- Humana (Sacramento, CA)
- …our caring community and help us put health first** The Utilization Management Behavioral Health Nurse 2 utilizes clinical nursing skills to support the ... communication of medical services and/or benefit administration determinations. The Utilization Management Behavioral Health Nurse 2 work assignments are… more
- Highmark Health (Sacramento, CA)
- …panel. Provides oversight over a specified panel of members that range in health status/severity and clinical needs; and assesses health management needs of ... various resources to assist members in achieving their personal health goals. Will work with providers to insure quality...in a clinical setting **Preferred** + 5 years in UM /CM/QA/Managed Care + 1 year in advanced training and… more
- University of Southern California (Alhambra, CA)
- …10. Demonstrates collaborative working relationship with care team members, including pharmacy, behavioral health , field team, office staff, and facility staff. ... coordination services evaluating options and services required to meet an individual's health care needs to promote cost-effective, quality outcomes. Serves as a… more