- CVS Health (Sacramento, CA)
- …Quality of Care: -Application and/or interpretation of applicable criteria and clinical guidelines, standardized case management plans, policies, procedures, and ... Master's degree in Behavioral /Mental Health or related field** -Unencumbered Independent Behavioral Health clinical license in the state where they work:… more
- 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
- CVS Health (Sacramento, CA)
- …Interviewing and good technological skills + Valid unrestricted independent professional behavioral health clinical license to practice per state regulations ... standard business hours. No weekends and no holidays.** Utilizes advanced clinical judgment and critical thinking skills to facilitate appropriate member physical… 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
- Behavior Treatment & Analysis (Solano County, CA)
- We are looking for a full time BCBA, Clinical Manager to lead our team here at Behavior Treatment & Analysis. The Clinical Manager is the Board-Certified ... (included but not limited to staff/parent training development). The Clinical Manager is assigned to conduct initial...Manager is assigned to conduct initial assessments, indirect case management, and to ensure that the client's progress… more
- The Cigna Group (Sacramento, CA)
- …**Job Description** **Position Scope:** + Manages/Coordinates an active caseload of inpatient case management cases for Cigna. + Uses clinical knowledge to ... Description Summary** Provides advanced professional input to complex Nurse Case Management assignments/projects. Plans, implements, and evaluates appropriate health… more
- Molina Healthcare (Sacramento, CA)
- …level of the assigned members, particular state-specific regulations, or whether the Case Manager position is located within Molina's Central Programs unit. ... per regulated timelines and determines who may qualify for case management based on clinical judgment, changes...Social Worker (LCSW), Advanced Practice Social Worker (APSW), Certified Case Manager (CCM), Certified in Health Education… more
- Molina Healthcare (Sacramento, CA)
- **HOSPICE OVERSIGHT CASE MANAGER (REGISTERED NURSE)** California residents preferred** **JOB DESCRIPTION** **Job Summary** Molina Healthcare Services (HCS) works ... Management processes **Preferred License, Certification, Association** Active, unrestricted Certified Case Manager (CCM) To all current Molina employees:… more
- Molina Healthcare (Sacramento, CA)
- … health settings. Preferred License, Certification, Association Active, unrestricted Certified Case Manager (CCM) To all current Molina employees: If ... an integrated delivery of care across the continuum, including behavioral health and long term care, for members with...per regulated timelines and determines who may qualify for case management based on clinical judgment, changes… more
- Highmark Health (Sacramento, CA)
- …resource utilization, identification of opportunities for referral to a Health Coach/ case management, and identification and resolution of quality issues. Monitors ... with established industry and corporate standards and are within the care manager 's professional discipline. + Function in accordance with applicable state, federal… more
- Dignity Health (Woodland, CA)
- …services, coordination of mental healthcare benefits for clients and other behavioral health patients, and referrals to appropriate services. This position requires ... using only therapeutic procedures approved by the Manager and within professional scope of practice, adherence to organizational policies, the W & I Code and… more
- Dignity Health (Sacramento, CA)
- …and performs clinical assessments and obtain psychosocial histories + Presents clinical findings professionally in clinical case staffing + Valid ... **Responsibilities** Under the supervision of the Manager , Children's Center, this position supports and assists...Center, this position supports and assists the Children's Center clinical staff in their daily tasks related to client… more
- WelbeHealth (Elk Grove, CA)
- …of our program is guided by our interdisciplinary team (IDT) - composed of clinical and non- clinical members who work cohesively to provide quality comprehensive ... help our participants achieve their full potential. Reporting to the Social Work Manager , the Social Worker maintains a caseload of participants working in close… more
- Molina Healthcare (Sacramento, CA)
- …Association** Active, unrestricted Transitions of Care Sub-Specialty Certification and/or Certified Case Manager (CCM) To all current Molina employees: If ... 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
- Highmark Health (Sacramento, CA)
- …Is responsible for or works with external resources to create and monitor inpatient case mix reports and the top 25 assigned DRGs/APCs in the facilities to identify ... related to special projects and providing coverage for coding manager (s). (10%) + Depending on location provides or arranges...processes as it relates to the DRG/APC and other clinical data quality management factors. With technical direction and… more