- Highmark Health (Sacramento, CA)
- …the effective utilization management strategies including: review of appropriateness of health care services, application of criteria to assure appropriate ... of quality issues. Monitors and analyzes the delivery of health care services; educates providers and members...established industry and corporate standards and are within the care manager 's professional discipline. Effectively function in… more
- Evolent (Sacramento, CA)
- …providing better health outcomes for this population. **What You'll Be Doing:** + The Behavioral Health Case Manager (LCSW or LMHC) will connect with the ... , we seek to connect the pieces of fragmented health care system and ensure people get...or Registered Nurse (RN), Required + 3-5 years of behavioral health experience, preferably in a hospital,… more
- Elevance Health (Sacramento, CA)
- **JR133673 Manager Behavioral Health Services** Manager Behavioral Health Services -Onsite EAP: Responsible for the Employee Assistance Program ... limited after-hours coordination of critical incident response. + This team and its Manager connect members or providers with available resources (per BH benefits or… more
- Sacramento Behavioral Healthcare Hospital (Sacramento, CA)
- …Work, Marriage and Family Therapy, or closely related field. + Three years of behavioral health experience with two or more years of supervisory or managerial ... POSITION TITLE: Clinical Program Manager REPORTS TO (TITLE): Director of Clinical Services...the CEO. + Current CPR and HWC (Handle With Care ) certification or during initial orientation period. Skills and… more
- CVS Health (Sacramento, CA)
- …Medical Director ( Behavioral Health ) you will: * Provide comprehensive behavioral health care management to facilitate delivery of appropriate ... practice guidelines and new technology assessments * Confer with behavioral health practitioners regarding the care...as a psychiatrist. **Preferred Qualifications** * Experience with managed care , as a provider and manager of… more
- Highmark Health (Sacramento, CA)
- …Requirement_** _: This job adheres to the ethical and legal standards and behavioral expectations as set forth in the code of business conduct and company ... times. In connection with this, all employees must comply with both the Health Insurance Portability Accountability Act of 1996 (HIPAA) as described in the Notice… more
- CVS Health (Sacramento, CA)
- …of your health . This purpose guides our commitment to deliver enhanced human-centric health care for a rapidly changing world. Anchored in our brand - with ... our ability to innovate and deliver solutions to make health care more personal, convenient and affordable....for positions. Work from home anywhere.** **Position Title:** RN Care Manager **Position Summary** The CVS Accountable… more
- Centene Corporation (Sacramento, CA)
- …Complies with all policies and standards **Education/Experience:** Requires a Master's degree in Behavioral Health or Social Work or a Degree from an Accredited ... for our 28 million members. Centene is transforming the health of our communities, one person at a time....**Hours: 8am-5pm PST, Monday - Friday** **Position Purpose:** Performs care management duties to assess, plan and coordinate aspects… more
- CAI (Sacramento, CA)
- …implement and evaluate care for eligible members with chronic and complex health care , social service and custodial needs in a nursing facility or ... address the member's specific needs. + Educate members or caregivers regarding health care needs, available benefits, resources and services including available… more
- Highmark Health (Sacramento, CA)
- …, identify resources, and conduct a number of other activities to help improve the health outcomes of members; care plans include both long and short term goals ... ownership and oversight over a specified panel of members that range in health status/severity and clinical needs. The incumbent assesses health management needs… more
- Highmark Health (Sacramento, CA)
- …relationship management and performance + Experience in Indirect Category Sourcing and/or Health Care Sourcing with demonstrated expertise in influencing the ... **Company :** Highmark Health **Job Description :** **JOB SUMMARY** This job...Certified Professional in Supply Management (CPSM) + Certified Purchasing Manager (CPM) **SKILLS** + Experience in strategic management and… more
- BrightSpring Health Services (Carmichael, CA)
- …environment + Monitors and ensures staff follows agency procedures to promote optimum health care and behavior supports + Monitors and ensures staff completes ... skills + Bachelor of Art/Bachelor of Science in Business, Health Care Administration or a Social Science...Living, Adult Host Homes for adults regardless of disability, Behavioral /Mental Health Support, In-home Pharmacy Solutions, Telecare… more
- Behavior Treatment & Analysis (Sacramento, CA)
- We are looking for a Remote BCBA Clinical Supervisor/Clinical Manager to lead our team here at Behavior Treatment & Analysis. In person services are only required ... a competitive salary of $88k-92k, plus bonuses. Additionally, we provide comprehensive health , dental, and vision insurance options, along with 401k benefits. 2.… more
- Highmark Health (Sacramento, CA)
- …for analyzing clinical data to assess potential stop loss and managed care claim liability, utilizing Case Management oversight techniques to ensure front line ... + Analyze clinical data to assess potential stop loss and managed care claim liability and utilize Case Management oversight techniques to ensure front… more
- J&J Family of Companies (Sacramento, CA)
- Johnson & Johnson is recruiting for a field-based Site Activation CAR-T Senior Manager , Cell Therapy Experience Lead to support the United States. This is a field ... close proximity to a major metropolitan airport. At Johnson & Johnson, we believe health is everything. Our strength in healthcare innovation empowers us to build a… more
- The Cigna Group (Sacramento, CA)
- …understand how to leverage digital tactics/channels to execute marketing strategy. + Health care and/or pharmacy industry experience strongly preferred. Software ... -related benefits including medical, vision, dental, and well-being and behavioral health programs. We also offer 401(k)...Services, a division of The Cigna Group, creates pharmacy, care and benefit solutions to improve health … more
- Sharecare (Sacramento, CA)
- …coordinates with the Primary Care Provider and all other members of the health care team to support appropriate total healthcare management and ensure cost ... in the appropriate stratification level. + Identifies participant barriers to accessing health care services. Coordinates with Provider Service Managers and/or… more
- Dignity Health (Citrus Heights, CA)
- …works hand-in-hand with physicians and providers throughout California to provide comprehensive health care services to the many communities we serve. As ... pay for services coordination of mental healthcare benefits for clients and other behavioral health patients and referrals to appropriate services. This position… more
- Dignity Health (Woodland, CA)
- …vital to maintaining excellence in care and service. **Responsibilities** As a Behavioral Health Clinician with the Dignity Health Medical Foundation, ... with physicians and providers throughout California to provide comprehensive health care services to the many communities...directed + Use only therapeutic procedures approved by the Manager , adherence to the W & I Codes, and… more
- Elevance Health (Rancho Cordova, CA)
- …member's care plan to meet the member's needs, with the goal of optimizing member health care across the care continuum. **How you will make an impact:** ... evaluation, coordination and management of member's needs, including physical health , behavioral health , social services...care in conjunction with the member and the health care team. + Manages members with… more