- CVS Health (Sacramento, CA)
- …experience working with clients with an Autism Diagnosis - Valid unrestricted independent professional behavioral health clinical license to practice per ... No nights, weekends or holidays. As a UM Clinician Behavioral Health you will: - Utilize clinical...to promote quality effectiveness of healthcare services and benefit utilization . - Consult and lend expertise to other internal… more
- Elevance Health (Walnut Creek, CA)
- …responsible for appeals reviews within our Medicaid and Medicare programs.** The ** Behavioral Health Medical Director** is responsible for the administration of ... behavioral health medical services, to ensure the...state or territory of the United States when conducting utilization review or an appeals consideration and cannot be… more
- CenterWell (Sacramento, CA)
- …that impact patient well-being. Our integrated care teams, which include physicians, nurses, behavioral health specialists and more, spend up to 50 percent more ... **Become a part of our caring community and help us put health first** The Patient Assessment and Navigation Professional oversees the enrollment, education,… more
- The Cigna Group (Walnut Creek, CA)
- …several health -related benefits including medical, vision, dental, and well-being and behavioral health programs. We also offer 401(k) with company match, ... the program setting to educate, engage and activate employees to achieve health improvement goals. In partnership with the account management team, Engagement… more
- Dignity Health (Stockton, CA)
- …of facilitating courteous and professional working relations among St. Joseph's Behavioral Health Center and other medical centers and agencies who serve ... **Overview** St. Josephs Behavioral Health Center is a member...as referral sources including utilization review and managed care companies. This position requires… more
- BrightSpring Health Services (Sacramento, CA)
- …Community Living, Adult Host Homes for adults regardless of disability, Behavioral /Mental Health Support, In-home Pharmacy Solutions, Telecare and Remote ... ResCare Community Living Overview This position plans, directs, and coordinates health services for all assigned service sites. Provides oversight and direction… more
- Highmark Health (Sacramento, CA)
- …agreements. Monitor financial performance of contracts by tracking utilization and competitive environment, including group specific performance guarantees. ... designs, competitive position, product development, network options, strategic partnerships, utilization review, local/national client demographics and dentist distribution. Interpret… more
- CenterWell (Sacramento, CA)
- …that impact patient well-being. Our integrated care teams, which include physicians, nurses, behavioral health specialists and more, spend up to 50 percent more ... part of our caring community and help us put health first** **National** **Director of Transitional Care and High-Risk...will play a pivotal role in reducing acute care utilization for top 5% of complex patients and ensuring… more
- Highmark Health (Sacramento, CA)
- **Company :** Highmark Health **Job Description :** **JOB SUMMARY** This job supports the retention of existing accounts and the acquisition of new members/contracts ... and quotes. Runs financial reports or performs basic financial analysis on utilization data and market research and analysis. Develop detailed specifications for… more
- Highmark Health (Sacramento, CA)
- …software engineers as needed on ETO Digital team. + Comprehension and utilization of the newest, emerging, innovative technologies and applications + Apply lead ... learn other programming languages as needed + Knowledge of professional software engineering practices & best practices for the...job adheres to the ethical and legal standards and behavioral expectations as set forth in the code of… more
- CenterWell (Sacramento, CA)
- … health and full-risk frameworks, including patient engagement, clinical professional skillsets, utilization management, care management, clinical information ... directly address the complex needs of seniors and improve health outcomes and avoidable utilization (eg, palliative...well-being. Our integrated care teams, which include physicians, nurses, behavioral health specialists and more, spend up… more
- CenterWell (Sacramento, CA)
- …that impact patient well-being. Our integrated care teams, which include physicians, nurses, behavioral health specialists and more, spend up to 50 percent more ... critical role in ensuring optimal patient care, high quality health outcomes, and improved cost and utilization ...we allow employees to invest in their personal and professional well-being, all from day one. **Equal Opportunity Employer**… more
- Marriott (Sacramento, CA)
- …alternatives and solutions, solves problems, and chooses a course of action. + ** Professional Demeanor** - Exhibits behavioral styles that convey confidence and ... expert for both senior leadership and project teams in effective utilization of existing technology in business technical applications, either enterprise-wise or… more