• Social Services Care Manager

    Humana (Sacramento, CA)
    **Become a part of our caring community and help us put health first** The Care Manager , Telephonic Behavioral Health 2, in a telephonic environment, ... for the care and wellbeing of members. The Care Manager , Telephonic Behavioral Health 2 is a **Licensed,** **Masters level, social worker** who… more
    Humana (03/20/25)
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  • Behavioral Health Clinician III

    Dignity Health (Woodland, CA)
    **Overview** Dignity Health Woodland Memorial Hospital is Yolo County's largest health care provider serving the community since 1905. Woodland Memorial ... care facility offering a comprehensive range of health care services in Yolo County including...coordination of mental healthcare benefits for clients and other behavioral health patients, and referrals to appropriate… more
    Dignity Health (03/14/25)
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  • Care Manager Transition…

    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....California. This is a remote role.** **Position Purpose:** Performs care management duties to assess, plan and coordinate aspects… more
    Centene Corporation (03/04/25)
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  • Case Manager , RN

    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
    CAI (02/01/25)
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  • Complex Case Manager RN (Remote)

    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 (03/13/25)
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  • Manager Protective Services (K-9)

    Sutter Health (Sacramento, CA)
    …effectively manage risk within a clinical environment. + Broad working knowledge of health care operations and their related security requirements including, but ... We are so glad you are interested in joining Sutter Health ! **Organization:** SHSO-Sutter Health System Office-Valley **Position Overview:** The candidate for… more
    Sutter Health (03/06/25)
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  • Program Manager

    Highmark Health (Sacramento, CA)
    …nationally recognized commitment to promote living health , inclusive of individuals' social health . The Program Manager will be an integral part of Highmark ... **Company :** Highmark Health **Job Description :** **GENERAL OVERVIEW** Highmark ...develop and implement SDOH programs that remove barriers to care and help people thrive, support evaluation frameworks to… more
    Highmark Health (03/15/25)
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  • Human Services Division Manager Range A/B

    Sacramento County (Sacramento, CA)
    …listed human services programs, select none. + None + Health (eg Primary Health ) services programs + Behavioral health programs + Senior services ... the field of human services comparable to the County's Health Program Manager or Human Services Program...and life insurance; flexible spending account options for dependent care and unreimbursed dental and/or medical cost; and an… more
    Sacramento County (03/05/25)
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  • Security Operations Center Manager

    Sutter Health (Sacramento, CA)
    …effectively manage risk within a clinical environment. + Broad working knowledge of health care operations and their related security requirements including, but ... you are interested in joining Sutter Health ! **Organization:** SHSO-Sutter Health System Office-Valley **Position Overview:** The Manager of Protective… more
    Sutter Health (02/14/25)
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  • Category Manager

    Highmark Health (Sacramento, CA)
    …management and performance **Preferred** + 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
    Highmark Health (02/18/25)
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  • Hospice Oversight Case Manager (RN)…

    Molina Healthcare (Sacramento, CA)
    …for regular outreach and management. + Promotes integration of services for members including behavioral health care and long term services and supports/home ... **HOSPICE OVERSIGHT CASE MANAGER (REGISTERED NURSE)** **JOB DESCRIPTION** **Job Summary** Molina...delivery of care across the continuum, including behavioral health and long term care more
    Molina Healthcare (02/24/25)
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  • Area Manager , Protective Services

    Sutter Health (Sacramento, CA)
    …impact of security tools, technologies, and policies. + Broad working knowledge of health care operations and their related security requirements including, but ... We are so glad you are interested in joining Sutter Health ! **Organization:** SHSO-Sutter Health System Office-Valley **Position Overview:** The candidate for… more
    Sutter Health (03/11/25)
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  • Manager Strategic Risk Adjustment Programs

    Highmark Health (Sacramento, CA)
    …and existing Risk Adjustment Programs. The incumbent will deliver value to the Health Plan, and its beneficiaries enrolled in Risk Adjusted government programs (MA ... Programs. Supports other key objectives designed to build/strengthen patient care delivery and capture of Risk Adjustment documentation/ reporting capabilities,… more
    Highmark Health (03/06/25)
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  • Accreditation Manager

    Humana (Sacramento, CA)
    …areas. **Preferred Qualifications** + Experience in managing a team. + Registered Nurse or Behavioral Health professional. + Managed care , Medicaid health ... first** Humana Healthy Horizons is seeking an Accreditation Manager who will oversee and support a team of...millions of people we serve to achieve their best health - delivering the care and service… more
    Humana (03/21/25)
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  • Excess Risk Managed Care Clinician

    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
    Highmark Health (02/24/25)
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  • Program Manager , HCS : California

    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 ... Certified Professional in Healthcare Management Certification (CPHM), Certified Professional in Health Care Quality (CPHQ), or other healthcare or management… more
    Molina Healthcare (03/22/25)
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  • Market VP, Value-Based Care Business…

    CenterWell (Sacramento, CA)
    …impact patient well-being. Our integrated care teams, which include physicians, nurses, behavioral health specialists and more, spend up to 50 percent more ... care , one of the largest providers of home health services, and fourth largest pharmacy benefit manager...care , one of the largest providers of home health services, and fourth largest pharmacy benefit manager more
    CenterWell (03/14/25)
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  • Senior Strategy Professional, Specialty…

    CenterWell (Sacramento, CA)
    …impact patient well-being. Our integrated care teams, which include physicians, nurses, behavioral health specialists and more, spend up to 50 percent more ... time with patients, providing compassionate, personalized care that brings better health outcomes. We...care , one of the largest providers of home health services, and fourth largest pharmacy benefit manager more
    CenterWell (03/19/25)
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  • Licensed Telephonic Counselor - Evernorth…

    The Cigna Group (Sacramento, CA)
    **Evernorth Behavioral Health ** **Job Description Case Management Lead Analyst (Licensed Telephonic Counselor)** **_ Remote but must be licensed in California ... their families!** This position is responsible for providing confidential behavioral health consultations and 1-12 fifty minute...Services, a division of The Cigna Group, creates pharmacy, care and benefit solutions to improve health more
    The Cigna Group (01/22/25)
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  • LTSS Service Coordinator - RN Clinician

    Elevance Health (Sacramento, 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
    Elevance Health (02/05/25)
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