Top 57 Case manager Jobs in Santa Cruz, 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
8d
Senior Case Manager
Episcopal Community Services (ECS) —San Jose, CA
- $28 - $30 an hour
- Current TB test
- Addiction Medicine
- Bachelor of Science
Quick Apply
Social Work Case Manager (Temporary position)
Santa Clara Family Health Plan —San Jose, CA
- $47 - $63 an hour
- Temporary
- Spanish
- Experience working with individuals with disabilities
- Licensed Clinical Social Worker
Quick Apply
Case Manager
Institute on Aging —San Jose, CA
- $85,759 - $102,495 a year
- 8 hour shift
- Hybrid work
- Background check
- Master of Social Work
- Experience working with individuals with disabilities
- Health insurance
- Dental insurance
Quick Apply
ECM Case Manager 0012
FRONT ST MASTER —Santa Cruz, CA
- $29 - $32 an hour
- Full-time
- Background check
- Word processing
- Computer literacy
- Health insurance
- Dental insurance
Quick Apply
Case Manager
University of California Santa Cruz —Santa Cruz, CA
- $8,345.11 - $10,583.13 a month
- Online Application
- Hybrid work
- LMFT
- Current TB test
- Psychiatry
- Paid holidays
- Health insurance
Bilingual Case Manager (Spanish Speaking)
Pair Team —Santa Cruz, CA
- $25 an hour
- Email
- Background check
- Spanish
- HIPAA
- Dental insurance
- 401(k)
Quick Apply
Bilingual Case Management Specialist (Remote Flexible, Spanish Speaking)
Pair Team —Santa Cruz, CA
- $22 - $25 an hour
- Email
- Background check
- Spanish
- HIPAA
- Dental insurance
- 401(k)
Quick Apply
8d
CICM Case Manager - Santa Clara County
Libertana —San Jose, CA
- $25 - $37 an hour
- Full-time
- Mid-level
- 2 years
- Communication skills
Quick Apply
Case Manager II - Loft
Housing Matters —Santa Cruz, CA
- $27.54 - $31.93 an hour
- Weekends as needed
- 18 years or older
- Clean driving record
- Adults
- Paid holidays
- Health insurance
Quick Apply
2d
HCBA RN Intake Case Manager
Libertana —Santa Cruz, CA
- $90,000 - $105,000 a year
- Full-time
- Hybrid work
- Current TB test
- Mid-level
- Analysis skills
Quick Apply
Case Manager, Adults
San Andreas Regional Center —San Jose, CA
- $73,212 - $89,064 a year
- Bilingual
- Writing skills
- Adults
- Paid holidays
- Health insurance
Quick Apply
CalAIM Nurse Case Manager
Stepping up Santa Cruz —Santa Cruz, CA
- $55 an hour
- Full-time
- Background check
- 18 years or older
- Spanish
- Health insurance
- Dental insurance
Quick Apply
Case Manager-RRH P/T M-F 8:30am-12:30pm
HomeFirst —San Jose, CA
- $32.20 an hour
- Part-time
- Spanish
- Mid-level
- Driver's License
- Paid sick time
14d
Case Manager-CSJ
HomeFirst —San Jose, CA
- $32.20 an hour
- 8 hour shift
- Spanish
- Mid-level
- Driver's License
- Commuter assistance
- Disability insurance
Physical Therapist Case Manager: Home Health
21st Century Home Health Services Inc. —Santa Cruz, CA
- $120,000 - $135,000 a year
- Choose your own hours
- CPR Certification
- Computer literacy
- BLS Certification
- Continuing education credits
- Health insurance
Quick Apply
Social Worker III - Department of Family and Children Services (DFCS)
The County of Santa Clara —Santa Clara County, CA
- $106,620.80 - $129,009.92 a year
- Full-time
- Nursing
- Word processing
- Adults
- Wellness program
- AD&D insurance
Social Work Case Manager II
Santa Clara Family Health Plan —San Jose, CA
- $100,968 - $151,451 a year
- Full-time
- Spanish
- Clean driving record
- Microsoft Outlook
Quick Apply
Case Manager-HPS (32 Hours)
HomeFirst —San Jose, CA
- $32.20 an hour
- 8 hour shift
- Spanish
- Mid-level
- Driver's License
- Commuter assistance
- Disability insurance
Case Manager
Episcopal Community Services (ECS) —San Jose, CA
- $28 - $30 an hour
- Current TB test
- Addiction Medicine
- Bachelor of Science
Quick Apply
14d

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case manager jobs near santa cruz, ca

Supervisor, Case Management (clinical)

Santa Clara Family Health Plan -
San Jose, CA

Quick Apply

Job Details

Full-time
$113,836 - $176,446 a year
8 days ago

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

case manager jobs in santa cruz, ca

Supervisor, Case Management (clinical)

Senior Case Manager

Social Work Case Manager (Temporary position)

Case Manager

ECM Case Manager 0012

Case Manager

Bilingual Case Manager (Spanish Speaking)

Bilingual Case Management Specialist (Remote Flexible, Spanish Speaking)

CICM Case Manager - Santa Clara County

Case Manager II - Loft

HCBA RN Intake Case Manager

Case Manager, Adults

CalAIM Nurse Case Manager

Case Manager-RRH P/T M-F 8:30am-12:30pm

Case Manager-CSJ

Physical Therapist Case Manager: Home Health

Social Worker III - Department of Family and Children Services (DFCS)

Social Work Case Manager II

Case Manager-HPS (32 Hours)

Case Manager

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