Top 237 Complex care case manager Jobs in San Jose, Ca

Case Management Program Manager
Santa Clara Family Health Plan —San Jose, CA
- $113,836 - $176,446 a year
- Full-time
- Microsoft Outlook
- Writing skills
- Research
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Licensed Psychotherapist (Pediatric IOP/PHP) - Floor Manager
LGTC Group —San Jose, CA
- From $80,000 a year
- Full-time
- LMFT
- Licensed Clinical Social Worker
- Outpatient experience
- Dental insurance
- 401(k)
Quick Apply
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
10d
Clinical ECM Lead Case Manager - LVN - Santa Clara County
Acacia Health —Santa Clara, CA
- $31 - $34 an hour
- Full-time
- Hybrid work
- Clean driving record
- LVN
- Mid-level
Quick Apply
Director of Student and Family Services
Voices College-Bound Language Academies —San Jose, CA
- $100,000 - $150,000 a year
- Weekends as needed
- School experience
- Spanish
- CPR Certification
- Paid holidays
- Health insurance
Quick Apply
Occupational Therapist
Stanford Health Care —Palo Alto, CA
- Full-time
- Acute care
- Doctoral degree
- Hospital
- Health savings account
- Health insurance
Assistant Director, Family and Children's Services
The County of Santa Clara —Santa Clara County, CA
- $182,574.08 - $234,222.12 a year
- Online Application
- 3 years
- Administrative experience
- Bachelor's degree
- Paid holidays
- Disability insurance
HUMAN RESOURCES ANALYST, SENIOR
San Jose/Evergreen Community College District —San Jose, CA
- $161,815 a year
- Monday to Friday
- Writing skills
- English
- Office
- Paid holidays
- Disability insurance
Assistant Director, Employment and Benefit Services
The County of Santa Clara —Santa Clara County, CA
- $182,574.08 - $234,222.12 a year
- Online Application
- Senior level
- Leadership
- Communication skills
- Paid holidays
- Disability insurance
11d
Utilization Management RN - Case Management - Relief/Per Diem
Stanford Health Care —Palo Alto, CA
- $79.21 - $104.97 an hour
- Part-time
- Acute care
- Nursing
- RN License
11d
Case Manager (RN) - Inpatient - 0.8 FTE, 08-hr, Day Shift
Stanford Health Care —Palo Alto, CA
- $96.35 - $111.14 an hour
- Part-time
- Nursing
- RN License
- Hospital
Program/Project Coordinator, SW/CM Department
Stanford Health Care —Palo Alto, CA
- $43.77 - $56.90 an hour
- Full-time
- Hospital
- Writing skills
- Inpatient
Senior Social Worker
US Veterans Health Administration —Palo Alto, CA
- $129,222 - $167,993 a year
- Online Application
- Background check
- Master of Social Work
- Writing skills
8d
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
Case Manager (RN) - Timely Discharge - 1.0 FTE, 8-HR, Day Shift
Stanford Health Care —Palo Alto, CA
- $96.35 - $111.14 an hour
- 8 hour shift
- Nursing
- RN License
- Hospital
2d
Program Manager-Housing Retention II
HomeFirst —San Jose, CA
- $103,744.37 a year
- 8 hour shift
- Spanish
- Customer service
- Mid-level
- Commuter assistance
- Disability insurance
Housing Navigator/Case Manager (Santa Clara)
Zócalo Health —Santa Clara, CA
- $29.70 - $31.00 an hour
- Full-time
- Spanish
- English
- Mid-level
- Paid holidays
- Health insurance
11d
LVN Case Manager
Vynca —San Jose, CA
- $32 - $38 an hour
- Full-time
- Hybrid work
- Background check
- Spanish
- Google Workspace
Social Worker
US Veterans Health Administration —Menlo Park, CA
- $129,222 - $167,993 a year
- Online Application
- Hybrid work
- Background check
- Master of Social Work
- Writing skills
6d
HR Service Center Customer Service Associate, Fixed-Term
Stanford University —Redwood City, CA
- $31.25 - $38.25 an hour
- Extended hours
- Hybrid work
- Microsoft Excel
- Oracle
- Microsoft Outlook
- Health insurance
- Tuition reimbursement

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complex care case manager jobs near san jose, ca

Case Management Program Manager

Santa Clara Family Health Plan -
San Jose, CA

Quick Apply

Job Details

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

Qualifications

Computer operation
Confidential information handling
Medicare
Writing skills
Presentations for conferences or internal meetings
CMS
Visio
CMS regulatory compliance
Health insurance knowledge
Medicare regulations
Project management experience in healthcare
Desktop applications
Relationship management
Meeting facilitation
Managing projects
Medicaid regulations
Medicaid
Typing
Microsoft Project
Cross-functional collaboration
Cross-functional team management
Delegation
Cross-functional communication

Full Job Description

Salary Range: $113,836 - $176,446
The expected pay range is based on many factors, such as experience, education, and the market. The range is subject to change.

FLSA Status: Exempt
Department: Health Services
Reports To: Director, Case Management

GENERAL DESCRIPTION OF POSITION

The Case Management Program Manager is responsible for management of both ongoing and short-term projects, staff and vendor training and technical systems management for all care coordination staff. The Case Management Program Manager works collaboratively and cross-functionally with internal and external stakeholders to ensure that Case Management workflows, systems and reporting are in compliance with State and Federal regulations and that staff, delegates, and vendors are performing those functions. The Case Management Program Manager serves as the subject matter expert and lead on IT projects related to case management including system updates, transitions, and maintenance of care management software programs. The Case Management Program Manager is responsible for developing work plans, gap analyses, survey readiness, and facilitating stakeholder collaboration for all projects assigned, including ongoing program planning and work stream facilitation.

ESSENTIAL DUTIES AND RESPONSIBILITIES

To perform this job successfully, an individual must be able to satisfactorily perform each essential duty listed below.

Lead and facilitate both new and ongoing projects that support the Case Management program. Provide direction for project framing, work plan development, business case analysis, user-testing, implementation, and outcome measurement.
Collaborate with Information Technology (IT) teams to execute systems projects including case management platform updates, transitions, and maintenance.
Develop and implement new and ongoing training for all care coordination staff as aligned with State and Federal regulations, policies, procedures, and workflows.
Provide strong oversight and regular auditing and monitoring activities to ensure care management guidelines are followed.
Monitor and track changes in regulatory requirements and develop and implement updates to ensure case management systems are in compliance with State and Federal regulations.
Collaborate with other Health Services departments including Quality, Utilization Management, and Pharmacy to ensure department and organizational goals are met.
Develop and maintain all appropriate documentation, including timelines, project scope, decision logs and work plans, including the development of process documents such as process maps, workflows, and desktop procedures.
Monitor timeliness of projects, cost management, and resource usage to ensure completion and implementation of project and budget variances.
Identify, research, and resolve project issues and escalate critical issues, problems, and delays to management and executive leadership, as needed.
Conduct studies of operations, workflows, and fact gathering sessions with stakeholders to document, quantify, and specify process improvement efforts. Work with internal stakeholders and business leaders to identify the gap between current and desired results.
Develop and distribute timely project communications and status updates.
Participate in meetings and conference calls with regulatory agencies (i.e. Federal, State and County), National Committee for Quality Assurance (NCQA), SCFHP management, delegates and vendors to obtain and capture requirements and timelines.
Perform other related duties as required or assigned.

REQUIREMENTS – Required (R) Desired (D)

The requirements listed below are representative of the knowledge, skill, and/or ability required or desired.

Bachelor’s Degree in Management, Healthcare, Business or Information Technology, or related field, or equivalent experience, training, or coursework. (R)
Minimum two years of experience serving vulnerable members of the community. (R)
Minimum two years of experience managing, implementing and directing community programs. (D)
Demonstrated knowledge of Medicare and Medi-Cal benefits, Centers for Medicare and Medicaid Services (CMS), Department of Health Care Services (DHCS) and Department of Managed Health Care (DMHC) regulations. (R)
Knowledge of local health care community including medical, housing, behavioral health, and social services. (D)
Superior communication skills and ability to effectively facilitate meetings and deliver information/presentations. (R)
Strong organizational skills; able to adapt to changing environment, work independently, and manage multi-task responsibilities. (R)
Ability to work with a high level of independence with strong collaboration and relationship management skills. (R)
Strong analytical and problem solving abilities. (R)
Ability to direct and manage large-scale, complex, cross-functional, multi-departmental projects to completion with minimum supervision, (R)
Ability to understand, interpret, and apply applicable rules and regulations, and establish and evaluate priorities. (R)
Working knowledge of and the ability to efficiently operate all applicable computer software including computer applications such as such as MS Word, Excel, Power Point, Visio, Project and Outlook. (R)
Ability to use a keyboard with moderate speed and a high level of accuracy. (R)
Ability to express oneself clearly and concisely when interacting with internal and external stakeholders over the telephone, in person or in writing. (R)
Ability to think and work effectively under pressure and accurately prioritize and complete tasks within established timeframes. (R)
Ability to take initiative and exercise good judgment when making decisions within the scope of the position. (R)
Ability to maintain confidentiality. (R)
Ability to comply with all SCFHP policies and procedures. (R)
Ability to perform the job safely with respect to others, to property, and to individual safety. (R)

WORKING CONDITIONS

Generally, duties are primarily performed in an office environment while sitting or standing at a desk. Incumbents are subject to regular contact with co-workers, managers, external partners, and vendors, in person, by telephone, and via work-related electronic communications.

PHYSICAL REQUIREMENTS

Incumbents must be able to perform the essential functions of this job, with or without reasonable accommodation:

Mobility Requirements: regular bending at the waist, and reaching overhead, above the shoulders and horizontally, to retrieve and store files and supplies and sit or stand for extended periods of time; (R)
Lifting Requirements: regularly lift and carry files, notebooks, and office supplies that may weigh up to 5 pounds; (R)
Visual Requirements: ability to read information in printed materials and on a computer screen; perform close-up work; clarity of vision is required at 20 inches or less; (R)
Dexterity Requirements: regular use of hands, wrists, and finger movements; ability to perform repetitive motion (keyboard); writing (note-taking); ability to operate a computer keyboard and other office equipment (R)
Hearing/Talking Requirements: ability to hear normal speech, hear and talk to exchange information in person and on telephone; (R)
Reasoning Requirements: ability to think and work effectively under pressure; ability to effectively serve customers; decision making, maintain a concentrated level of attention to information communicated in person, by telephone, and electronically, throughout a typical workday; attention to detail. (R)

ENVIRONMENTAL CONDITIONS

Add sentence to describe the environmental conditions.

EOE

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Refine Your Search

complex care case manager jobs in san jose, ca

Case Management Program Manager

Licensed Psychotherapist (Pediatric IOP/PHP) - Floor Manager

Supervisor, Case Management (clinical)

Clinical ECM Lead Case Manager - LVN - Santa Clara County

Director of Student and Family Services

Occupational Therapist

Assistant Director, Family and Children's Services

HUMAN RESOURCES ANALYST, SENIOR

Assistant Director, Employment and Benefit Services

Utilization Management RN - Case Management - Relief/Per Diem

Case Manager (RN) - Inpatient - 0.8 FTE, 08-hr, Day Shift

Program/Project Coordinator, SW/CM Department

Senior Social Worker

Supervisor, Case Management

Case Manager (RN) - Timely Discharge - 1.0 FTE, 8-HR, Day Shift

Program Manager-Housing Retention II

Housing Navigator/Case Manager (Santa Clara)

LVN Case Manager

Social Worker

HR Service Center Customer Service Associate, Fixed-Term

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GENERAL DESCRIPTION OF POSITION

ESSENTIAL DUTIES AND RESPONSIBILITIES

REQUIREMENTS – Required (R) Desired (D)

WORKING CONDITIONS

PHYSICAL REQUIREMENTS

ENVIRONMENTAL CONDITIONS

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