Case Manager Jobs in Pleasanton, California

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231 Pleasanton, CA Case Manager jobs found on Monster.

Jobs 1 to 20 of 231
Trumark Insurance & Financial Services provides Financial Advisors, Accountants, Attorneys, Insurance Brokers, and Trust Officers expertise in risk management paralleling the professionalism which these valued advisors provide for their clients in the development and execution of comprehensive financial strategies. Our objective is to become an extension of the professional's practice so they can ...
For over 20 years, GATEWAY HEALTH MANAGEMENT has been the Northern California case management provider for Paradigm Management Services, providing technology driven catastrophic injury and chronic pain management to worker’s compensation insurance carriers using a team approach. RESPONSIBILITIES: You will serve as the clinical liaison to ensure efficient and effective healthcare services.You wil...
Description The RN Case Manager is responsible to facilitate care along a continuum through effective resource coordination to help patients achieve optimal health, access to care and appropriate utilization of resources, balanced with the patient's resources and right to self-determination. The individual in this position has overall responsibility for ensuring that care is provided at the appro...
Kaiser Permanente Pleasanton, CA
Description Responsible for handling the review process for grievances, appeals, or denials including investigating, preparing and presenting appropriate materials for review. Resolves member concerns in partnership with internal and external departments while ensuring compliance with regulatory rules and timeframes within mandated timeframes and compliance. Essential Functions: • Participates ...
Express Scripts Pleasanton, CA, 94588
Position Summary JOB SUMMARY : Provides telephonic case management support and education to patients on assigned caseload. This includes: relationship building, assisting with navigating insurance and pharmacy protocols to obtain medication, referral source, and customized product and disease state training. ESSENTIAL FUNCTIONS: Adheres to principles as stipulated by program specific contractu...
Kaiser Permanente Pleasanton, CA, 94588
Responsible for handling the review process for grievances, appeals, or denials including investigating, preparing and presenting appropriate materials for review. Resolves member concerns in partnership with internal and external departments while ensuring compliance with regulatory rules and timeframes within mandated timeframes and compliance. Essential Functions: • Participates in handling t...
I Am AccentCare… As a RN Case Manager you will: Assess all medicines to identify possible ineffective drug therapy or adverse reactions, significant side effects, drug allergies, and contraindicated medications. Establish realistic measureable, observable goals consistent with the patient’s diagnosis. Comply with applicable legal requirements, standards, policies and procedures including, but ...
Tenet Healthcare Corporation San Ramon, CA, 94582
The RN Case Manager is responsible to facilitate care along a continuum through effective resource coordination to help patients achieve optimal health, access to care and appropriate utilization of resources, balanced with the patient's resources and right to self-determination. The individual in this position has overall responsibility for ensuring that care is provided at the appropriate level ...
Express Scripts Hayward, CA, 94542
Position Summary JOB SUMMARY : Provides telephonic case management support and education to patients on assigned caseload. This includes: relationship building, assisting with navigating insurance and pharmacy protocols to obtain medication, referral source, and customized product and disease state training. ESSENTIAL FUNCTIONS: Adheres to principles as stipulated by program specific contractu...
Tenet Healthcare Corporation San Ramon, CA
Description : The RN Case Manager is responsible to facilitate care along a continuum through effective resource coordination to help patients achieve optimal health, access to care and appropriate utilization of resources, balanced with the patient's resources and right to self-determination. The individual in this position has overall responsibility for ensuring that care is provided at the ap...
Coventry Workers’ Comp Services offers workers' compensation cost and care management solutions for employers, insurance carriers, and third-party administrators. This is a California based WAH Telephonic Case Manager position managing CA claims. POSITION SUMMARY This position provides telephonic coverage of Workers' Comp Claims for CA to include embedded UR within telephonic case management. ...
Universal Health Services, Inc. Fremont, CA, 94537
© 2013 Universal Health Service, Inc. All Rights Reserved. *UHS is a registered trademark of UHS of Delaware, Inc., the management company for Universal Health Services, Inc. and a wholly-owned subsidiary of Universal Health Services, Inc. Universal Health Services, Inc. is a holding company and operates through its subsidiaries including its management company, UHS of Delaware, Inc. All healthca...
Washington Hospital Healthcare System Fremont, CA, 94537
Summary of Duties: Member of multidisciplinary health care team, facilitates patient movement through continuum of care and back into the community. Makes decisions regarding utilization mgmt and alternative treatment which reflect cost effectiveness. BS or BSN preferred. Current knowledge of reimbursement requirements, level of care, SI/IS and Interqual criteria. RN w/current CA License and BLS C...
Washington Hospital Healthcare System Fremont, CA, 94537
Summary of Duties: Member of multidisciplinary healthcare team to facilitate patient movement, handling behavioral emergencies, case management and services, discharge planning;liason between internal/external dept/agencies and patients needing Social Services intervention. Bachelors Degree in Social Work or equivalent required. Ability to abstract data from medical records, enter into a case mana...
Cypress Independent Living Services, Inc. Fremont, CA, 94537
CYPRESS INDEPENDENT LIVING SERVICES: About Us: Cypress ILS provides its clients with various services focused on such aspects as basic skills development, community awareness, and employment training. But, it is not simply in the attainment of a job, or arriving at a doctor's appointment on one's own that Cypress seeks for its clients. All the services are geared towards one main goal, the philo...
Washington Hospital Healthcare System Fremont, CA, 94537
Summary of Duties: Member of multidisciplinary healthcare team to facilitate patient movement, handling behavioral emergencies, case management services, discharge planning;liason between internal/external dept/agencies and patients needing Social Services intervention. Bachelors Degree in Social Work or equivalent required; Ability to abstract data from medical records, enter into a case manageme...
Coventry Workers’ Comp Services offers workers' compensation cost and care management solutions for employers, insurance carriers, and third-party administrators. Candidates should be local to the San Jose, CA area. The position will be based out of your home office with a significant amount of travel in the field required. This opportunity is eligible for a sign on bonus. Bilingual RN Case Mana...
Aetna Inc. Fremont, CA
Job Description Coventry Workers’ Comp Services offers workers' compensation cost and care management solutions for employers, insurance carriers, and third-party administrators. Candidates should be local to the San Jose, CA area. The position will be based out of your home office with a significant amount of travel in the field required. This opportunity is eligible for a sign on bonus. Bilin...
Universal Health Services Fremont, CA
Fremont, CA The Clinical Case Worker I and II perform clinical services functions by providing ongoing support and expertise through comprehensive assessment, planning, implementation and overall evaluation of the individual patient needs. The overall goal of the position is to enhance the quality of management and satisfaction, to promote continuity of care and cost effectiveness through the int...
Kaiser Permanente Union City, CA
Description Provides assessment, diagnosis, treatment and crisis intervention as needed to members who present themselves for psychiatric evaluation. Collaborates with treating physician, psychiatric and allied health professional team to plan and direct each individual member's treatment program. Essential Functions: • Assesses, develops and coordinates a clinical treatment program for Health ...

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Personal Services Career Tools

Case Manager

Salaries

$29,120.00 - $90,200.00
Typical Salary for Case Manager in Pleasanton
(5 Respondents)
Source: Monster.com Careerbenchmarking Tool

Education / Training

Bachelor's
56.9%
Master's
18%
Associates
10.9%
Some College Coursework Completed
8.4%
High School
2.4%
(550 Respondents)
Source: Monster.com Careerbenchmarking Tool

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