- Evolent (Sacramento, CA)
- … clinical acumen with proven experience in provider engagement, value- based care operations, and/or practice transformation + Highly preferred oncology ... managing clinical and administrative leadership relationships and driving clinical /operational change + Strong understanding of value- based care, healthcare… more
- County of El Dorado (Placerville, CA)
- …case management services to severely mentally ill including out of home placements; determine suitability of treatment facilities or prospective foster parents ... based upon an analysis of individual psycho-social needs. Please...above and a license to practice as a Licensed Clinical Social Worker, Marriage and Family Therapist, Registered Nurse,… more
- Evolent (Sacramento, CA)
- …Are you ready to make a meaningful impact on patient care in a non- clinical setting? Join our Utilization Management team as a Field Medical Director, Cardiovascular ... in interventional cardiology to help ensure the delivery of high-value, evidence- based case reviews. Enjoy improved work-life balance while contributing to better… more
- Humana (Sacramento, CA)
- …for prescriptions requiring prior authorization. This role involves evaluating complex clinical scenarios and applying evidence- based criteria to ensure ... put health first** The Staff Utilization Management Pharmacist is a clinical expert responsible for conducting medical necessity and comprehensive medication reviews… more
- Dignity Health (Woodland, CA)
- …required + Understanding of the concept of patient centered care and knowledge of team based care and evidence based clinical practice guidelines + Proven ... Health Medical Foundation, Primary Care Centers utilize the RN team- based model of care. As such, the Primary Care...works within the context of a primary care medical home , from a team approach and in continuous partnership… more
- Molina Healthcare (San Diego, CA)
- …+ Provides evidence- based , high-quality patient care via in-person and telehealth visits based on clinical and business need. + Leads a team of regional ... develop appropriate plan of care. + Participates in the implementation of new clinical projects and onboarding staff. + Using evidence- based guidelines, properly… more
- Providence (Corona, CA)
- …**Job Schedule:** Part time **Job Shift:** Multiple shifts available **Career Track:** Clinical Support **Department:** 7532 PRIVATE DUTY HOME CARE CA INLAND ... Apply Now!** Providence is seeking friendly and compassionate in home caregivers to join our team with a flexible...401k retirement plans with employer matching + Flexible scheduling based on your availability + One-on-one care with your… more
- Humana (Sacramento, CA)
- …our Special Needs Program (SNP) team. All of our SNP RN Care Managers are work at home associates, working from a dedicated home office space. Work at home ... for meeting quality and productivity measures daily and maintaining working home internet at all time with demonstrated advanced communication and interpersonal… more
- LA Care Health Plan (Los Angeles, CA)
- …clinical data in real-time and post admission to issue a determination based on clinical criteria for medical necessity. Assures timely, accurate ... transfers or needs. Ensures appropriate determination for admission requests/HLOC transfers based on clinical data presented and established criteria/guidelines,… more
- Evolent (Sacramento, CA)
- …is preferred **Healthcare Domain Knowledge That Matters** + Deep understanding of clinical workflows, value- based care models, and healthcare economics + ... other healthcare interoperability standards + Design integration strategies that enable value- based care delivery across Epic, Cerner, Allscripts, and other major… more