- CVS Health (Sacramento, CA)
- …Using advanced clinical skills, performs crisis intervention with members experiencing behavioral health or medical crisis and refers them to the appropriate ... of Care:** * Application and/or interpretation of applicable criteria and clinical guidelines, standardized case management plans, policies, procedures, and… 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 ... Clinical Services with oversight in treatment program planning, case management, and evaluation of the effectiveness of ...Therapy, or closely related field. + Three years of behavioral health experience with two or more years of… more
- Highmark Health (Sacramento, CA)
- …+ 3 - 5 years of post licensure experience in a combination of Behavioral Health Clinical , Case Management and/or Condition Management + Experience ... resource utilization, identification of opportunities for referral to a Health Coach/ case management, and identification and resolution of quality issues. Monitors… more
- Highmark Health (Sacramento, CA)
- …Nursing **EXPERIENCE** **Required** + 7 years of any combination of clinical , case management and/or disease/condition management experience, provider operations ... panel of members that range in health status/severity and clinical needs. The incumbent assesses health management needs of...interventions and referrals, the incumbent will manage an active case load of members in his/her panel that are… more
- Dignity Health (Sacramento, CA)
- …to appropriate services. This position uses only therapeutic procedures approved by the Manager adherence to the W & I Codes and professional and ethical behavior ... situationappears unmanageable feels uncomfortable or is new). + Progress notes case documentation and other required paperwork are completed accurately and submitted… more
- Molina Healthcare (Sacramento, CA)
- …Room Utilization Management / Utilization Review is required for this role. Experience with Case Management is a plus._** **_This is a remote role (work from home). ... plan and coordinate an integrated delivery of care across the continuum, including behavioral health and long term care, for members with high need potential. HCS… more
- Molina Healthcare (Sacramento, CA)
- …plan and coordinate an integrated delivery of care across the continuum, including behavioral health and long term care, for members with high need potential. HCS ... compliance with all state and federal regulations and guidelines. + Analyzes clinical service requests from members or providers against evidence based clinical… more
- Sevita (Roseville, CA)
- …I** Do you have several years of experience working in human services, and as a case manager ? Bring your clinical and organizational skills to a team-based ... information; conduct intake and administer diagnostic tests to identify behavioral and personality traits; document results. + Assist in...services Minimum of one year of experience as a Case Manager . + Current CPR/First Aid Certification… more
- The Cigna Group (Sacramento, CA)
- …position. This is a Work-at-Home position. Monday-Friday** **Responsibilities** The Transplant Case Manager interacts with benefit specialist and claims staff ... clinical experience required MUST RESIDE in California Clinical experience in case management strongly preferred...a catastrophic specialty program preferred Demonstrated ability as a case manager and ability to assist supervisor… more
- Sharecare, Inc. (Sacramento, CA)
- …leadership for each year. + Direct questions from providers or members to the Clinical Advocate Manager or Director when he/she identifies an opportunity for ... college pre-requisites is required; BNS preferred. + Minimum of 3-5 years clinical experience; Telephonic Case Management experience and/or CCM certification… more
- Somatus (Placer County, CA)
- …and mental well-being + Community engagement opportunities + And more! The RN Care Manager is a critical member of the care team consisting of nurses, dietitians, ... market.** Responsibilities + Conduct comprehensive assessments that include the medical, behavioral , pharmaceutical, and social needs of the patient, identify gaps… more
- Guardian Life (Sacramento, CA)
- …Certified Rehabilitation Counselor (CRC),Certified Disability Management Specialist (CDMS), Certified Case Manager (CCM). + Excellent verbal and communications ... agencies to control costs and identify similar benefits. + Collaborate with Disability Clinical & Vocational Services staff and case managers to move toward… more
- Humana (Sacramento, CA)
- …business/growth strategy execution from conception to implementation, including business case development + Ability to support strong organizational performance ... that impact patient well-being. Our integrated care teams, which include physicians, nurses, behavioral health specialists and more, spend up to 50 percent more time… more