- Humana (Sacramento, CA)
- …prior experience participating in teams focusing on quality management , utilization management , case management , discharge planning and/or home health or ... of regulatory compliance, and work is assisted by diverse resources which may include national clinical guidelines,... Case managers or Care managers on complex case management , including familiarity with social determinants… more
- Providence (Tarzana, CA)
- … clinical excellence and unwavering commitment to patient care and safety. Case Management is a collaborative practice including patients, caregivers, nurses, ... payers, support staff, other practitioners and the community. The Case Management process facilitates communication and care...basis at each ministry by the Director of Care Management in consultation with the Human Resources .… more
- Ventura County (Ventura, CA)
- … charts and cases to ensure effectiveness of treatment plans; and oversees case discussions and reviews; + Provides clinical supervision over psychological ... series. Incumbents are responsible for leading, instructing, and providing clinical supervision over the assessments, diagnoses, and therapeutic treatments provided… more
- Elevance Health (Walnut Creek, CA)
- …for clinical operational aspects of a program. + Conduct peer-to-peer clinical appeal case reviews with attending physicians or other ordering providers ... to discuss review determinations. + Serves as a resource and consultant to other areas of the company....an entire clinical program and/or independently performs clinical reviews. + Typically has program management … more
- Veterans Affairs, Veterans Health Administration (San Francisco, CA)
- …to other appropriate VA or community service providers/agencies; short-term focused case management ; consultation to interdisciplinary teams on the psychosocial ... conducts assessment and provides specific interventions. The Social Worker provides case management and care coordination to facilitate appropriate delivery… more
- Hospice Of San Joaquin (Stockton, CA)
- …supervision of the Director of Home Care Services and the direction of the RN Case Manager, according to the policies and procedures of Hospice of San Joaquin. ... CLINICAL SERVICES: Ensures that patients/families receive quality palliative and...+ Follows the treatment plan established by the Registered Nurse/ Case Manager. + Follows the scope of practice when… more
- Stanford Health Care (Menlo Park, CA)
- …individuals. + Work with and drive change across physician groups that balance clinical , academic and research interests. + Project Management & Financial ... (AOI) provides leadership and oversight for complex, high-impact projects that drive clinical and operational growth across Stanford Health Care. This role leads… more
- Highmark Health (Sacramento, CA)
- …guidance to internal departments. The Analyst conducts audits of Medical Directors, Utilization Management (UM) and Case Management (CM) processes and files, ... + Other duties as assigned or requested **PREFERRED RESPONSIBILITIES** + Clinical operations analysis (monitors and analyzes medical management activities… more
- Veterans Affairs, Veterans Health Administration (Mather, CA)
- …of social work service operations including clinical practice, program management , education, human resource management and supervision. Experience ... Health Professional The Social Worker (Service Chief) is responsible for advising management of specific clinical or administrative issues within Social Work… more
- Humana (Sacramento, CA)
- …prior experience participating in teams focusing on quality management , utilization management , case management , discharge planning and/or home health or ... of regulatory compliance and work is assisted by diverse resources which may include national clinical guidelines,... Case managers or Care managers on complex case management , including familiarity with social determinants… more