- 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)
- …Required + 5 years of Post licensure experience in any combination of behavioral health clinical , case management and/or condition management Preferred ... through behavior change. **ESSENTIAL RESPONSIBILITIES** + Function as a primary integrated case manager for members with mental health/substance use and… 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
- 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
- Highmark Health (Sacramento, CA)
- …Inc. **Job Description :** **JOB SUMMARY** This job is responsible for the overall clinical support of account and sales specific activities within the Clinical ... Services division. The incumbent works with leaders in clinical services and sales/account management as a liaison, developing...team to assure that there are clear expectations for Case Managers & Disease Managers as it relates to… 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
- 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
- Elevance Health (Sacramento, CA)
- …office visits with providers and external physicians. + May conduct peer-to-peer clinical appeal case reviews with attending physicians or other ordering ... an extraordinary impact.** Responsible for the administration of physical and/or behavioral health medical services, to ensure the appropriate and most… more