- Dignity Health (Bakersfield, CA)
- …care management pathways. Dignity Health MSO is dedicated to providing quality managed care administrative and clinical services to medical groups, hospitals, ... monitor and assure the appropriateness and medical necessity of care as it relates to quality, continuity and cost...with appropriate departments and internal staff to coordinate patient care . - Promotes quality, cost effective medical care… more
- Dignity Health (Bakersfield, CA)
- …care management pathways. Dignity Health MSO is dedicated to providing quality managed care administrative and clinical services to medical groups, hospitals, ... needs in supports of the Dignity Health MSO performance in value based care arrangements, including population risk- segmentation, risk- stratification, care gap… more
- CVS Health (Sacramento, CA)
- …pertain to neurodevelopmental disorders. + Make recommendation for enhancements to current managed care , review guidelines, and clinical criteria based on ... with dedicated colleagues who are passionate about transforming health care . As the nation's leading health solutions company, we...gives us a unique opportunity to help transform health care . We believe that a better care … more
- Dignity Health (Rancho Cordova, CA)
- …- High School Diploma or general equivalency diploma (GED) + 3 years of managed care enrollment experience + 3 years of healthcare senior-level/ advanced ... Representatives to ensure the integrity of the membership data and Primary Care Physician (PCP) assignments in Flowcast (IDX) by obtaining accurate and timely… more
- Dignity Health (Bakersfield, CA)
- …care management pathways. Dignity Health MSO is dedicated to providing quality managed care administrative and clinical services to medical groups, hospitals, ... and practice sites in improving clinical quality measures and closing gaps in care . Travels to provider sites and clinics 50%-75% of the workweek. Responsibilities… more
- Lompoc Valley Medical Center (Lompoc, CA)
- …Case management certification is preferred. + Skills/Ability: Working knowledge of managed care requirements, discharge planning and hospital information systems ... with discharge planning and transfer to appropriate levels of care to meet their needs within the hospital or...and coworkers, as delineated in the LVMC "Commitment to Care ". + Constantly use C-I- CARE principles when… more
- Sacramento Behavioral Healthcare Hospital (Sacramento, CA)
- …of information with the treatment team, external providers, collateral contacts, and/or managed care organizations; and implementation of the discharge planning ... including completion of a thorough risk assessment and arranging for follow-up care and resources. Supports with department training of on-boarding new clinicians to… more
- Dignity Health (Bakersfield, CA)
- …care management pathways. Dignity Health MSO is dedicated to providing quality managed care administrative and clinical services to medical groups hospitals ... forecasting and monitoring activities that advance CommonSpirit Health's strategy to transform care delivery through value based care . Working in partnership… more
- Abbott (Alameda, CA)
- …and implementing pricing strategies across all ADC brands and customer channels, including Managed Care , Medicaid, Medicare, Retail, and Point of Care ... you can do work that matters, grow, and learn, care for yourself and your family, be your true...position is an onsite opportunity in the Abbott Diabetes Care Division. We are helping people with Diabetes lead… more
- Centene Corporation (Sacramento, CA)
- …and knowledge of quality accreditation standards. + Actively practices medicine + Managed Care and Medi-Cal experience, preferred **Position Purpose:** Assist ... goals and policies to improve quality and cost-effectiveness of care and service for members. + Provides medical expertise...membership. + Conduct regular rounds to assess and coordinate care for high-risk patients, collaborating with care … more