- LA Care Health Plan (Los Angeles, CA)
- …and clinical review of medical records to determine appropriate care including physical health , behavioral health , and social determinants of health ... a UM/CM environment. Preferred: Experience in utilization review, skilled nursing, home health , discharge planning, behavioral health , community resources,… more
- CVS Health (Sacramento, CA)
- …experience in Oncology, Transplant, Specialty Pharmacy, Pediatrics, Medical/Surgical, Behavioral Health /Substance Abuse or Maternity/ Obstetrics experience ... At CVS Health , we're building a world of health...Management and Utilization Management. AHH delivers flexible medical management services that support cost-effective quality care for members. **Key… more
- BrightSpring Health Services (San Bernardino, CA)
- Our Company SpringHealth Behavioral Health and Integrated Care Overview WE WANT YOU ON OUR TEAM! Apply today if you are passionate about assisting people reach ... with developmental disabilities. About our Line of Business SpringHealth Behavioral Health and Integrated Care, an affiliate...Health and Integrated Care, an affiliate of BrightSpring Health Services , offers a holistic approach and… more
- Highmark Health (Sacramento, CA)
- **Company :** Highmark Health **Job Description :** **JOB SUMMARY** This job will manage small scale projects and enhancement packages with mentorship and leadership ... + Identify any changes to delivery and actively escalate those challenges to manager or director as appropriate. Manage tasks across the matrixed organization to own… more
- Molina Healthcare (San Diego, CA)
- …ongoing member case load for regular outreach and management. + Promotes integration of services for members including behavioral health care and long term ... facilitate, plan and coordinate an integrated delivery of care across the continuum, including behavioral health and long term care, for members with high need… more
- BrightSpring Health Services (Sacramento, CA)
- Our Company ResCare Community Living Overview This position plans, directs, and coordinates health services for all assigned service sites. Provides ... to supervise all nursing personnel, and ensure care and services are coordinated with behavioral and programmatic...and oversees the implementation of improvement plans relating to health services * Collaborates with ED in the… more
- STG International (Los Angeles, CA)
- …Development (HUD) and Veterans Affairs (VA) Supportive Housing (HUD/VASH) Program. The Case Manager will provide clinical case management services to a caseload ... STGi is currently seeking a qualified Case Manager candidates for the Department of Housing and...Regional Offices, and community-based agencies for a variety of services that may include health care, benefits,… more
- Highmark Health (Sacramento, CA)
- …Support the onboarding of groups for commercial and partner business ensuring all service level agreements are attained including turn around time, accuracy on both ... for the following information technology systems: Group Database and Services , Group Policy Automation, Client Onboarding Engine (COBE), and...job adheres to the ethical and legal standards and behavioral expectations as set forth in the code of… more
- Children's Hospital Los Angeles (Los Angeles, CA)
- …This position will lead the Early Childhood outpatient team within the Community Behavioral Health (CBH) program. The Early Childhood team provides mental ... health services for children ages birth to 5 years...of the contract with the LA County Dept of Mental Health . The Psychotherapists (IV) Manager acts as a… more
- Highmark Health (Sacramento, CA)
- **Company :** Highmark Health **Job Description :** **JOB SUMMARY** This job defines the product's fundamental value proposition, outlines vision and execution ... or from site-to-site Rarely Works primarily out-of-the office selling products/ services (sales employees) Never Physical work site required Occasionally Lifting:… more