- Centene Corporation (Sacramento, CA)
- …to ensure level of care and services are medically appropriate related to behavioral health (BH) and/or autism spectrum disorder needs and clinical standards ... outlined by the applicable state required. Master's degree for behavioral health clinicians required. Behavioral ...and Family Therapist (LMFT) required or + Licensed Mental Health Professional (LMHP) required or + RN… more
- Elevance Health (Sacramento, CA)
- …initiatives. **Minimum Requirements:** + Requires MA/MS in social work counseling or a related behavioral health field or a degree in nursing, and minimum of 3 ... **Sign-on Bonus:** $3,000 The ** Behavioral Care Manager** **II** is responsible for completing...LPC LMFT or Clinical Psychologist to practice as a health professional within the scope of licensure… 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
- Humana (Sacramento, CA)
- …+ Administer new innovative VBP models for range of provider types, such as behavioral health , maternity, specialists, and social determinants of health , ... part of our caring community and help us put health first** The Sr. Value-Based Programs professional ...move providers from volume to value + Analyze financial, utilization , and performance data to identify opportunities to drive… more
- Highmark Health (Sacramento, CA)
- **Company :** Highmark Health **Job Description :** **JOB SUMMARY** This job works directly with network providers to support key clinical transformation programs ... with a focus on utilization of appropriate care. The team member works with...or healthcare administration in a provider office, hospital and/or health systems, or healthcare consulting in provider setting. +… 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
- 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
- Stanford Health Care (Livermore, CA)
- …for preventive care, telemedicine through Teledoc, prescription drug coverage, and behavioral health coverage. Additional incentives exist for healthy choices. ... make use of what is offered and find these resources helpful throughout the professional development journey. **This is a Stanford Health Care job.** **A Brief… more
- BrightSpring Health Services (Sacramento, CA)
- …* Bachelor's degree in human services, education, social work, or other health -related field or professional licensure (eg, nurse, therapist, etc)* Knowledge ... Our Company BrightSpring Health Services Overview The Director, Operations Support partners...to quality improvement goals and objectives* Reinforce the consistent utilization of the company's Risk management systems to maximize… 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
- Sevita (Sacramento, CA)
- …the lives of adults we support. + Provide direction, leadership, and supervision of professional and other staff at the program site to carry out operations and ... documentation. + Implement area core growth strategy to increase census, maximize utilization and occupancy percentages, and assist with new start development. +… more