Medical Director, Utilization Management - Concurrent Review Blue Cross and Blue Shield AssociationMedical Director, Utilization Management - Concurrent ReviewLodi, CADemonstrated proficiency in at least 3 of the following: Medicare/Medicare STARS, Dual Special Needs Plan (D-SNP), Medi-Cal, NCQA/URAC/Quality Programs, Policies/Procedures development, Clinical Subject Matter Expert for Litigation, SIU/Waste/Fraud/Abuse, Appeals/Grievances, Case Management/Population Health, Federal Employee Program (FEP), Education/Training (delivers CME, CEU), Quality Improvement. Moreover, the Medical Director, Utilization Management - leads or meaningfully contributes to the Blue Shield priorities and transformative initiatives that continue to improve the health and wellbeing of Blue Shield of California members.
Associate Director of Nursing (Clinical Training & Risk Management) Community Medical CentersAssociate Director of Nursing (Clinical Training & Risk Management)Stockton, CAMINIMUM REQUIREMENTS: Masters Degree in Health Sciences, Health Administration or Nursing with a focus on Administration with at least three (3) years, or Bachelor's Degree in Health Sciences, Health Administration, or Nursing with a focus on Administration, with at least four (4) years, of progressively responsible high level management experience in directing clinical nursing services, personnel management of nurses and nurse support staff, professional staff development, and personnel evaluation in a medical care setting with a focus on ambulatory services. ADON leads the nursing functions of the Registered Nurses, Registered Nurse Leads and other Licensed Nursing Staff for all programs offering nursing care services, while also collaborating with Providers to provide supervision and training, delivery of services, and contribution to performance evaluations of Medical Assistants in clinics or programs delivering patient care.
Manager, Housing Navigation Independent Living Systems LLCManager, Housing NavigationModesto, CAILS, along with its affiliated health plans known as Florida Community Care and Florida Complete Care, is committed to promoting a higher quality of life and maximizing independence for all vulnerable populations. Ultimately, the Manager, Housing Navigation ensures that individuals facing housing instability receive comprehensive support that promotes their health, well-being, and long-term housing security.
MEDICAL CONSULTANT I (PSYCHIATRIST), DEPARTMENT OF SOCIAL SERVICES State Of CaliforniaMEDICAL CONSULTANT I (PSYCHIATRIST), DEPARTMENT OF SOCIAL SERVICESSan Joaquin County, CA$13,372–$19,790 / yearUnder the direction of the Team Manager (TM) Disability Evaluation Services Administrator I (DESA I), the Medical Consultant (MC) Psychiatrist, in conjunction with Disability Evaluation Analyst (DEA) staff, adjudicates applications for disability benefits under the Social Security, Supplemental Security Income and/or Medi-Cal programs. The State of California has a generous benefits package that includes medical coverage, CalPERS pension upon retirement, two weeks paid vacation per year, two weeks paid sick leave per year, two paid Professional Development Days, one paid Personal Holiday, pre-tax parking fee program.
Family Services Specialist Community Action Partnership of San Luis Obispo CountyFamily Services SpecialistFrench Camp, CAUnder the supervision of the Area Manager/Center Supervisor and working in collaboration with the Family Child Care Coordinator the Family Services Specialist is responsible for recruitment of children, verification of eligibility, parent orientation, referral of parents to community resources and local social services agencies and updating children's health records. Orient parents to comprehensive services including Health, Nutrition, Education, Disabilities, Mental Health, Parent Engagement, and ERSEA.Support Migrant and Seasonal Head Start families, linking them with referral systems and community services.
Family Services Specialist Community Action Partnership of San Luis Obispo County IncFamily Services SpecialistFrench Camp, CAUnder the supervision of the Area Manager/Center Supervisor and working in collaboration with the Family Child Care Coordinator the Family Services Specialist is responsible for recruitment of children, verification of eligibility, parent orientation, referral of parents to community resources and local social services agencies and updating children's health records. What we are looking for in the ideal candidate: Level II: Has an AA/AS Degree in Child Development, Social Science, Psychology, Human Development, Liberal Studies, or related field + 1 year of client casework/case management experience.
Street Outreach Manager (Field-Based) - California Pacific Health GroupStreet Outreach Manager (Field-Based) - CaliforniaSan Joaquin County, CA$80,000–$90,000 / yearThe Street Outreach Manager leads field-based outreach operations with a dual focus on generating high-quality member referrals into CalAIM Enhanced Care Management (ECM), Community Supports (CS), and Behavioral Health (BH), while building durable, strategic relationships with community-based organizations (CBOs).This role is accountable for outreach performance, referral pipeline development, and the establishment of trusted partnerships that drive sustained referral flow, coordinated care, and improved member outcomes. Build and maintain strong community presence across the county This role requires strong leadership, strategic thinking, and the ability to operate in fast-paced, community-based environments.
OUTREACH WORKER City of StocktonOUTREACH WORKERStockton, CA$51,033.61–$65,513.80 / yearPhysical/Mental Abilities: Mobility - Frequently sitting and bending for long periods of time; occasional walking, squatting, climbing, kneeling, crawling and twisting; Lifting - Occasional lifting of 25 pounds or less; Vision - Ability to read normal and fine print; PC screens and information displayed on a visual display terminal; Dexterity - Constant Typing, repetitive motion and writing; occasional grasping, fine manipulation, pushing & pulling and reaching; Hearing/Talking - Ability to understand normal conversation and over the telephone; frequent exposure to noise; Special Requirements - Occasional need to work evenings, nights and/or weekends; Emotional/Psychological - Constant concentration, decision making, public contact, exercise sound judgment, especially under stressful situations; and working alone; Environmental Conditions - Occasional exposure to noise, outdoor conditions, hazardous materials, i.e., dust, gas, smoke, fumes, poor ventilation; and. Skill in: Interacting effectively within diverse cultural communities and with a variety of public and private agencies, including public school officials, law enforcement, community-based and nonprofit organizations, and other city, county, state, and federal agencies; Understanding and following oral and written instructions; Expressing self clearly and concisely, both orally and in writing; Establishing and maintaining effective working relationships with those contacted in the course of work; Utilizing computers to prepare and maintain accurate records and reports; and.
Care Manager II, Acute Sutter HealthCare Manager II, AcuteModesto, CA$82.48–$115.46 / hourHe/She collaborates with patients, families, physicians, the interdisciplinary team, nursing management, quality, ancillary services, third party payers and review agencies, claims and finance departments, Medical Directors, and contracted providers and community resources. This position works in collaboration with the Physician, Utilization Manager, Medical Social Worker and bedside RN to assure the timely progression and transition of patients to the appropriate level of care to prevent unnecessary admissions or readmissions.
Housing Navigator Independent Living Systems LLCHousing NavigatorModesto, CAResponsibilities: Conduct comprehensive assessments of clients' housing needs and barriers to stable housing and collaborates to develop Individualized Service Plan (ISP) that addresses housing goals, maintaining/increasing income and other personal goals identified by the participant including medical, mental health, substance use, financial resources, vocational, and social support needs. About the Role: The Housing Navigator plays a critical role in connecting individuals and families experiencing housing instability with appropriate housing resources and support services within the healthcare sector.
Senior Social Worker (Addiction Recovery Treatment Services) U.S. Department of Veterans AffairsSenior Social Worker (Addiction Recovery Treatment Services)Stockton, CA$129,460–$168,301 / yearSenior social workers must be licensed or certified by a state at the advanced practice level which included an advanced generalist or clinical examination, unless they are grandfathered by the state in which they are licensed to practice at the advanced practice level (except for licenses issued in California, which administers its own clinical examination for advanced practice) and they must be able to provide supervision for licensure. The Department of Veterans Affairs performs pre-employment reference checks as an assessment method used in the hiring process to verify information provided by a candidate (e.g., on resume or during interview or hiring process); gain additional knowledge regarding a candidates abilities; and assist a hiring manager with making a final selection for a position.
Social Worker (LCSW) HiredFirstSocial Worker (LCSW)Lodi, CA$60–$65We are seeking a licensed Clinical Social Worker (LCSW) to support inpatient discharge planning and psychosocial services within an acute care hospital. The LCSW will assess patients’ psychosocial needs, coordinate discharge planning, and provide crisis intervention and counseling services.
Clinical Care Manager - CA Independent Living Systems LLCClinical Care Manager - CAModesto, CAThe Clinical Care Manager is responsible for assessing patient needs, facilitating access to appropriate services, and monitoring progress to adjust care strategies as necessary. ILS, along with its affiliated health plans known as Florida Community Care and Florida Complete Care, is committed to promoting a higher quality of life and maximizing independence for all vulnerable populations.
CA Based Licensed Nurse Care Manager, Adult Included HealthCA Based Licensed Nurse Care Manager, AdultModesto, CARemote$35.43–$50 / hourbehavioral health, urgent care, etc.) and health care navigation products and services offered at no cost for employees and dependents Generous Paid Time Off ("PTO") and Discretionary Time Off ("DTO") 12 weeks of 100% Paid Parental leave Family Building Benefit with fertility coverage and up to $25,000 for Surrogacy & Adoption financial assistance Compassionate Leave (paid leave for employees who experience a failed pregnancy, surrogacy, adoption or fertility treatment) 11 Holidays Paid with one Floating Paid Holiday Work-From-Home reimbursement to support team collaboration and effective home office work 24 hours of Paid Volunteer Time Off ("VTO") Per Year to Volunteer with Charitable Organizations . As a telephonic Nurse Care Manager you will report to the Manager, Care and Case Management and will guide members through complex medical and behavioral Health situations, partnering with a diverse clinical team that includes a variety of healthcare professionals, care coordinators, and records specialists, to deliver integrated remote care in a creative way.
Housing Navigator II - San Joaquin County MedZed LLCHousing Navigator II - San Joaquin CountyStockton, CAMedZed is a leader in delivering value-based, technology-enabled social support to a diverse population of high-cost Medicaid members who have been unreachable with telephonic outreach, disconnected from primary care, and using hospital-based services as their primary point of care. Housing Navigator II (HN II) is a housing position that helps people find and keep housing by assessing needs, creating service plans, connecting members to resources (like mental health, jobs, benefits), providing crisis support, and advocating with landlords.
Community Response Specialist Felton InstituteCommunity Response SpecialistAntioch, CaliforniaFull timeThe Community Response Specialist will act as a liaison with community partners and other social service agencies in addressing residents’ needs while also conducting community outreach and may provide transport to necessary service locations so that engaged Antioch resident can begin a relationship with a provider immediately. Provide hands-on support for clients in reaching and accessing services according to their intervention plan (medical and social service appointments, assist in some activities of daily living, such as grocery shopping) and/or assist clients in connecting with and accessing available transportation resources.
Youth Program Facilitator Community Partnership for FamiliesYouth Program FacilitatorLodi, CAThe Youth Program Facilitator is responsible for creating, planning, coordinating, and facilitating youth programming designed to support positive youth development, leadership, life skills, educational success, and community engagement. This position works collaboratively with Family Resource Center staff, community partners, and the Youth Program Supervisor to ensure quality programming and meaningful engagement opportunities for youth throughout San Joaquin County.
Central Discharge Planner Tenet Healthcare CorpCentral Discharge PlannerModesto, CAThe Central Discharge Planner is responsible for the linkage between the multi-disciplinary patient care team and the Skilled Nursing Care facilities, Board and Care facilities and patient transportation resources for the provision of coordination of quality, cost-effective patient care. Doctors Medical Center offers a wide range of services including cardiology, neurosurgery, orthopedics, emergency and trauma services, minimally-invasive and robotic surgery, women and childrens services, medical/surgical, behavioral health, oncology and critical/intensive care.
Community Development Manager Community Partnership for FamiliesCommunity Development ManagerLodi, CAThe Manager works collaboratively with CPF program staff to support workforce development initiatives, including workforce development programs, by assisting with participant recruitment, community outreach, employer engagement, referral coordination, and required reporting activities. The Community Development Manager supervises site staff, oversees community engagement efforts, supports grant implementation, and ensures programs are delivered in accordance with CPF's mission, values, and funding requirements.
Licensed Vocational Nurse (LVN) - ECM Pacific Health GroupLicensed Vocational Nurse (LVN) - ECMStanislaus County, CA$62,400–$72,800Through programs such as Enhanced Care Management (ECM), Community Supports, Behavioral Health Services, Community Health Workers, Street Medicine, and other whole-person care initiatives, we help individuals navigate complex healthcare systems and access the resources they need to thrive. Working under the supervision of the Registered Nurse Clinical Case Consultant, the LVN assists with care coordination, member assessments, health education, medication reconciliation, transitions of care, chronic disease management, outreach, and clinical documentation.