- CVS Health (Sacramento, CA)
- …self-insured clients. + Application and/or interpretation of applicable criteria and clinical guidelines, standardized care management plans, polices, procedures ... needs to ensure appropriate administration of benefits. + Applies clinical judgment to the incorporation of strategies designed to...as experience with transferring patients to lower levels of care . + 1+ years' experience in Utilization Review… more
- The County of Los Angeles (Los Angeles, CA)
- …history. Assesses client's functioning in his/her environmental setting. Develops a Client Care Coordination Plan (CCCP) designed to resolve or cope with ... Such psychotherapeutic methods include group, family, individual and conjoint therapy, clinical case management, and crisis intervention. Positions allocable to this… more
- Veterans Affairs, Veterans Health Administration (Fresno, CA)
- …determined by the VHA Education Loan Repayment Services program office after review of the EDRP application. Former EDRP participants ineligible to apply. ... Social Worker documents Social Work activities and interventions in the Veteran's clinical record utilizing the computerized patient record system (CPRS). The Social… more
- CVS Health (Sacramento, CA)
- …enhance a member's overall wellness through integration. - Through the use of clinical tools and information/data review , conducts an evaluation of member's ... with dedicated colleagues who are passionate about transforming health care . As the nation's leading health solutions company, we...needs and benefit plan eligibility and facilitates integrative functions as well as… more
- CVS Health (Sacramento, CA)
- …ourselves with dedicated colleagues who are passionate about transforming health care . As the nation's leading health solutions company, we reach millions ... The District Leader, Rx plays a critical role in cultivating a culture of clinical and business excellence in retail pharmacies across their market. With clinical… more
- The County of Los Angeles (Los Angeles, CA)
- …on drugs and drug usage to staff and patients in a dispensing or clinical setting. Incumbents plan and implement pharmacy operations and procedures within the ... must exercise knowledge of the principles of supervision governing personnel administration to plan , direct, and review work of staff. Essential Job Functions… more
- Veterans Affairs, Veterans Health Administration (Los Angeles, CA)
- …and medical systems. Participating in team huddles and team meetings to manage and plan patient care ; Setting priorities and deadlines, adjusting the flow and ... needs; May work with the team to reinforce the plan of care and self-help solutions and...to: Specialized Experience - In an advanced or complex clinical setting utilizing numerous advanced patient care … more
- Sutter Health (San Francisco, CA)
- …and the skills necessary to assess lethality, and to develop and implement an appropriate plan of care . Knowledge of substance use and the skills to assess the ... level of addiction, motivation for change, and to develop and implement an appropriate plan of care . Knowledge and understanding of the influence of cultural and… more
- CenterWell (Sacramento, CA)
- …and proposed medical care and services against established CMS Coverage Guidelines/NCQA review criteria and who is interested in being part of a team that ... three years clinical RN experience; + Prior clinical experience, managed care experience, DME, Florida...year This job is eligible for a bonus incentive plan . This incentive opportunity is based upon company and/or… more
- Defense Health Agency (Temecula, CA)
- …benefits, student loan repayments, and retirement package with Thrift Savings Plan to include matching employer contributions. For more information, please visit ... this position is to provide comprehensive Family Medicine medical care to a broad range of patients with both...and rehabilitation for enrolled patients within the scope of clinical privileges. Major Duties: 1. Serves as a Physician… more