- 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 ... people with most complex and costly health conditions. Working across specialties and primary care , we seek to connect the pieces of fragmented health care … more
- Sacramento Behavioral Healthcare Hospital (Sacramento, CA)
- POSITION TITLE: Clinical Program Manager REPORTS TO (TITLE): Director of Clinical Services DESCRIPTION OF POSITION and KEY RESPONSIBILITIES: Assists the ... Director of Clinical Services with oversight in treatment program planning, case...Therapy, or closely related field. + Three years of behavioral health experience with two or more years of… more
- Highmark Health (Sacramento, CA)
- …consistent with established industry and corporate standards and are within the care manager 's professional discipline. Effectively function in accordance with ... + 3 - 5 years of post licensure experience in a combination of Behavioral Health Clinical , Case Management and/or Condition Management + Experience in a… more
- Elevance Health (Sacramento, CA)
- **JR133673 Manager Behavioral Health Services** Manager Behavioral Health Services -Onsite EAP: Responsible for the Employee Assistance Program (EAP) and ... control to ensure adherence to the appropriate policy, best practices, relevant clinical standards, and contracts. + Manager leads development and maintenance… more
- CVS Health (Sacramento, CA)
- … system is more transparent and consumer-focused, and it recognizes physicians for their clinical quality and effective use of health care resources. **This is a ... has Medical Director ( Behavioral Health) you will: * Provide comprehensive behavioral health care management to facilitate delivery of appropriate quality … 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 ... or related field + BCBA Certification required + 4-5 years of demonstrated clinical experience + Experience working in behavioral healthcare or related industry… more
- Sharecare (Sacramento, CA)
- …a responsive, committed individual who ** ** recognizes the impact of the health care delivery system on the clinical and financial outcomes of the member ... the lens of their personal health and making high-quality care more accessible and affordable for everyone. To learn...intervention guidelines. An RN is supervised by an Operations Manager (OM). All Sharecare clinicians are required to participate… more
- Molina Healthcare (Sacramento, CA)
- … system and process audits, as needed. + Audits for clinical gaps in care from a medical and/or behavioral perspective to ensure member needs are being met. ... + Performs monthly auditing of registered nurse and other clinical functions in Utilization Management (UM), Case Management (CM), Member… more
- CVS Health (Sacramento, CA)
- …activities with members across the continuum of care . The RN Case Manager utilizes advanced clinical judgement and critical thinking skills to effectively ... for positions. Work from home anywhere.** **Position Title:** RN Care Manager **Position Summary** The CVS Accountable...and social needs are being appropriately addressed by the care team to achieve optimal clinical , financial,… more
- Highmark Health (Sacramento, CA)
- …over a specified panel of members that range in health status/severity and clinical needs. The incumbent assesses health management needs of the assigned member ... panel and utilizing data/analytics in conjunction with professional clinical judgement to identify the right clinical intervention for each member. The incumbent… more
- CenterWell (Sacramento, CA)
- …collaboratively with clinical and operational leaders across a complex health care organization. + Knowledge of health care regulations and policies related ... learn and address the factors that impact patient well-being. Our integrated care teams, which include physicians, nurses, behavioral health specialists and… more
- Highmark Health (Sacramento, CA)
- …Insurance Group **Job Description :** **JOB SUMMARY** This job is responsible for analyzing clinical data to assess potential stop loss and managed care claim ... well as coaches, consults, and mentors team members on moderate to complex clinical issues. **ESSENTIAL RESPONSIBILITIES** + Analyze clinical data to assess… more
- Dignity Health (Sacramento, CA)
- …of the care management team supporting quality medication management and clinical problem solving functions in concert with the other medical staff and ... established in 1993, is a California nonprofit public benefit corporation with care centers throughout California. Dignity Health Medical Foundation is an affiliate… more
- Dignity Health (Citrus Heights, CA)
- …established in 1993 is a California nonprofit public benefit corporation with care centers throughout California. Dignity Health Medical Foundation is an affiliate ... one of the largest health systems in the nation - with hospitals and care centers in California Arizona and Nevada. Today Dignity Health Medical Foundation works… more
- Sacramento Behavioral Healthcare Hospital (Sacramento, CA)
- …a competent manner and are based on current chemical dependency and psychiatric nursing/ clinical knowledge and standards; care is evaluated against the goals and ... RN license + Inpatient psychiatric experience preferred + Familiarity with continuum of care and clinical terminology + Knowledge of DSM diagnostic criteria +… more
- Maxim Healthcare Services (Sacramento, CA)
- …offer private duty nursing, skilled nursing, physical rehabilitation, companion care , respite care and behavioral care for individuals with chronic and ... Nurse is responsible for providing and documenting skilled nursing care in accordance with care developed for...the Director of + Clinical Services and/or Clinical Supervisor /Case Manager or licensed designee… more
- Dignity Health (Woodland, CA)
- …and highly skilled qualities that are vital to maintaining excellence in care and service. **Responsibilities** As a Behavioral Health Clinician with ... 1993 is a California nonprofit public benefit corporation with care centers throughout California. Dignity Health Medical Foundation is...directed + Use only therapeutic procedures approved by the Manager , adherence to the W & I Codes, and… more
- Evolent (Sacramento, CA)
- …which includes our medical reviews: LVNs, LPNs, and RNs along with our behavioral health reviewers: LMSWs, LCSW, and LPCs, Clinical Reviewers. Opportunities to ... people with most complex and costly health conditions. Working across specialties and primary care , we seek to connect the pieces of fragmented health care … more
- Elevance Health (Sacramento, CA)
- …+ Uses tools and pre-defined identification process, identifies members with potential clinical health care needs (including, but not limited to, potential ... clinical healthcare management and interdisciplinary team in order to provide care coordination support. + Manages non- clinical needs of members with chronic… more
- American Institutes for Research (Sacramento, CA)
- … care quality initiatives. Ideally, the candidate will have experience with pharmaceutical care in a clinical or retail setting. The policy analyst will lead ... care policy and programs is preferred. + Knowledge of medications, clinical guidelines and standards of care . + Experience managing client relationships… more