Top 27 Health manager Jobs in Pleasanton, Ca

Case Management Liaison Lead
Stanford Health Care Tri-Valley —Pleasanton, CA
- $31.94 - $41.20 an hour
- Full-time
- Hospital
- Computer literacy
- BLS Certification
Dental Receptionist Lead Now Hiring
TP Dental —Pleasanton, CA
- $18 - $45 an hour
- Part-time
- Dental office
- Management
- Sales
- Health insurance
- Dental insurance
Quick Apply
4d
Practice Manager
Diamond Accelerator —Menlo Park, CA
- $90,000 a year
- Full-time
- Office
- Entry level
Quick Apply
Assistant Sterile Processing Department Manager (Full-Time, 8-Hour Day Shifts)
Stanford Health Care —Palo Alto, CA
- $50.67 - $65.87 an hour
- 8 hour shift
- Mid-level
- Military encouraged
- Outpatient
2d
Clinical Operations Lead
Lark Health —Mountain View, CA
- $101,230 - $143,540 a year
- Full-time
- Remote
- Nursing
- RN License
- Senior level
Quality Improvement Clinical Manager / Job Req 1023712205
ALAMEDA ALLIANCE FOR HEALTH —Alameda, CA
- $167,440 - $251,160 a year
- Full-time
- Nursing
- Microsoft Excel
- Management
4d
Business Office Manager
Unitek Learning —Fremont, CA
- $70,000 - $85,000 a year
- Full-time
- ERP systems
- Mid-level
- Finance
- Paid holidays
- Health insurance
Quick Apply
Front Office Coordinator/Manager
Dublin Endodontics —Dublin, CA
- $18 - $35 an hour
- Full-time
- Dental office
- In-person
- Entry level
- Health insurance
- Dental insurance
Quick Apply
7d
Office Manager, Receptionist, Scheduling Coordinator, Treatment plan Coordinator
Alameda Dental Office —Alameda, CA
- Part-time
- Dental office
- HIPAA
- Administrative experience
- Free parking
- Health insurance
Quick Apply
6d
Billing and Collections Manager
Diablo Valley Post Acute —Concord, CA
- $85,000 - $100,000 a year
- Full-time
- Mid-level
- Administrative experience
- Leadership
- Health insurance
- Dental insurance
Quick Apply
10d
Quality Improvement Manager
Momentum for Health —San Jose, CA
- $115,000 - $130,000 a year
- Full-time
- LMFT
- Clean driving record
- Microsoft Outlook
- Health savings account
- Paid holidays
Quick Apply
11d
Quality Improvement Manager
Asian Health Services —San Leandro, CA
- $125,000 - $135,000 a year
- Full-time
- Nursing
- Clinic
- Analysis skills
- Commuter assistance
- Paid holidays
Quick Apply
Quality Assurance Data Manager
Felton Institute —Oakland, CA
- Part-time
- Microsoft Word
- LMFT
- Microsoft Excel
Program Manager - Compliance - AS Corporate Compliance - Full Time - 8 Hour - Days
John Muir Health —Walnut Creek, CA
- $118,159 - $177,238 a year
- 8 hour shift
- Microsoft Excel
- Bachelor of Science
- Writing skills
Senior Operations Manager, Healthcare Billing/Denials
Commure —Mountain View, CA
- $120,000 - $160,000 a year
- Full-time
- Office
- SQL
- Analysis skills
Fulfillment & Operations Supervisor - Onsite
Zoll Medical Corporation —San Jose, CA
- $85,000 a year
- Bilingual
- HIPAA
- Mid-level
9d
Engineering Manager, Payments & Reconciliation
Commure —Mountain View, CA
- $200,000 - $250,000 a year
- Overnight shift
- Hybrid work
- Software development
- Senior level
- Leadership
Manager, Payment Variance
Aspirion —Alameda, CA
- Full-time
- Remote
- 5 years
- HIPAA
- Finance
Quick Apply
5d
Medical Biller & Revenue Cycle Manager
Celebrations Speech Group Inc. —Brentwood, CA
- $72,800 - $78,000 a year
- Full-time
- Mid-level
- 3 years
- Children
- Health insurance
- Dental insurance
Quick Apply
Medical Referrals Clerk/Case Manager
Gardner Health Services —San Jose, CA
- $22.72 - $28.78 an hour
- Full-time
- Spanish
- CPR Certification
- BLS Certification
- Profit sharing
- Paid holidays
Quick Apply
6d

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health manager jobs near pleasanton, ca

Case Management Liaison Lead

Stanford Health Care Tri-Valley -
Pleasanton, CA

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Job Details

Full-time
$31.94 - $41.20 an hour

Qualifications

Computer operation
Computer literacy
BLS Certification
High school diploma or GED
Pre-authorization review for utilization management
Case management
Utilization management
Resource utilization in healthcare
Computer skills
Hospital experience

Full Job Description

If you're ready to be part of our legacy of hope and innovation, we encourage you to take the first step and explore our current job openings. Your best is waiting to be discovered.

Day - 08 Hour (United States of America)

This is a Stanford Health Care Tri-Valley job.

Job Summary

The Case Management (CM) Liaison Lead serves as a liaison between the SHC-TV UM/CM team and Health plans. Will serve as a resource to the UM/CM team members and is responsible for processing authorizations within the scope of their assignment and will oversee the CM Liaison Team in the daily operations.

Essential Functions

Utilize knowledge and experience to analyze contractual or administrative issues related to the requests.
Identify additional information needed and the ability to research and understand benefits and criteria.
Accurately identify when and how to refer cases to appropriate clinical personnel or take other actions as necessary or required.
Coordinate with other insurance coordinators and the medical review staff.
Forwards all requests that require additional clinical review to determine medical necessity criteria to the pre-authorization nurse for determination.
Work independently and in collaboration with the clinical UM team members with timely completion of the UM/CM WQ for ADT, Rooming, Medical necessity, and Quality assurance.
Assist the clinical UM team in validating the physician orders and ensure admission is coded correctly.
Manages denial appeals. Prepares, assists the clinical UM team for review, submits within deadlines and follows up on outcome.
Develops and maintains the system to oversee all prior authorization and ensures that clinical information is completed in a timely and accurate manner.
Stays in contact with CM/UM department to ensure clinical interventions are handled properly.
Oversee the CM Liaison Team in the daily operations.
Assist with the API and Staffing schedule.
Responsible for ordering medical and non-medical supplies and transportation vouchers for the department.
Contributes to the efficiency of the department by being flexible and cross-trained on other functions.
Works on a variety of special projects and assumes other duties as assigned by the UM Director and CM Team leaders.
Employee must perform all duties and responsibilities in accordance with the C-I-CARE Standards of the Hospital. C-I-CARE is the foundation of Stanford Healthcare – Tri-Valley’s patient-experience and represents a framework for patient-centered interactions

Job Qualifications

Education

High school diploma required.

Experience

A minimum of one (1) year of experience as a Case Management Liaison required.
Experience with payer authorizations and knowledge of Utilization Management in an acute hospital setting required.

Basic Life Support Certification required.

Knowledge, Skills, and Abilities

Ability to make sound judgment
Excellent communication and interpersonal skills
Ability to work independently and function effectively as a member of an interdisciplinary team.
Basic Computer skills required.
Strong advocacy and problem-solving skills
Strong attention to detail
Knowledge of acute care in relation to safety, security, and Joint Commission standards

Physical Demand and Working Conditions

The Physical Requirements and Working Conditions in which the job is typically performed are available from the Occupational Health Department. Reasonable accommodations will be made to enable individuals with disabilities to perform the essential functions of the job.

Equal Opportunity Employer

Equal Opportunity Employer Stanford Health Care – Tri-Valley (SHCTV) strongly values diversity and is committed to equal opportunity and non-discrimination in all of its policies and practices, including the area of employment. Accordingly, SHC does not discriminate against any person on the basis of race, color, sex, sexual orientation or gender identity and/or expression, religion, age, national or ethnic origin, political beliefs, marital status, medical condition, genetic information, veteran status, or disability, or the perception of any of the above. People of all genders, members of all racial and ethnic groups, people with disabilities, and veterans are encouraged to apply. Qualified applicants with criminal convictions will be considered after an individualized assessment of the conviction and the job requirements

Equal Opportunity Employer Stanford Health Care (SHC) strongly values diversity and is committed to equal opportunity and non-discrimination in all of its policies and practices, including the area of employment. Accordingly, SHC does not discriminate against any person on the basis of race, color, sex, sexual orientation or gender identity and/or expression, religion, age, national or ethnic origin, political beliefs, marital status, medical condition, genetic information, veteran status, or disability, or the perception of any of the above. People of all genders, members of all racial and ethnic groups, people with disabilities, and veterans are encouraged to apply. Qualified applicants with criminal convictions will be considered after an individualized assessment of the conviction and the job requirements.

Base Pay Scale: Generally starting at $31.94 - $41.20 per hour

The salary of the finalist selected for this role will be set based on a variety of factors, including but not limited to, internal equity, experience, education, specialty and training. This pay scale is not a promise of a particular wage.

Apply Now

Refine Your Search

health manager jobs in pleasanton, ca

Case Management Liaison Lead

Dental Receptionist Lead Now Hiring

Practice Manager

Assistant Sterile Processing Department Manager (Full-Time, 8-Hour Day Shifts)

Clinical Operations Lead

Quality Improvement Clinical Manager / Job Req 1023712205

Business Office Manager

Front Office Coordinator/Manager

Office Manager, Receptionist, Scheduling Coordinator, Treatment plan Coordinator

Billing and Collections Manager

Quality Improvement Manager

Quality Improvement Manager

Quality Assurance Data Manager

Program Manager - Compliance - AS Corporate Compliance - Full Time - 8 Hour - Days

Senior Operations Manager, Healthcare Billing/Denials

Fulfillment & Operations Supervisor - Onsite

Engineering Manager, Payments & Reconciliation

Manager, Payment Variance

Medical Biller & Revenue Cycle Manager

Medical Referrals Clerk/Case Manager

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