager Jobs in Pleasant Hill, Ca

Case Manager - Ambulatory - 26-43
PriMed Management Consulting Services, Inc. —San Ramon, CA
- $100,000 - $123,000 a year
- Full-time
- Nursing
- Microsoft Outlook
- RN License
Quick Apply
Care Manager II, Acute
Sutter Health —Antioch, CA
- $90.58 - $126.81 an hour
- 8 hour shift
- Acute care
- Nursing
- RN License
Care Manager - CA
Independent Living Systems —Concord, CA
- $26.00 - $43.81 an hour
- Full-time
- Spanish
- CPR Certification
- Nursing
Quick Apply
Social Worker - MSW - AS Social Services - Per Diem - 8 Hour - Days
John Muir Health —Walnut Creek, CA
- $53.58 - $72.31 an hour
- 8 hour shift
- Bilingual
- Master of Social Work
- Hospital
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
Physical Therapist Case Manager, Level 2: Home Health
21st Century Home Health Services Inc. —Alameda, CA
- $125,000 - $160,000 a year
- Choose your own hours
- CPR Certification
- Computer literacy
- BLS Certification
- Continuing education credits
- Health insurance
Quick Apply
Spanish speaking Bilingual/Bicultural Master’s Level Clinician
Marin Treatment Center —San Rafael, CA
- $36 - $40 an hour
- Full-time
- Bilingual
- LMFT
- Spanish
- Paid holidays
- Health insurance
Quick Apply
Comprehensive Service Coach (CCP)
Child Start Inc. —Richmond, CA
- $39.59 an hour
- Full-time
- Microsoft Word
- Classroom
- Microsoft Excel
- Health savings account
- Health insurance
Quick Apply
Physical Therapist Case Manager, Level 2: Home Health (Sign on Bonus)
21st Century Home Health Services Inc. —Oakland, CA
- $125,000 - $160,000 a year
- Choose your own hours
- CPR Certification
- Computer literacy
- BLS Certification
- Continuing education credits
- Health insurance
Quick Apply
Clinical Case Manager (MFT or CSW, BBS Registered)- Adult Residential Facility
A&A Health Services San Pablo —San Pablo, CA
- $90,000 - $110,000 a year
- Full-time
- Background check
- Spanish
- Management
- Health insurance
- Dental insurance
Quick Apply
Physician Assistant / Nurse Practitioner
CityHealth Urgent Care —San Leandro, CA
- $80 - $95 an hour
- Part-time
- Background check
- BLS Certification
- Urgent Care
- Health insurance
- Dental insurance
Quick Apply
Clinician- Head of Service
Lighthouse Mentoring Center —Antioch, CA
- $75,000 - $85,000 a year
- Full-time
- Microsoft Word
- Background check
- LMFT
- Health insurance
- Dental insurance
Quick Apply
Pharmacist - Per Diem (PRN)
VytlOne —Dublin, CA
- $65 - $75 an hour
- Part-time
- Mid-level
- Bachelor's degree
- Patient care
Quick Apply
Social Worker - Bilingual Chinese or Spanish
Tenants and Owners Development Corporation (TODCO) —San Francisco, CA
- $35.48 - $43.37 an hour
- Full-time
- Bilingual
- Background check
- Spanish
- Health insurance
- Dental insurance
Quick Apply
Quality Assurance Pharmacist
Valor Compounding Pharmacy, Inc. —Berkeley, CA
- $65 - $69 an hour
- Part-time
- Background check
- Bachelor of Science
- Pass drug screening
- Profit sharing
- AD&D insurance
Quick Apply
Occupational Therapist (OT) – Home Health | East Bay Territories (FT & Per Diem) - $10,000 Sign on Bonus (FT)
Health Link —Walnut Creek, CA
- $125,000 - $146,000 a year
- Part-time
- Mid-level
- Driver's License
- Home Health
- Health insurance
- Dental insurance
Quick Apply
Psychiatric Nurse Practitioner
The Hume Center —Antioch, CA
- $176,000 - $215,000 a year
- Full-time
- Microsoft Word
- Nursing
- Psychiatry
- Health insurance
- Dental insurance
Quick Apply
Direct Support Professional - Community Adult Program
Easterseals Northern California i s an equal opportunity employer. —Dublin, CA
- $21 - $22 an hour
- Part-time
- Bilingual
- CPR Certification
- Clean driving record
Outpatient Case Manager
The Epiphany Center —San Francisco, CA
- $30 - $32 an hour
- Full-time
- Background check
- CPR Certification
- Clean driving record
- Health insurance
- Dental insurance
Quick Apply
Intake & Outreach Manager (Registered Nurse)
Asian Health Services —San Leandro, CA
- $135,000 - $145,600 a year
- Full-time
- RN License
- BLS Certification
- Mid-level
- Commuter assistance
- Paid holidays
Quick Apply

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Case Manager - Ambulatory - 26-43

PriMed Management Consulting Services, Inc. -
San Ramon, CA

Quick Apply

Job Details

Full-time
$100,000 - $123,000 a year

Qualifications

Collaborate with healthcare professionals
Computer operation
Microsoft Outlook
Medicare
RN License
Managed care organization experience
Computer literacy
ICD-10
Documentation tools
Video conferencing software
Telehealth platforms
Collaborative technology platforms
Microsoft Teams
Video conferences (communication methods)
Clinical documentation standards
Associate's degree
Associate Degree in Nursing
Video conferencing systems operation

Full Job Description

We’re delighted you’re considering joining us!

At Hill Physicians Medical Group, we’re shaping the healthcare of the future: actively managed care that prevents disease, supports those with chronic conditions and anticipates the needs of our members.

Join Our Team!

Hill Physicians has much to offer prospective employees. We’re regularly recognized as one of the “Best Places to Work in the Bay Area” and have been recognized as one of the “Healthiest Places to Work in the Bay Area.” When you join our team, you’re making a great choice for your professional career and your personal satisfaction.

DE&I Statement:

At PriMed, your uniqueness is valued, celebrated, encouraged, supported, and embraced. Whatever your relationship with Hill Physicians, we welcome ALL that you are.

We value and respect your race, ethnicity, gender identity, sexual orientation, age, religion, disabilities, experiences, perspectives, and other attributes. Our celebration of diversity and foundation of inclusion allows us to leverage our differences and capitalize on our similarities to better serve our communities. We do it because it's right!

Job Description:

The RN Case Manager provides telephonic and digital case management services to health plan members, focusing on supporting patients after emergency department visits or hospitalizations to ensure smooth transitions and prevent readmissions. Case management is a collaborative, patient-centered process that assesses, plans, implements, coordinates, monitors, and evaluates options and services to meet health and human service needs. The role emphasizes advocacy, communication, care coordination, and resource management to promote high-quality, cost-effective outcomes. This position operates in a fully virtual environment, requiring proficiency with telephonic platforms, electronic documentation, and multi-system navigation.

ESSENTIAL RESPONSIBILITIES:

Core Case Management Activities

Identify members appropriate for case management based on clinical indicators, referrals, utilization patterns, and health-related concerns.
Conduct comprehensive assessments of members’ physical, psychosocial, behavioral, and environmental needs and barriers.
Develop individualized care plans aligned with member goals, provider recommendations, and established standards of practice.
Implement and coordinate interventions to address barriers, enhance access, and support successful goal achievement in collaboration with physicians, caregivers, and other providers.
Document assessments, interventions, care plans, progress notes, and member interactions within the case management system according to policy and regulatory criteria.

Ambulatory Case Management Responsibilities

Provide structured case management services for ambulatory and outpatient populations, including those with chronic or complex conditions.
Conduct proactive outreach to members identified through data analytics, referrals, or quality measures to support early engagement and intervention.
Coordinate care across primary care, specialty care, behavioral health, pharmacy, and community resources to ensure cohesive outpatient support.
Facilitate timely follow-up after emergency department visits, urgent care visits, or hospital discharges to ensure continuity of care.
Reinforce treatment plans, promote medication adherence, and support self-management for chronic disease populations (e.g., diabetes, COPD, CHF).
Monitor member progress and adjust care plans based on evolving needs and medical provider feedback.
Identify and address social determinants of health, connecting members with community-based support and resources.
Track ambulatory utilization and collaborating with internal teams to reduce avoidable ER use and close care gaps.

Additional Responsibilities

Maintain client privacy, safety, confidentiality, and advocacy while adhering to ethical, legal, regulatory, and accreditation standards.
Ensure compliance with department procedures, turnaround times, and documentation standards.
Support interdisciplinary care processes to promote optimal resource utilization and quality outcomes.
Maintain and update community resource databases and internal referral pathways.
Utilize reporting tools and internal systems to identify trends, monitor resource utilization, and support quality improvement initiatives.
Refer members to appropriate departments such as Health Education, Quality Management, Contracting, Provider Services, and others as needed.
Issue member communications in accordance with department policies.
Support the Medical Management Team, including Authorization Review, Clinical Initiatives, and Provider Education functions.
Participate in internal and external meetings, training, and educational programs to maintain and enhance case management competencies.
Perform other duties as assigned.

Required Experience

Minimum 5 years of experience required, including:
- At least 3 years of clinical nursing experience in areas such as medical-surgical, critical care, home health, or skilled nursing.
- At least 2 years of experience in case management, utilization management, discharge planning, or quality improvement in a managed care setting.
Experience with managed care delivery, including IPA networks and Medicare.
Strong organizational skills with ability to meet both expected and unexpected time frames.
Excellent verbal and written communication skills.
Proficiency in Microsoft Outlook, Teams, and electronic charting systems.
Ability to navigate multiple platforms and document while engaging with members.
Ability to coordinate effectively with members, providers, office staff, health plans, internal departments, community resources, and peers.
Ability to work independently with self-initiative and discipline.
Knowledge of ICD-10 and CPT coding.
Working knowledge of personal computers.

Hybrid/Remote Work Requirements

Dedicated office space that is free from distractions, with a door that closes and appropriate office furniture.
Staff cannot be the primary caregiver to any person during business hours.
High-speed internet connection.
Ability to be on camera during department meetings or calls with peers or leaders.

Required Education

Associate degree in Nursing (A.S.) required.
Unrestricted California Registered Nurse licensure: certification in case management preferred

Additional Information

Salary: $100,000 - $123,000 Annual

Hill Physicians is an Equal Opportunity Employer

Quick Apply

Refine Your Search

care manager jobs in pleasant hill, ca

Case Manager - Ambulatory - 26-43

Care Manager II, Acute

Care Manager - CA

Social Worker - MSW - AS Social Services - Per Diem - 8 Hour - Days

Workers' Compensation Claims Examiner

Physical Therapist Case Manager, Level 2: Home Health

Spanish speaking Bilingual/Bicultural Master’s Level Clinician

Comprehensive Service Coach (CCP)

Physical Therapist Case Manager, Level 2: Home Health (Sign on Bonus)

Clinical Case Manager (MFT or CSW, BBS Registered)- Adult Residential Facility

Physician Assistant / Nurse Practitioner

Clinician- Head of Service

Pharmacist - Per Diem (PRN)

Social Worker - Bilingual Chinese or Spanish

Quality Assurance Pharmacist

Occupational Therapist (OT) – Home Health | East Bay Territories (FT & Per Diem) - $10,000 Sign on Bonus (FT)

Psychiatric Nurse Practitioner

Direct Support Professional - Community Adult Program

Outpatient Case Manager

Intake & Outreach Manager (Registered Nurse)

I want to receive the latest job alert for care manager in pleasant hill, ca

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