• Management Assistant III - Behavioral…

    Ventura County (Ventura, CA)
    …incentive depending upon operational need and certification of skill. AGENCY/DEPARTMENT: Health Care Agency - Behavioral Health Management Assistant III is ... Management Assistant III - Behavioral Health, Bilingual Required...Job Type Full-Time Job Number 1333HCA-25AA (RF) Department Health Care Agency Division Behavioral/Mental Health Opening Date 08/26/2025 Closing… more
    Ventura County (08/27/25)
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  • Value-Based Reimbursement Specialist

    Highmark Health (Sacramento, CA)
    …population health management . **Preferred** + 7 years of experience in managed care , primary care management or other clinical setting. + Experiencein ... in primary care , or healthcare consulting in primary care or population health management . + 3 years of experience in data analysis, interpretation, and… more
    Highmark Health (08/20/25)
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  • Case Manager, Registered Nurse - Fully Remote

    CVS Health (Sacramento, CA)
    …and/or interpretation of applicable criteria and clinical guidelines, standardized care management plans, polices, procedures and regulatory standards ... Management and Utilization Management . AHH delivers flexible medical management services that support cost-effective quality care for members. **Key… more
    CVS Health (08/15/25)
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  • Sr Program Manager Operational Automation

    Dignity Health (Bakersfield, CA)
    …and will lead the effort in developing Dignity Health's Medicaid population health care management pathways. Dignity Health MSO is dedicated to providing quality ... design, implementation, and optimization of enterprise-wide automation initiatives across managed care functional areas supported by the PHSO. This strategic role… more
    Dignity Health (08/08/25)
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  • UM LVN

    Dignity Health (Bakersfield, CA)
    …and will lead the effort in developing Dignity Health's Medicaid population health care management pathways. Dignity Health MSO is dedicated to providing quality ... care . - Promotes quality, cost effective medical care through strict adherence to all utilization management... care through strict adherence to all utilization management policies and procedures. - Consistently exhibits behavior and… more
    Dignity Health (08/09/25)
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  • LCSW Social Worker - Emergency - Evenings

    Providence (Burbank, CA)
    **Description** LCSW Social Worker within our Care Management team at Providence St. Joseph Medical Center in Burbank, CA. This position is Full-Time and will ... and care coordination along a continuum through effective transitional care management . Recognizing the patient's right to self-determination, the… more
    Providence (08/30/25)
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  • VP Business Development and Partnership

    Dignity Health (Bakersfield, CA)
    …and will lead the effort in developing Dignity Health's Medicaid population health care management pathways. Dignity Health MSO is dedicated to providing quality ... strategy Payor/IPA requirements, physician contracting regulations, and planning & program management tools + Operationalize value-based care nationally + Proven… more
    Dignity Health (08/24/25)
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  • SLH Case Manager RN

    Alameda Health System (San Leandro, CA)
    …CA + San Leandro Hospital + SLH Social Services + Part Time - Day + Care Management + $58.74 - $97.91 per hour + Req #:42604-31624 + FTE:0.7 + Posted:August 12, ... the need for more costly services such as acute care hospitalization and to develop self- management skills that improve his or her long-term health status.… more
    Alameda Health System (08/13/25)
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  • Health Actuary

    Dignity Health (Bakersfield, CA)
    …and will lead the effort in developing Dignity Health's Medicaid population health care management pathways. Dignity Health MSO is dedicated to providing quality ... forecasting and monitoring activities that advance CommonSpirit Health's strategy to transform care delivery through value based care . Working in partnership… more
    Dignity Health (07/18/25)
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  • Director, Prospective + Concurrent Risk Adjustment…

    Datavant (Sacramento, CA)
    …aligned to customer outcomes, regulatory drivers, and market trends in risk adjustment, care management , and provider enablement. + Identify and prioritize use ... standards (FHIR, HL7, APIs) to enable seamless enablement with EHRs, care management platforms, and third party integrations. + Balance innovation with… more
    Datavant (08/08/25)
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