Top 42 Clinical liaison Jobs in San Ramon 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
11d
Clinical Sales Liaison Full Time
Kindred Hospital San Francisco Bay Area —San Leandro, CA
- $110,000 - $123,000 a year
- Full-time
- Nursing
- RN License
- Marketing
- Health savings account
- Health insurance
Clinical Liaison (CL) Acute Rehabilitation
Lifepoint Rehabilitation —San Leandro, CA
- $95,000 - $110,000 a year
- Full-time
- Inpatient
- Mid-level
- Driver's License
- Disability insurance
- Health insurance
Quick Apply
Community Liaison - Home Health
Sequoia Home Health —Hayward, CA
- $80,000 - $150,000 a year
- Full-time
- Marketing
- Customer service
- Mid-level
Quick Apply
(Senior) Medical Science Liaison - Northern California & Nevada (CA, NV, HI)
BioNTech AG —San Francisco, CA
- $146,300 - $234,100 a year
- Full-time
- Background check
- Medicine
- Microsoft Office
- Health savings account
- AD&D insurance
Regional Account Liaison - BioPlus Specialty Pharmacy - Bay Area, CA
Elevance Health —San Francisco, CA
- $95,040 - $171,072 a year
- Full-time
- 6 years
- Up to 50% travel
- Bachelor of Science
- Employee stock purchase plan
- Paid holidays
14d
Clinical Liaison (RN) - Oakland/ Concord/ Walnut Creek
Option Care Enterprises, Inc. —Oakland, CA
- $80,773.80 - $134,630.48 a year
- Full-time
- RN License
- Hospital
- Computer literacy
- Health savings account
- Health insurance
Quick Apply
13d
Hospice Clinical Sales Liaison
Best Hospice Providers Inc. —Hayward, CA
- $85,000 a year
- Weekends as needed
- LVN
- Marketing
- HIPAA
- Mileage reimbursement
- Dental insurance
Quick Apply
Clinical Diagnostic Liaison (CDL) - Northwest
Amplity Health —San Francisco, CA
- $170,000 - $180,000 a year
- Full-time
- Nursing
- Hospital
- Mid-level
Medical Science Liaison Immunology - Admilparant (N. CA)
Bristol-Myers Squibb —San Francisco, CA
- $166,090 - $201,262 a year
- Email
- Hybrid work
- Medicine
- English
- Mid-level
- Paid holidays
- Disability insurance
Full Time - Home Health - Marketing Liaison - Alameda County
On My Care —Fremont, CA
- $95,000 - $110,000 a year
- Full-time
- Mid-level
- Marketing
Quick Apply
Medical Science Liaison
Alumis —San Francisco, CA
- Up to $235,000 a year
- Weekends as needed
- Remote
- Up to 50% travel
- Writing skills
- 3 years
- Health insurance
- Cell phone reimbursement
Quick Apply
Medical Science Liaison, Hepatology- North West (Northern CA,OR,WA, UT, CO)
GlaxoSmithKline —San Francisco, CA
- $168,750 - $309,375 a year
- Full-time
- Medicine
- Computer literacy
- Clinic experience
- Paid holidays
- Health insurance
Medical Science Liaison, Oncology, Lung & GU Tumors (Northern California)
Bristol-Myers Squibb —San Francisco, CA
- $168,220 - $203,837 a year
- Email
- Hybrid work
- Medicine
- Mid-level
- Driver's License
- Paid holidays
- Disability insurance
Clinical Value Liaison
サイネオス・ヘルス —San Francisco, CA
- $235,000 - $246,250 a year
- Medicine
- Doctor of Philosophy
- Patient care
- Health insurance
- Dental insurance
13d
Medical Science Liaison
Freenome —Brisbane, CA
- $182,750 - $257,250 a year
- Remote
- Medicine
- Computer literacy
- Mid-level
Medical Science Liaison
サイネオス・ヘルス —San Francisco, CA
- $175,000 - $187,500 a year
- Medicine
- Mid-level
- Doctor of Philosophy
- Health insurance
- Dental insurance
Clinical Value Liaison
Syneos Health Commercial Solutions —San Francisco, CA
- Medicine
- Doctor of Philosophy
- Patient care
- Health insurance
- Dental insurance
13d
Medical Science Liaison
Syneos Health Commercial Solutions —San Francisco, CA
- Medicine
- Mid-level
- Doctor of Philosophy
- Health insurance
- Dental insurance
Clinical Liaison
Super Care, LLC —San Francisco, CA
- $68,640 - $100,901 a year
- Full-time
- Background check
- Hospital
- Ability to walk for extended periods
- Paid training
- Health insurance
Quick Apply
7d

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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
11 days ago

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

clinical liaison jobs in san ramon ca

Case Management Liaison Lead

Clinical Sales Liaison Full Time

Clinical Liaison (CL) Acute Rehabilitation

Community Liaison - Home Health

(Senior) Medical Science Liaison - Northern California & Nevada (CA, NV, HI)

Regional Account Liaison - BioPlus Specialty Pharmacy - Bay Area, CA

Clinical Liaison (RN) - Oakland/ Concord/ Walnut Creek

Hospice Clinical Sales Liaison

Clinical Diagnostic Liaison (CDL) - Northwest

Medical Science Liaison Immunology - Admilparant (N. CA)

Full Time - Home Health - Marketing Liaison - Alameda County

Medical Science Liaison

Medical Science Liaison, Hepatology- North West (Northern CA,OR,WA, UT, CO)

Medical Science Liaison, Oncology, Lung & GU Tumors (Northern California)

Clinical Value Liaison

Medical Science Liaison

Medical Science Liaison

Clinical Value Liaison

Medical Science Liaison

Clinical Liaison

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