- 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
- 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
- The Cigna Group (Sacramento, CA)
- **Evernorth Behavioral Health** **Job Description Case Management Lead Analyst (Licensed Telephonic Counselor)** **_ Remote but must be licensed in California ... trusts, estate planning or disability entitlements highly preferred **JOB TITLE:** Case Management Lead Analyst (Licensed Telephonic Counselor) **JOB BAND:** 3… more
- County of El Dorado (Placerville, CA)
- …Job Number 2412-8204/8205/8206 Department Health and Human Services Agency Division Behavioral Health Opening Date 12/20/2024 Closing Date Continuous + Description + ... + Questions Description The County of El Dorado is recruiting applicants for the Manager of Mental Health Programs, located in Placerville, CA. CLICK HERE TO VIEW… more
- Elevance Health (Rancho Cordova, CA)
- …Coordinator - RN Clinician** is responsible for overall management of member's case within the scope of licensure; provides supervision and direction to non-RN ... clinicians participating in the member's case in accordance with applicable state law and contract; develops , monitors, evaluates, and revises the member's care… more
- Maxim Healthcare (Roseville, CA)
- …changes in patient/client status to the Director of Clinical Services and/or Clinical Supervisor / Case Manager or licensed designee + Documents all ... medical record and + communicates this information as needed + Attends case conferences, team meetings, education in-services as required + Supports professional… 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
- Sevita (Granite Bay, CA)
- …program participants, and PT/PTA students + Write service summaries as requested by case manager /program director and maintain daily billing summaries and turn ... of information, and other appropriate meetings/conferences as needed + Attend clinical meetings to exchange, discuss, and evaluate program participant treatment… more
- CenterWell (Sacramento, CA)
- …Intelligence Lead and support ad hoc reporting. * Develop basic modeling and business case analysis; work closely with Finance and Data teams * Coordinate with ACO ... that impact patient well-being. Our integrated care teams, which include physicians, nurses, behavioral health specialists and more, spend up to 50 percent more time… 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